No child likes needles. Given the choice, the vast majority of children and parents would choose a gas-filled mask over a needle to "go to sleep" for surgery. At first glance, it appears the perfect technique. In reality, however, a "mask induction" can be just as scary and uncomfortable as an intravenous needle.
Well-meaning anesthesia providers promise balloons, stickers, and a chance to blow into "a pilot's mask.". Once the child enters the cold and sterile environment of the operating room (OR), they soon realize they've been shammed. Once the "pilot's mask" is secured, the child will usually push away the from the feeling of confinement. This is compounded when the OR staff hold the child's arms and legs in an effort to still them, a technique euphemistically referred to as “Bbrutane.” A standard induction consists of one--part anesthesia and two-parts brute force. When the caustic-smelling gasses fill the mask, the child may respond by crying, screaming, and kicking all in an effort to escape the scent and sense of suffocation. All the while, the anesthesia provider tries to assure a surprised and sometimes horrified the parent that the child's reaction is normal. True, it is the norm. But should normal be accepted?
The issues of a standard mask induction persist even after the child is asleep. In the postoperative anesthesia care unit (PACU), there is potential for increased pain and a form of delirium manifested by thrashing and crying. Once discharged, parents report signs of maladaptive behavioral changes such as regression, aggression, and mistrust towards healthcare providers. Finally, a Bbrutane-mask induction is not a recipe for patient satisfaction.
PeDIA resolves these problems while fostering a sense of trust and patient satisfaction. Since a child's best coping mechanism is play, we've incorporated fun and games into induction. Instead of resisting the "stinky mask,", children eagerly play with participate, using toy-like distraction devices to participate and help in their own induction. PeDIA has the the perfect ingredients to counter the bad taste of a mask induction.
The mission of PeDIA, LLC is to create a New Paradigm for pediatric induction of anesthesia.
Our Vision is to ensure every child has a mask-free, stress-free and stellar induction experience.
PeDIA resolves the problems of traditional mask induction while fostering a sense of trust and patient satisfaction. Since a child's best coping mechanism is play, we've incorporated fun and games into induction so there’s no more resisting the "stinky mask.".
With PeDIA, children are encouraged to sit up and participate in their own induction without the need for the “Brutane.” Simply replace the mask at the elbow of the anesthesia circuit with the PeDIA device, turn up oxygen/nitrous/gas flows and hand it to the child. Since PeDIA resembles a familiar a balloon, it eliminates the unknown and and turns panic into play. Play is an effective coping mechanism for children and gives them a them a sense of control and dignity. With very little instruction, a child will inhale and exhale through the whistle mouthpiece of the PeDIA device, rewarding them with a pleasant sound as each respiratory cycle inflates and deflates their balloon. pParents are rewarded with smiles from their child, putting them at ease, and the operating room staff, surgeon, and anesthesia care givers are rewarded with a smooth, inhalation induction.
PeDIA has the the perfect ingredients to counter the problems of resistance with a mask induction as well as increase patient and parental satisfaction.