Pediatric anesthesia & critical care

Impact of Video Distraction on Anxiety During Anesthesia Induction in Pediatric Patients Premedicated With Midazolam: A Randomized Controlled Trial

Paediatr AnaesthPublished Randomised controlled trial

Authors' conclusion

In our study, video distraction did not result in additional anxiety reduction in children premedicated with midazolam prior to anesthesia induction in a hospital setting.

Study context

Population
Children aged 2–10 years scheduled for elective noncardiac surgery, premedicated with midazolam
Participants
54 vs 51
Comparison
Video vs Control
  • Videon = 54
  • Controln = 51reference
Primary endpoint
Change in mYPAS-SF scores between transfer to the operating theater and anesthesia induction (ΔmYPAS-SF)
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

ΔmYPAS-SF

Control

4.2

median · IQR −2.1–16.7

Video

4.16

median · IQR −2.1–7.0

P = 0.246

Secondary outcomes

Compliance during induction, emergence delirium, postoperative pain

No significant differences between the groups

Anxiety reduction in children with pronounced anxiety traits (subgroup)

Additional anxiety reduction with video in children with pronounced "General Phobia," "Separation," "Panic" and "Total Phobia" traits

Original publication

Impact of Video Distraction on Anxiety During Anesthesia Induction in Pediatric Patients Premedicated With Midazolam: A Randomized Controlled Trial. Paediatr Anaesth. Published 3 April 2025. doi:10.1111/pan.15105

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