Improving the pediatric perioperative experience: video-based distraction and induction of anesthesia

Purpose: Induction of general anesthesia is a critical time during the surgical experience and an even more stressful time for children. Research has shown that increased levels of anxiety at induction of anesthesia are associated with a higher risk of postoperative behavioral problems and prolonged recovery in the pediatric population. Prior to the COVID-19 pandemic, parental presence at induction of anesthesia (PPIA) was the most popular non-pharmacologic intervention aimed at reducing levels of anxiety. However, with the advent of new visitor restrictions, PPIA has become more difficult to implement, highlighting the need for alternative interventions. While the literature supports the use of video-distraction methods at reducing perioperative anxiety and its adverse effects, widespread implementation has been lacking. The purpose of this project was to increase the use of video-based distraction in the pediatric surgical patient population. Methodology: Flyers containing a link to popular children’s YouTube videos, as well as information regarding the benefits of video-based distraction, were sent to a privately contracted anesthesia group, with the intention of increasing the use of video-based distraction methods. Results: Two months after disbursement of the flyer, the usage rate of video-distraction (prior to induction of general anesthesia) increased from a baseline of 40% to approximately 77%. Implications: These findings suggest that these perioperative reminders may be helpful in promoting the use of video-distraction methods. Future recommendations are geared towards routine device use, designated tablets for the pediatric operating room, and convenient links to popular children’s YouTube videos providing children with options to pick the video of their choice.D.N.P.Includes bibliographical reference