Paediatric anaesthesia & critical care
Interactive gaming during inhalational induction of anesthesia reduces pediatric patient anxiety and improves induction compliance: A randomized 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
| Outcome | BERT | SOC | Difference (95% CI) | P value | |
|---|---|---|---|---|---|
| Caregiver anxiety (STAI increase) | 0.18 | 1.89 | - 1.7 (−3.2 to −0.26) | P = 0.022 | |
| −4−202Difference (linear scale) |
| Outcome | BERT | SOC | Shift (95% CI) | P value |
|---|---|---|---|---|
| Induction compliance (Induction Compliance Checklist score; lower = fewer disruptive behaviors) | — not stated in the abstract | median 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
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