Individual cartoon video for alleviating perioperative anxiety and reducing emergence delirium in children: a prospective randomised trial

BackgroundPerioperative anxiety and emergence delirium (ED) in young children may cause a series of adverse events, which are worth investigating. Pharmacological treatments of anxiety and delirium remain uncertain, while non-pharmacological treatments lack personalization and pertinence.AimsThe aim...

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Published in:BMJ paediatrics open 2023-07, Vol.7 (1), p.e001854
Main Authors: Tang, Xinyu, Zhang, Muchun, Yang, Lizhuang, Tao, Xinchen, Li, Yamei, Wang, Yi, Wang, Xin, Hu, Xianwen
Format: Article
Language:English
Subjects:
adolescent health
Anesthesia
Anesthesia, General - methods
Anxiety
Anxiety - prevention & control
Cartoons
Child
Child, Preschool
Children & youth
Clinical trials
Compliance
Delirium
Emergence Delirium - epidemiology
Emergence Delirium - prevention & control
Humans
Paediatric Surgery
Pain, Postoperative
Parents & parenting
Patients
Pediatrics
Prospective Studies
Surgery
Teenagers
Virtual reality
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Summary:BackgroundPerioperative anxiety and emergence delirium (ED) in young children may cause a series of adverse events, which are worth investigating. Pharmacological treatments of anxiety and delirium remain uncertain, while non-pharmacological treatments lack personalization and pertinence.AimsThe aim of study was to determine whether an individual cartoon video can alleviate perioperative anxiety and reduce ED in young children undergoing adenoidectomy and tonsillectomy.MethodsChildren between 3 and 7 years old undergoing adenoidectomy and tonsillectomy were randomly assigned to an individual cartoon video group (group V) or a control group (group C). In group V, an individual cartoon video of the child’ s own choice was played throughout the whole waiting, anaesthesia induction and recovery periods. The children in group C were contacted through verbal conversation. The primary outcomes were anxiety measured by the Modified Yale Preoperative Anxiety Scale and ED assessed by the Paediatric Anaesthesia Emergence Delirium (PAED) scale. The secondary outcomes included cooperation during induction, postoperative pain and adverse events.ResultsThe incidence of anxiety were comparable in group V and group C at the holding area (T0) (26% vs 22%, p=0.323), but the incidence of anxiety of group V were significantly lower than those of group C at the time of entering the operating room (T1), during the induction of anaesthesia (T2) and leaving the post anaesthesia care unit (T6) (p
ISSN:2399-9772
2399-9772
DOI:10.1136/bmjpo-2023-001854