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The use of a scented face mask in pediatric patients may facilitate mask acceptance before anesthesia induction
Yukako Abukawa1, Koji Takano1, Yuko Hobo1
1Department of Anesthesiology, Jikei University School of Medicine, Tokyo, Japan.
Insights
Scented face masks significantly improved mask acceptance in pediatric patients aged 2-3 years during anesthesia induction. This finding supports using scented masks for better pediatric patient cooperation in medical settings.
Area of Science:
- Anesthesiology
- Pediatric Medicine
- Psychology
Background:
- Scented face masks are frequently used during anesthesia induction.
- Mask acceptance is crucial for a smooth induction process in pediatric patients.
- Previous research has not conclusively determined the impact of scented masks on pediatric mask acceptance.
Purpose of the Study:
- To investigate if scented masks improve mask acceptance in pediatric patients before anesthesia induction.
- To assess the effect of scented masks on pediatric patients' fear and cooperation during anesthesia induction.
Main Methods:
- A prospective, randomized controlled trial was conducted with pediatric patients aged 2-10 years.
- Patients were randomly assigned to receive either unscented (control) or scented (experimental) face masks.
- Mask acceptance was measured using a validated 4-point scale, with heart rate as a secondary outcome.
Main Results:
- Sixty-seven pediatric patients were enrolled in the study (33 experimental, 34 control).
- Mask acceptance was significantly higher in the scented mask group compared to the control group for patients aged 2-3 years (p < 0.05).
- No significant difference in heart rate was reported between groups across measurement points.
Conclusions:
- Scented face masks can enhance mask acceptance in 2-3-year-old pediatric patients during anesthesia induction.
- Parental presence alongside scented masks may further improve acceptance.
- This study provides evidence for utilizing scented masks to improve pediatric patient experience during anesthesia.
Background:
Scented face masks are commonly used during the induction phase of anesthesia. The present study investigated whether the use of a scented mask improved mask acceptance before the slow induction of anesthesia in pediatric patients.
Methods:
This prospective, randomized controlled trial enrolled patients aged 2-10 years who were scheduled to undergo surgery under general anesthesia. Patients were randomly assigned to either of regular unscented (control group) or scented (experimental group) face masks before anesthesia induction with a parent. The primary outcome was the mask acceptance score, rated on a validated 4-point from 1 point (not afraid; easily accepts the mask) to 4 points (afraid of a mask; crying or struggling). The secondary outcome was heart rate assessed by pulse oximetry in the pediatric ward before transfer to the operating room (OR), at the entrance to the OR, at the patient notification of mask fitting by the anesthesiologist, and after mask fitting.
Results:
Seventy-seven patients were accessed for eligibility, with 67 enrolled in the study: 33 in the experimental group and 34 in the control group. Mask acceptance was significantly greater among patients aged 2-3 years in the experimental than in the control group (p < 0.05).
Conclusion:
The use of a scented mask can improve mask acceptance before anesthesia induction with a parental presence in pediatric patients aged 2-3 years.Clinical Trial Registration: https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040819.
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