Evidence map›Paper›PMID 40178431›Full record

Trial reportPaediatric anaesthesia2025

Impact of Video Distraction on Anxiety During Anesthesia Induction in Pediatric Patients Premedicated With Midazolam: A Randomized Controlled Trial.

Armin Sablewski, Thorben Jacobi, Sebastian Walter, Hiltrud Muhle, Christian Kandzia, Asita Fazel, Andreas Meinzer, Dithild-Angelika Melchior, Amke Caliebe, Michael Kalab and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Paediatric anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Armin SablewskiDepartment of Anesthesiology and Intensive Care Medicine, University Hospital S-H, Kiel, Germany.ORCID 0009-0005-3132-589X
Thorben JacobiDepartment of Anesthesiology and Intensive Care Medicine, University Hospital S-H, Kiel, Germany.
Sebastian WalterDepartment of Anesthesiology and Intensive Care Medicine, University Hospital S-H, Kiel, Germany.
Hiltrud MuhleDepartment of Neuropediatrics, University Hospital S-H, Kiel, Germany.
Christian KandziaDepartment of Ophthalmology, University Hospital S-H, Kiel, Germany.
Asita FazelDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital S-H, Kiel, Germany.
Andreas MeinzerDepartment of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Hospital S-H, Kiel, Germany.
Dithild-Angelika MelchiorDepartment of Urology, University Hospital S-H, Kiel, Germany.
Amke CaliebeInstitute of Medical Informatics and Statistics, University Hospital S-H, Kiel, Germany.
Michael KalabInstitute of Medical Informatics and Statistics, University Hospital S-H, Kiel, Germany.
Tobias BecherDepartment of Anesthesiology and Intensive Care Medicine, University Hospital S-H, Kiel, Germany.ORCID 0000-0003-2026-7629
Ingmar LautenschlägerDepartment of Anesthesiology and Intensive Care Medicine, University Hospital S-H, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMidazolam is commonly used and effective in reducing preoperative anxiety in children. Nonpharmacological interventions, such as video distraction, are also well established for alleviating preoperative anxiety in pediatric patients, particularly those treated in ambulatory settings.

aimsTo explore whether video distraction during anesthesia induction provides additional anxiety reduction in children premedicated with midazolam.

methodsIn this prospective randomized controlled trial, children aged 2-10 years scheduled for elective noncardiac surgery were premedicated with midazolam and randomly assigned to either a video group (n = 54) or a control group (n = 51). In the video group, videoclips were displayed as a distraction prior to anesthesia induction, while the control group received standard care. Anxiety was measured using the short form of the modified Yale Preoperative Anxiety Scale (mYPAS-SF). The primary endpoint was the change in mYPAS-SF scores between transfer to the operating theater and anesthesia induction (ΔmYPAS-SF). Secondary endpoints included emergence delirium, postoperative pain, and compliance during anesthesia induction. Character traits were assessed.

resultsThere was no additional anxiety reduction in the video group compared to the control group. The change in mYPAS-SF scores (median [interquartile range]) was 4.2 (-2.1, 16.7) in the control group and 4.16 (-2.1, 7.0) in the video group (p = 0.246). Similarly, there were no significant differences between the groups regarding compliance during anesthesia induction, emergence delirium, or postoperative pain. Compliance during anesthesia induction, emergence delirium, and postoperative pain was similar between the groups. Additional anxiety reduction through video distraction was observed in children with pronounced anxiety traits, including "General Phobia," "Separation," "Panic," and the overall "Total Phobia" score.

conclusionIn our study, video distraction did not result in additional anxiety reduction in children premedicated with midazolam prior to anesthesia induction in a hospital setting. Certain children with specific personality traits may still benefit from this intervention.

trial registrationRegistry: German Clinical Trial Register; Registration number: DRKS00025411; Principal investigator's name: Armin Sablewski; Date of registration: February 15, 2022; https://drks.de/search/en/trial/DRKS00025411.

Indexed as

AnesthesiaAnxietyMidazolamVideo RecordingChildChild, PreschoolFemaleHumansMalePostoperative PainPreoperative CareProspective StudiesMidazolammidazolampremedicationpreoperative anxietyvideo distraction

Identifiers

PMID40178431
PMCPMC12149489

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.