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• W2511182162 abstract "Background & Objectives: Induction of anaesthesia in children can be distressing for both the child and parent. Preoperative anxiety is associated with postoperative behavioural changes1. Parental presence does not diminish child anxiety, but promising non-pharmacological interventions include videos and computer games2. We developed a tablet-based app, RELAX Anaesthetics(RAA) for use as a distraction tool. Our aim was to compare anxiety in children during induction using either RAA or traditional toys and books. Materials & Methods: Ethics approval was obtained. 70 unpremedicated children (2-16years) were consented and randomised to either RAA or traditional distraction for induction. Anxiety was scored preop, at entry to anaesthetic room and during induction using the modified Yale Pre-operative Anxiety Scale (mYPAS)1. A low mYPAS score was defined as <34 out of 100. Results: There was no difference in age, hospital & surgical exposure, surgery and tablet usage, and more males in the RAA group. Induction was inhalational in 21% (mean(SD) age 4.9(2.7)) and intravenous in 79% (mean(SD) age 7.5(3.8)). There were fewer children with low mYPAS scores during induction in the control group (30%) than in the RAA group (65%). The number of children with low mYPAS scores at each stage and 95% confidence intervals are shown in the table.Conclusion: Tablet computers allow access to a range of child-friendly developmentally appropriate content, leading to engagement and distraction3. They can also modify the behaviour of healthcare providers to promote children’s coping. Our study showed lower anxiety scores during induction whilst using RAA compared with traditional methods, despite similar baseline scores. Interactive distraction may improve cooperation with intravenous access or mask induction. Reduced anxiety improves behavioural compliance, and may improve efficiency, as well as quality of patient-centred care. References: 1. Kain et al. The Yale Preoperative Anxiety Scale: How Does It Compare with a “Gold Standard’’?Anesthesia and Analgesia 1997;85:783 2. Manyande et al. Non-pharmacological interventions for assisting the induction of anaesthesia in children.Cochrane Database of Systematic Reviews 2015;7:doi: 10.1002/14651858.CD006447.pub3. [Accessed28/2/16] 3. Seiden et al. Tablet-based interactive distraction vs oral midazolam to minimize perioperative anxiety in pediatric patients: a noninferiority randomized trial. Pediatric Anesthesia 2014;12:1217 Disclosure of Interest: D. Fancourt: None declared, C. Lee Research grant/funding from: Chelsea and Westminster Health Charity (CWplus) for the development of the RELAX Anaesthetics App., S. Baltzer Nielsen: None declared, S. Capps: None declared, P. Brooks Research grant/funding from: Chelsea and Westminster Health Charity (CWplus) for the development of the RELAX Anaesthetics App." @default.
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• W2511182162 date "2016-09-01" @default.
• W2511182162 modified "2023-09-25" @default.
• W2511182162 title "Abstract PR230" @default.
• W2511182162 doi "https://doi.org/10.1213/01.ane.0000492628.68389.a8" @default.
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