Education and Training

Screen-Based Distraction Tool for Preoperative Preparation

Preoperative anxiety in pediatric patients undergoing surgical procedures has been previously shown to increase the likelihood of family stressors, post- operative pain, agitation, sleep disturbances, and negative behavioral changes. The purpose of this study is to determine whether the use of a bed mounted Video Projection unit (i.e. BERT, Bedside EnterRtainment Theater) is more effective than the use of a standard of care tablet (i.e., iPad) for preventing anxiety before surgery among children undergoing anesthesia and surgery. The anticipated primary outcome will be reduction of child's anxiety in the preoperative and operating room setting and compliance with mask induction.

Stanford is currently not accepting patients for this trial.

Stanford Investigator(s):

Intervention(s):

  • behavioral: Use of Video Projector
  • behavioral: Use of Video Tablet

Eligibility


Inclusion Criteria:

Participants must:

   1. be between ages of 4-10 years of age

   2. have comprehension of instructions in the English language

   3. have parental consent

   4. Pediatric patient must be undergoing non-emergent outpatient surgery at Lucile Packard
   Children's Hospital

   5. Children who are normally healthy (ASA I) or have a mild systemic disease (ASA II) -

Exclusion Criteria:

General Exclusion Criteria are as follows:

   1. Significant cognitive impairment/developmental delays per parental report or H&P.

   2. Children with ASA III, ASA IV (severe systemic disease that is a constant threat to
   life) or ASA V (unstable patients not expected to survive >24hours or without the
   operation)

   3. Children currently taking psychotropic mediations will be excluded from this study due
   to the affect emotion modulation

   4. Strong parental or patient preference for pharmacological anxiolytic

   5. Strong parental or patient preference for specific anxiety-reducing technique

   6. Children born before 32 week gestation

   7. Any indication that the patient may be admitted post-operatively

   8. Child has had previous surgery or has undergone general anesthesia

   9. Parent does not want to be present during transport to the OR or during induction -

Ages Eligible for Study

4 Years - 10 Years

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Not Recruiting