All of the tools currently available for preoperative preparation of children either use a third person approach (i.e., use media whereby they watch a video or look at pictures of another child receiving an anesthetic), provide tours at some time previous to the operation date, or are shown the equipment that they will encounter during their anesthetic. No preoperative programme currently allows the child to experience the entire chain of events from leaving the preoperative preparation area (and their parents), walking to the operating area, being initially prepared for and receiving anesthesia and recovering from anesthesia, in real time and from a first person perspective. As such the investigators are carrying out this study to assess whether virtual reality preoperative preparation is effective in reducing anxiety at induction of anesthesia.
The investigators' goal in this study is to investigate the effects of virtual reality preoperative preparation on anxiety in children at induction of anesthesia. The hypothesis is that utilisation of this novel 1st person immersive preparatory method will lead to an enhanced understanding of what will happen to the child (in addition to what the environment looks and sounds like) when they have their anesthetic. The investigators believe this enhanced understanding and preparation will lead to the reduction in anxiety levels before and during the induction of anesthesia, and will also lead to a reduction in postoperative negative behaviour disorders.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
39
The Hospital for Sick Children
Toronto, Ontario, Canada
Anxiety in children
measured using the modified Yale Preoperative Anxiety Scale (mYPAS)
Time frame: Day of surgery, immediately following consent
Change in child anxiety
measured using the modified Yale Preoperative Anxiety Scale (mYPAS)
Time frame: Day of surgery, immediately preceding surgery
Induction compliance
measured using the Induction Compliance Checklist
Time frame: Day of surgery, immediately preceding surgery
Anesthetic requirements
measurement includes recording dose of anesthetic(s) used
Time frame: Day of surgery, intra-operatively
Post-hospitalization negative behaviours
measured using the Posthospitalization Behaviour Questionnaire (PHBQ)
Time frame: Two to three days after surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.