{"id":24920,"date":"2019-07-29T21:12:15","date_gmt":"2019-07-29T21:12:15","guid":{"rendered":"https:\/\/www.tmc.edu\/news\/2019\/07\/virtual-reality-program-distracts-and-entertains-pediatric-patients-ahead-of-surgery\/"},"modified":"2019-08-28T16:10:50","modified_gmt":"2019-08-28T16:10:50","slug":"virtual-reality-program-distracts-and-entertains-pediatric-patients-ahead-of-surgery","status":"publish","type":"post","link":"https:\/\/www.tmc.edu\/news\/2019\/07\/virtual-reality-program-distracts-and-entertains-pediatric-patients-ahead-of-surgery\/","title":{"rendered":"Virtual reality program distracts and entertains pediatric patients ahead of surgery"},"content":{"rendered":"

Charlie Pennell drifted into drowsiness with his head turned to the side as he watched a pair of cartoon aliens projected on the wall.<\/p>\n

The 10-year-old, who held an anesthesia mask to his face, was relaxed and enjoying the interaction. The characters asked him to call out their names, and with each breath, the nitrous oxide slowly took effect as he fell asleep on the operating table.<\/p>\n

The non-traditional method for entertainment while administering anesthesia is part of a new program at Texas Children\u2019s Hospital<\/a> aimed at calming pediatric patients ahead of surgery. Known as the CHARIOT program<\/a>\u2014Childhood Anxiety Reduction through Innovation and Technology\u2014the suite of entertainment options is designed to engage and distract patients in the pre-operative setting and during the initial stages of anesthesia with video and virtual reality.<\/p>\n

\u201cThe use of our various technologies has made it easier to focus our patients\u2019 attention away from an experience that is new and different and possibly frightening to them and on to something that they\u2019re much more comfortable with\u2014and it helps them work through this experience to get surgical procedures that they very much need,\u201d said Clint Fuller, M.D.<\/a>, a pediatric anesthesiologist at Texas Children\u2019s Hospital. \u201cIt\u2019s made it a much easier process both for them and for us.\u201d<\/p>\n

The suite of technology includes different options based on patient preference and maturity. For younger kids, a projector called the \u201cBERT,\u201d which stands for Bedside Entertainment Relaxation Theater, can play a selection of popular movies, including “Moana,” “Coco,” “Finding Dory,” “Cars,” and “Minions.”<\/p>\n

\u201cIf there\u2019s a long wait-time and the patient starts to get anxious during the wait, it\u2019s a nice way to really distract them so their minds are not on the actual surgery or the fact that they\u2019re hungry from fasting,\u201d explained pediatric anesthesiologist Kathleen Chen, M.D., M.S.<\/a>, who leads the CHARIOT Program at Texas Children\u2019s. \u201cI usually tell them that today is your day, and whatever you want, we can give that to you.\u201d<\/p>\n

\"\"

Asher Temple, 4, watches the movie “Minions” with pediatric anesthesiologist Kathleen Chen, M.D., M.S., ahead of surgery at Texas Children’s Hospital.<\/p><\/div>\n

The BERT also projects interactive games, which are especially helpful for inhalation anesthesia induction in the operating room. Patients like Pennell speak into an anesthesia mask while a member of the anesthesia care team controls the reaction of cartoon characters. An especially popular game involves a dragon named Sevo, who breathes fire on his food (think cake, pizza or a taco) in order to cook it. As the patient breathes into the mask, Sevo breathes fire, eventually cooking his meal enough to gobble it down.<\/p>\n

Most patients, however, are peacefully asleep by then.<\/p>\n

\u201cOne of our notorious patient groups are 2- and 3-year-olds\u2014they\u2019re happy to see you out in the holding area, but then they want nothing to do with you when it\u2019s time to separate from their parents,\u201d Fuller said. \u201cI played the Sevo game a few days ago with a 3-year-old, and she smoothly went to sleep, and, when she woke up, all she would talk about was her dragon. She talked about it the whole time and requested to play it again in the recovery unit. So, her whole perception of her visit here, the only thing she would talk about, was eating popsicles and her dragon. I think she had a pretty good experience.\u201d<\/p>\n

For older patients, Texas Children\u2019s offers virtual reality goggles donated by Starlight Children\u2019s Foundation<\/a>, allowing for a completely immersive and alternative experience outside the hospital, including exploring the ocean or flying into another galaxy.<\/p>\n

\u201cLittle kids aren\u2019t really candidates for the VR because they need to have control of their surroundings, they need to see mom and to know what\u2019s going on, whereas a 13-year-old, they may not care,\u201d Chen said. \u201cIt\u2019s 100 percent distraction and many older kids want that.\u201d<\/p>\n

In fact, Chen said, her team is doing a preliminary study analyzing how the VR goggles can help during IV placement while patients are awake.<\/p>\n

\u201cRight now, the preliminary data suggests that it minimizes pain or they\u2019re not bothered by it,\u201d Chen said. \u201cSo, the pain might be the same, but they\u2019re happy to do it again so long as they have the virtual reality goggles.\u201d<\/p>\n

The CHARIOT program has been so successful in the anesthesia department that Texas Children\u2019s is looking at how it could be useful in the clinic setting. Recently, Julina Ongkasuwan, M.D.<\/a>, pediatric otolaryngologist and director of the Pediatric Voice Clinic at Texas Children\u2019s, employed the BERT to help distract a patient during an oral exam using a scope. Instead of having the young girl breathe into a mask, she had her open her mouth and say \u201cAhhhhhhhh\u201d in order to get the dragon to cook his food.<\/p>\n

Because so many young patients have trouble completing these exams, the idea of distracting them with an interactive game was appealing.<\/p>\n

\u201cI think it was really helpful, definitely with the anxiety, because we\u2019re doing these invasive procedures where we\u2019re putting scopes in their noses and their mouths and it\u2019s kind of intimidating and scary for them,\u201d Ongkasuwan said. \u201cThis is definitely a change in our approach, and I think anything we can do to decrease the trauma is beneficial, especially for those kids who have to come repeatedly.\u201d<\/p>\n

The CHARIOT program originated at Stanford Children\u2019s Health<\/a>\u00a0in California and Texas Children\u2019s is one of the first hospitals in the nation to adopt the entertainment suite. The multidisciplinary program supports the work of many members of the hospital\u2019s care team, including child life, anesthesiology, surgery and nursing.<\/p>\n","protected":false},"excerpt":{"rendered":"

Charlie Pennell drifted into drowsiness with his head turned to the side as he watched a pair of cartoon aliens projected on the wall. The 10-year-old, who held an anesthesia mask to his face, was relaxed and enjoying the interaction. The characters asked him to call out their names, and with each breath, the nitrous […]<\/p>\n","protected":false},"author":3,"featured_media":24922,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[3907,3905,3906,3903,3904,90,364],"yoast_head":"\nVirtual reality program distracts and entertains pediatric patients ahead of surgery - TMC News<\/title>\n<meta name=\"description\" content=\"The non-traditional method for entertainment while administering anesthesia is part of a new program at Texas Children\u2019s Hospital aimed at calming pediatric patients ahead of surgery. 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