Perioperative Effects of Operating Room Virtual Tour

Seoul National University Bundang Hospital86 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

Conditions

Preoperative Care Anxiety Emergence Delirium Postoperative Complications

Interventions

a 360-degree VR video tourBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 4 YearsMax age: 10 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Emergence delirium

Pediatric Anesthesia Emergence Delirium (PAED) scale

Time frame: At 5 minutes after arrival in post-anesthesia care unit (PACU)

Secondary Outcomes

Preoperative anxiety

Modified Yale Preoperative Anxiety Scale (mYPAS)

Time frame: 2 times; before the intervention (baseline) and, at waiting area, before the operating room entrance (preoperative)

Postoperative behavioral change

Hospitalization Post- Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ-AS)

Time frame: 2 times; on the 1st and 14th day (2 weeks) after the surgery, we will call and talk with the parents