None listed
Conditions
Brief summary
Children anxiety during preoperative period may lead to multiple complications that might interrupt treatment session. For example, lower anesthesia induction compliance Furthermore, preoperative anxiety is also related with postoperative maladaptive behavior changes. stress situation that is associated with preoperative anxiety will increase cortisol levels in blood which might increase the risk of infection and delay healing postoperatively. In this context, the use of pharmacological and non-pharmacological methods has been reported to be effective in reducing anxiety during preoperative period. However, the anxiolytic methods are heading in the favor of the non-pharmacological interventions instead of the pharmacological ones due to their superior or equal effect. Distraction, one of the non-pharmacological methods, has been researched in a diversity of medical and dental procedures as an easy intervention to achieve, economical, and simple approach that reduce anxiety and upsetting behavior in children patients. the aim of this study was to evaluate the effectiveness of VR BOX in the waiting room on the preoperative anxiety and its consequent effect on children’s compliance during induction of dental anesthesia.
Interventions
Eligible Children will be randomized into two groups:
Group A: Using VR Box in the waiting room
Group B: Control group
Children will be informed of the group assignment after randomization to minimize patient expectations and/or disappointment (e.g. anticipation of watching VR and then being randomized to another arm of the study). Two research Investigators will score a baseline modified Yale Preoperative Anxiety Scale - Short Form (mYPAS-SF).
Children and parents will remain in private unit
Eligible Children will be randomized into two groups: Group A: Using VR Box in the waiting room Group B: Control group Children will be informed of the group assignment after randomization to minimize patient expectations and/or disappointment (e.g. anticipation of watching VR and then being randomized to another arm of the study). Two research Investigators will score a baseline modified Yale Preoperative Anxiety Scale - Short Form (mYPAS-SF). Children and parents will remain in private unit before being transferred into the operating room (OR). Parents will be given a written and verbal description of what to expect when they enter the OR. All Cartoons will be rated ‘E’ for ‘everyone’ and will be self-selected by children from a variety of 10 Cartoon shows. At least 20 min after the intervention (VR box or none), parent and patient will be escorted into the OR where standard pre-anesthesia procedures will be carried out prior to IAN Block. The maximum possible duration of the intervention will be at least 25 minutes up to 1 hour. A research investigator will monitor VR box adherence until the cartoon show is over then VR box will be taken off. A second mYPAS-SF will be performed by the same Investigators during the period of pulse oximeter placement, and the induction of dental anesthesia (1.7ml of 2% lidocaine with epinephrine 1:100000 will be administered as an inferior alveoler nerve block by pediatric dentistry residents). During anesthesia period, readings of the pulse oximeter will be recorded and Houpt scale will be scored. Children who received IAN block will be asked to evaluate their experience using Wong-Baker faces pain scale.
Sponsors
Damascus University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
6 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
Inclusion criteria : 1) children requiring Inferior alveolar nerve (IAN) Block 2) aged between 6–10 years 3) American Society of Anesthesiologists (ASA) physical status I
Exclusion criteria
Children with developmental disabilities or chronic illnesses, those on psychoactive medications or children having repeated surgery
Outcome results
None listed