Effects of virtual tour on perioperative pediatric anxiety

Castanys, T. Franco; Carrión, Anabel Jiménez; Gómez, Frederic Ródenas; García, Sandra Clemente; Mascaray, Alícia Melero; Amela, Marisa Janeiro; Bonet, Jordi

doi:10.1111/pan.14639

Cited by 7 publications

(2 citation statements)

References 23 publications

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“…A significant reduction in perioperative anxiety was observed in the VT+ group however the reduction in anxiety scores did not impact on the ED incidence between the two groups underpinning our results. 26 However, both groups of children in the current study had an accompanying parent, so there could be no evaluation of a control group with no intervention to find any relationship between preoperative anxiety and postoperative ED.…”

Section: Ta B L Ementioning

confidence: 90%

The effect on perioperative anxiety and emergence delirium of the child or parent's preference for parental accompaniment during anesthesia induction in children undergoing adenotonsillectomy surgery

Yucedag,

Sezgin,

Bilge

et al. 2024

Pediatric Anesthesia

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BackgroundPediatric emergence delirium (ED) occurs in the early postoperative period and is defined as a complex psychiatric disorder. Non‐pharmacological methods of treatment, such as perioperative parental presence, have been the focus of many studies, but the impact on preventing ED of which parent accompanies the child during anesthesia induction has not been identified as yet. Therefore, the aim of this study was to determine whether the selection made by children undergoing adenotonsillectomy of which parent will accompany them during anesthesia induction has the effect of reducing postoperative delirium scores and incidence compared to selections made by the parents.MethodsThe study included 80 children of both genders, aged 5–12 years, who underwent day‐case surgery in the otorhinolaryngology clinic. The patients were separated randomly into two groups of 40. In Group 1, the children were asked to choose which of their parents would accompany them during general anesthesia induction, and in Group 2, the parents were asked to decide who would be the accompanying parent. Evaluation of postoperative delirium was made using the Pediatric Anesthesia Emergence Delirium (PAED) scale. The anxiety level of the children was evaluated with the modified Yale Preoperative Anxiety Scale (mYPAS) both in the preoperative waiting area and during the anesthesia induction. The State–Trait Anxiety Inventory (STAI) was used to evaluate the anxiety level of the parents.ResultsThe mean PAED scores were similar in both groups (mean difference [95% CI]: −0.1 [−2.8 to 0.7]). The incidence of emergence delirium was also similar in both groups (risk ratio 0.9 [0.4 to 1.8]). The mean mYPAS scores during the induction of anesthesia of Group 1 was lower than that of Group 2 (mean difference [95% CI]: −8.4 [−15.2 to −1.6]). The mean mYPAS scores evaluated in the preoperative waiting area were found to be similar in the two groups (mean difference [95% CI]: −1.9 [−7.5 to 3.5]). The mean STAI anxiety scores of the parents were similar in both groups, with higher scores obtained by mothers compared to fathers, at all measurement times.ConclusionThe incidence or severity of ED did not decrease significantly even though lower anxiety scores were obtained during anesthesia induction in children who were allowed to make the decision of accompanying parent. Based on these findings, it can be concluded that postoperative delirium is a more complicated process that can be affected by many other variables rather than just the parent–child general interaction.

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Section: Ta B L Ementioning

confidence: 90%

The effect on perioperative anxiety and emergence delirium of the child or parent's preference for parental accompaniment during anesthesia induction in children undergoing adenotonsillectomy surgery

Yucedag,

Sezgin,

Bilge

et al. 2024

Pediatric Anesthesia

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“…However, those who had used online resources found them useful for this purpose. This finding is useful for administrators and clinicians who may be developing training materials for PPIA and will need to ensure these meet a variety of parental preferences for online or inperson information [22,[31][32][33][34][35][36][37][38][39][40][41][42][43][44][45].…”

Section: Discussionmentioning

confidence: 99%

Experiences of Parental Presence in the Induction of Anesthesia in a Canadian Tertiary Pediatric Hospital: A Cross-Sectional Study

Garcia-Tejedor¹,

Le²,

Tackey³

et al. 2023

Cureus

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BackgroundParental presence at induction of anesthesia remains controversial and has been reported to provide mixed results. As such, parental presence at induction of anesthesia is not practiced routinely everywhere. There are currently limited data describing the practice of parental presence at induction of anesthesia or the experiences and perceptions of parents in Canada. ObjectivesWe sought to investigate (1) the frequency of parental presence at induction of anesthesia and (2) the experiences and perceptions of parents accompanying their child into the operating room compared to those who did not at a tertiary Canadian pediatric hospital. MethodsInstitutional quality improvement approval was obtained. This study was a cross-sectional survey. Parents waiting in the parent surgical waiting room during the procedure were invited to complete a web-based survey. Consent was implied via completing the survey. The cross-sectional survey elicited the prevalence of parental presence during induction of anesthesia as well as their experience and perceptions. We also investigated the parents' preferences for preoperative education.

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