Paediatric anaesthesia & critical care

Interactive gaming during inhalational induction of anesthesia reduces pediatric patient anxiety and improves induction compliance: A randomized controlled trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

Interactive gaming via BERT attenuated increases in patient anxiety, improved induction compliance, and reduced the rise in caregiver anxiety without prolonging OR time.

Study context

Population
Pediatric patients aged 4 to 14 undergoing inhalational induction
Participants
74 patients
Comparison
Bedside Entertainment and Relaxation Theater (BERT) vs SOC
Primary endpoint
Change in patient anxiety from baseline to induction (Modified Yale Preoperative Anxiety Scale, Modified Yale Preoperative Anxiety Scale (mYPAS))
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

Increase in mYPAS from baseline to induction

BERT

0

median · IQR 0–0

SOC

10

median · IQR 0–38

P < 0.001

Secondary outcomes

Mean

OutcomeBERTSOCDifference (95% CI)P value
Caregiver anxiety (STAI increase)0.181.89- 1.7 (−3.2 to −0.26)P = 0.022
OutcomeBERTSOCShift (95% CI)P value
Induction compliance (Induction Compliance Checklist score; lower = fewer disruptive behaviors)— not stated in the abstractmedian 1−1 (−2 to 0)P = 0.004

— not stated in the abstract

OR staff perceptions

High acceptability; staff supporting continued use
97%

OR efficiency and opioid administration

No differences between groups

Original publication

Interactive gaming during inhalational induction of anesthesia reduces pediatric patient anxiety and improves induction compliance: A randomized controlled trial. J Clin Anesth. Published 18 August 2026. doi:10.1016/j.jclinane.2026.112299

Composed by AI from the published abstract and checked against it. How Briefs are made →

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