J-H Ryu1,2, S-J Park1, J-W Park1,2, J-W Kim3, H-J Yoo4, T-W Kim5, J S Hong6, S-H Han1,2. 1. Department of Anaesthesiology and Pain Medicine, Medical Virtual Reality Research Group, Seoul National University College of Medicine, Seoul, Korea. 2. Department of Anaesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. 3. Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea. 4. Department of Psychiatry, Medical Virtual Reality Research Group, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea. 5. Department of Ophthalmology, Medical Virtual Reality Research Group, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea. 6. Department of Obstetrics and Gynaecology, Medical Virtual Reality Research Group, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea.
Abstract
BACKGROUND: A virtual reality (VR) tour of the operating theatre before anaesthesia could provide a realistic experience for children. This study was designed to determine whether a preoperative VR tour could reduce preoperative anxiety in children. METHODS:Children scheduled for elective surgery under general anaesthesia were randomized into a control or VR group. The control group received conventional information regarding anaesthesia and surgery. The VR group watched a 4-min video showing Pororo, the famous little penguin, visiting the operating theatre and explaining what is in it. The main outcome was preoperative anxiety, assessed using the modified Yale Preoperative Anxiety Scale (m-YPAS) before entering the operating theatre. Secondary outcomes included induction compliance checklist (ICC) and procedural behaviour rating scale (PBRS) scores during anaesthesia. RESULTS: A total of 69 children were included in the analysis, 35 in the control group and 34 in the VR group. Demographic data and induction time were similar in the two groups. Children in the VR group had a significantly lower m-YPAS score than those in the control group (median 31·7 (i.q.r. 23·3-37·9) and 51·7 (28·3-63·3) respectively; P < 0·001). During anaesthesia, the VR group had lower ICC and PBRS scores than the control group. CONCLUSION: This preoperative VR tour of the operating theatre was effective in alleviating preoperative anxiety and increasing compliance during induction of anaesthesia in children undergoing elective surgery. Registration number: UMIN000025232 (http://www.umin.ac.jp/ctr).
RCT Entities:
BACKGROUND: A virtual reality (VR) tour of the operating theatre before anaesthesia could provide a realistic experience for children. This study was designed to determine whether a preoperative VR tour could reduce preoperative anxiety in children. METHODS:Children scheduled for elective surgery under general anaesthesia were randomized into a control or VR group. The control group received conventional information regarding anaesthesia and surgery. The VR group watched a 4-min video showing Pororo, the famous little penguin, visiting the operating theatre and explaining what is in it. The main outcome was preoperative anxiety, assessed using the modified Yale Preoperative Anxiety Scale (m-YPAS) before entering the operating theatre. Secondary outcomes included induction compliance checklist (ICC) and procedural behaviour rating scale (PBRS) scores during anaesthesia. RESULTS: A total of 69 children were included in the analysis, 35 in the control group and 34 in the VR group. Demographic data and induction time were similar in the two groups. Children in the VR group had a significantly lower m-YPAS score than those in the control group (median 31·7 (i.q.r. 23·3-37·9) and 51·7 (28·3-63·3) respectively; P < 0·001). During anaesthesia, the VR group had lower ICC and PBRS scores than the control group. CONCLUSION: This preoperative VR tour of the operating theatre was effective in alleviating preoperative anxiety and increasing compliance during induction of anaesthesia in children undergoing elective surgery. Registration number: UMIN000025232 (http://www.umin.ac.jp/ctr).
Authors: Triton L Ong; Matthew M Ruppert; Maisha Akbar; Parisa Rashidi; Tezcan Ozrazgat-Baslanti; Azra Bihorac; Marko Suvajdzic Journal: Crit Care Explor Date: 2020-06-08
Authors: Michael J Jung; Justin S Libaw; Kevin Ma; Elizabeth L Whitlock; John R Feiner; Jina L Sinskey Journal: Anesth Analg Date: 2021-03-01 Impact factor: 6.627
Authors: Naseem Ahmadpour; Andrew David Weatherall; Minal Menezes; Soojeong Yoo; Hanyang Hong; Gail Wong Journal: J Med Internet Res Date: 2020-07-17 Impact factor: 5.428
Authors: Robin Eijlers; Elisabeth M W J Utens; Lonneke M Staals; Pieter F A de Nijs; Johan M Berghmans; René M H Wijnen; Manon H J Hillegers; Bram Dierckx; Jeroen S Legerstee Journal: Anesth Analg Date: 2019-11 Impact factor: 5.108
Authors: Robin Eijlers; Bram Dierckx; Lonneke M Staals; Johan M Berghmans; Marc P van der Schroeff; Elske M Strabbing; René M H Wijnen; Manon H J Hillegers; Jeroen S Legerstee; Elisabeth M W J Utens Journal: Eur J Anaesthesiol Date: 2019-10 Impact factor: 4.330
Authors: Robin Eijlers; Lonneke M Staals; Jeroen S Legerstee; Johan M Berghmans; Elske M Strabbing; Marc P van der Schroeff; René M H Wijnen; Laura S Kind; Manon H J Hillegers; Bram Dierckx; Elisabeth M W J Utens Journal: J Clin Psychol Med Settings Date: 2021-06