Anxiety, Emergence Delirium, Postoperative Complications, Preoperative Care
Conditions
Brief summary
Preoperative anxiety is associated with adverse consequences such as emergence delirium, and postoperative behavioral changes. According to previous studies, providing information of anesthetic procedures helps to lessen preoperative anxiety. However, verbal explanation alone provides the limited effect, and the tour program of the operating room prior to surgery may not be possible for a number of hospitals due to organizational and financial reasons. Therefore, the virtual reality (VR) tour of the operating room may be an innovative and novel method to give children information about the preoperative process and to alleviate the preoperative anxiety. In this study, we intend to evaluate the effects of the operating room virtual tour on preoperative anxiety as well as emergence delirium and postoperative behavioral changes, in pediatric patients.
Interventions
BEHAVIORALa 360-degree VR video tour
At operation day, pediatric patients of the VR group and their parents are educated using virtual tour program explaining preoperative procedures and showing environment of the operating room. A 360-degree virtual reality (VR) video for the tour program was filmed in advance and is provided using a head mount device into which a smartphone is installed, at 30 minutes before the induction of anesthesia.
Sponsors
Seoul National University Bundang Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Elective surgery * American Society of Anesthesiologist (ASA) physical class I, II * Informed consent; Children aged between 4 and 6 years old are allowed to have verbal consent and their parents provide informed written consent. Children over the age of 7 are required to obtain a written consent with parental permission.
Exclusion criteria
* ASA class ≥ III * Major surgery needing postoperative intensive care unit (ICU) admission. * Chronic disease or history of preterm birth * Developmental delay * Hearing or vision impairment * Affective disorder * History of epilepsy or seizure * Previous experience of general anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Emergence delirium | At 5 minutes after arrival in post-anesthesia care unit (PACU) | Pediatric Anesthesia Emergence Delirium (PAED) scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative anxiety | 2 times; before the intervention (baseline) and, at waiting area, before the operating room entrance (preoperative) | Modified Yale Preoperative Anxiety Scale (mYPAS) |
| Postoperative behavioral change | 2 times; on the 1st and 14th day (2 weeks) after the surgery, we will call and talk with the parents | Hospitalization Post- Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ-AS) |
Countries
South Korea
Outcome results
None listed