IPad best sedative for kids before surgery

Devices as effective at lowering their anxiety as conventional sedatives, study says

When Apple made iPad, little did the US tech giant realise that the popular device may work as a real-world sedative for kids before surgeries.

New research shows that allowing children to use iPads to distract them before surgery requiring general anaesthesia is as effective at lowering their anxiety as conventional sedatives.

Not only that. Parental satisfaction and quality of anaesthesia induction was higher in children using iPads, said lead researcher Dominique Chassard, EPICIME, Hopital Mere Enfant, Hospices Civils de Lyon in Bron, France.

“Use of iPads or other tablet devices is a non-pharmacologic tool which can reduce perioperative stress without any sedative effect in paediatric ambulatory surgery,” said Chassard.

To reach this conclusion, the team compared the effects of midazolam (a sedative used regularly before anaesthesia) in premedication with age-appropriate game apps (on an iPad tablet) on children aged 4-10 years during and after ambulatory (day) surgery.

Anxiety was assessed both in children and in parents.

Children were randomly allocated to one of the two groups (MDZ [midazolam-54 children] children]).

Patients in group MDZ received midazolam 0.3mg/kg orally or rectally, or, in group TAB, were given an electronic tablet (iPAD) 20 minutes before anaesthesia.

Child anxiety was measured by two independent psychologists from time to time. The researchers found both parental and child anxiety levels to be similar in both groups, with a similar pattern of evolution.

Both parents and nurses found anaesthesia more satisfying in the iPad group.

“The study showed that child and parental anxiety before anaesthesia are equally blunted by midazolam or use of the iPad. However, the quality of induction of anaesthesia, as well as parental satisfaction, were judged better in the iPad group,” Chassard explained.

The findings were scheduled to be presented at the World Congress of Anaesthesiologists (WCA) in Hong Kong which is being held from August 28-September 2). or TAB [iPad — 58