How might the Xploro application improve the understanding and acceptance of sedation and anaesthesia for child patients and their families

与手术相关的疼痛可以减轻，但有时不能消除。需要重复程序作为诊断或治疗干预的一部分的儿童可能会产生程序周围的恐惧和焦虑。减轻这些不良的心理反应需要在病人和家长准备的基础上发展应对技能。那么，这对那些必须接受骨髓活检，腰椎穿刺以及大脑和脊柱MRI诊断急性白血病的小孩来说意味着什么呢？告诉孩子手术需要什么，为什么需要，哪些部分可能会疼痛，这些都是征得孩子同意的必要条件。重要的问题是我们怎样才能减少病人手术前的恐惧和焦虑，这对减轻父母和兄弟姐妹的压力有没有潜在的影响？通过使用人工智能阿凡达指南、3D增强现实模型和一系列游戏，Xploro平台已经被证明可以减少接受放射检查、验血和门诊的儿童的焦虑。我们现在希望在这一成功的基础上，与一家领先的国际机构合作，研究新的内容是否有可能减少接受镇静和麻醉的儿童的手术前焦虑。在这个项目中，Xploro将与克利夫兰大学医院的临床、商业和用户体验团队合作，确定开发和商业化基于游戏的干预措施的工作范围，为儿童及其家人准备端到端程序性镇静治疗。

Pain associated with procedures can be mitigated but sometimes not eliminated. Children who require repetitive procedures as part of diagnostic or therapeutic interventions may develop peri-procedural fear and anxiety. Mitigating these adverse psychological responses requires developing coping skills that build upon patient and parental preparation.So, what does this mean to the young child that has to undergo a bone marrow biopsy, lumbar puncture as well as MRI of brain and spine to make a diagnosis of acute leukemia? Informing the child what the procedures entail, why they are necessary and what parts may be painful are imperative for assent. The important question is how can we decrease the pre-procedural fear or anxiety for the patient, and is there any potential impact in lessening the stress for parents and siblings?Through the unique use of an artificially intelligent Avatar Guide, 3D augmented reality models and a series of games the Xploro platform has already been shown to reduce anxiety for children undergoing radiological procedures, having blood tests and attending an outpatient's department. We now want to build on that success and collaborate with a leading international institution to examine whether new content has the potential to reduce pre-procedural anxiety for children undergoing sedation and anaesthesia.In this project Xploro will work with the clinical, commercial and user experience teams at University Hospitals, Cleveland to define a scope of work for developing and commercialising a game-based intervention preparing children and their families for the end-to-end journey of a procedural sedation encounter.