Age-Appropriate Video Distraction for Pediatric Surgical Patients: Assessing the Process of Reducing Operating Room Delays
Abstract
Background or Problem/Issue: Common practice to relieve pediatric preoperative anxiety is oral midazolam, which requires 15-30 minutes to onset and peak. This causes delays in operating room turnover times. Non-pharmacological video distraction does not require time to onset, thus shortening turnover times. Does a non-pharmacological age-appropriate video distraction intervention reduce operating room turnover times compared to oral benzodiazepine administration in pediatric surgical patients ages 2-12 years old? Project Design: A retrospective review to determine mean turnover time between pediatric surgical cases that used oral midazolam was completed. Video distraction as an alternative form of preoperative anxiolysis was implemented. Anesthesia providers presented an iPad to patients which accompanied the child up to induction of anesthesia. Mean turnover time was recorded with the non-pharmacological intervention. A Likert survey was conducted among staff to analyze perceptions on video distraction as an alternative. Analysis of the Results: Results reflected an average turnover time of 34.0 minutes with oral midazolam use. Post-implementation via iPad intervention yielded a 2-minute reduction in average turnover time. Likert scale comparison showed satisfaction and a likelihood of continued iPad usage for the future.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 21, 2022
- Accession Number
- AD1186339
Entities
People
- Jeffery M. Nunez
- Meaghan R. Snyder
Organizations
- Uniformed Services University of the Health Sciences