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Usability Evaluation of Augmented Reality: A Neuro-Information-Systems Study
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Augmented Reality Improves Pediatric Mask Induction: A Prospective, Matched Case-Control Study.

Romy Yun1, Emily M He2, Michelle Zuniga3

  • 1Division of Pediatric Anesthesiology, Department of Anesthesiology, Perioperative and Pain Medicine, Lucile Packard Children's Hospital Stanford, Stanford University School of Medicine, Stanford, CA, USA.

Journal of Patient Experience
|March 29, 2024
PubMed
Summary
This summary is machine-generated.

Augmented reality (AR) significantly improved pediatric mask acceptance during anesthesia induction compared to standard care. This immersive technology shows promise as a non-pharmacologic intervention for reducing anxiety in children.

Keywords:
anesthesiologyanxietyanxiety disorderschildperioperative carepsychometrics

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Area of Science:

  • Anesthesiology
  • Pediatric Medicine
  • Human-Computer Interaction

Background:

  • Pediatric perioperative anxiety is a significant challenge during mask induction for general anesthesia.
  • Immersive technologies like extended reality headsets offer potential solutions for anxiety reduction.

Purpose of the Study:

  • To investigate the efficacy of augmented reality (AR) in improving mask acceptance during inhalational anesthesia induction in pediatric patients.
  • To assess the impact of AR on cooperation and emergent delirium (ED) in pediatric patients undergoing mask induction.

Main Methods:

  • Prospective, matched case-control study involving 50 pediatric patients using AR and 150 standard-of-care (SOC) controls.
  • Primary outcome measured by the Mask Acceptance Scale (MAS); secondary outcomes included cooperation and emergent delirium (ED).

Main Results:

  • Significantly higher mask acceptance (lower MAS scores) in the AR group (4%) compared to SOC (19.3%) (P=.027).
  • No significant difference in cooperation rates between AR (98%) and SOC (91.3%) (P=.457).
  • No emergent delirium (ED) observed in the AR group versus 0.7% in the SOC group (P=1.000).

Conclusions:

  • Augmented reality (AR) enhances mask acceptance during pediatric inhalational anesthesia induction.
  • AR does not appear to affect cooperation or the incidence of emergent delirium (ED).
  • AR presents a viable non-pharmacologic option for improving pediatric perioperative experiences.