Why Choose PeDIA?​

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Why Avoid the "Pilot's Mask"?


​​​ Our Mission
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.  


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​​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.   

No child likes needles. Given the choice, the vast majority of children and  parents would choose a gas-filled mask over a needle for their child.  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, sterile environment of the operating room (OR), they soon realize they've been shammed.   The pilot's mask is nothing more than a tight-fitting anesthesia mask the child will push away. The feeling of claustrophobia from the mask is compounded when the OR staff hold the child's arms and legs still to assist with induction, a technique euphemistically referred to as Brutane: one--part anesthesia and two-parts brute force.  When the caustic-smelling gases fill the mask, the child may cry, scream, or kick in an effort to escape the scent and sense of suffocation.

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.   

After 25 years delivering anesthesia, one four-year-old patient changed my ideas of "acceptable" practice. 
                       *zeke lost his eye to retinoblastoma, a cancer of the eye, two years before I met him.  By the age of four, he  was already a veteran of the operating room (OR). like any veteran of war, he had a PTSD and a lot of street smarts.  There was no fooling him with promises of stickers, balloons, and a "pilot's mask.".  In fact, the moment I stepped into his room, he screamed at the top of his lungs, "no mask, no mask!".  he  screamed and cried all the way back to the Or. 

When we finally reached the operating room, the OR team applied "Brutane", an anesthesia euphemism which translates to one-part anesthesia and two-parts brute force.  In other words, we held Zeke down--literally holding his hands & legs as the anesthesia mask was forced onto his face.  Between flailing limbs and crying gasps, Zeke choked on the foul-smelling gases until he eventually fell asleep.  The case finished uneventfully but for the rest of the day, I felt dirty.  

Zeke isn't alone in his fear of the mask.  Over 50% of children experience significant anxiety during mask placement.  It's the most stressful part of surgery for a child. It doesn't end there, either.  Half of those children show signs of
maladaptive behavior changes at home such as regression, aggression, bed-wetting, nightmares and night terrors and mistrust of medical personnel.  This usually lasts 2 weeks following a bad experience like Zeke's.  Up to 25% of children maintain these symptoms for six months and another 7% linger for a year or more.  The more exposure they have to mask induction, the greater the chance for long-lasting effects.  Now here's a surprising twist: even children who appear calm can actually be terrified.  Don't confuse passivity as cooperation.  The natural fear reaction manifests as fight, flight or freeze

For the last 100 years, children have suffered emotional and psychological trauma because no viable alternative existed to this antiquated method with its associated trauma.  This has been considered standard and normal.  Should a standard of care be allowed and accepted it harms a child?   

The next time I met Zeke, I came prepared with the PeDIA.  He met me with the same teary-eyed, screaming behavior but, once in the OR, I handed him his new anesthesia balloon.  Without any instruction, he put the balloon in his mouth and started breathing in and out, delighted at the movement of the balloon and whistling sound it made with each breath. We all stood amazed and before long, Zeke fell into sweet dreams.  The next month when Zeke and I met, he couldn't wait to go back to the OR and play with his balloon.  In fact, in the OR, Zeke snatched the balloon from my hand, pushed me away and, with all the independence of a confident four-year-old said, "I can do it myself!". And he did. 

After that, I knew every child a PeDIA of their own. 

The Pediatric Device for Induction of Anesthesia (PeDIA) is the world's first mask-free system and method for inhalation induction.  It's the softer, friendlier way to help children drift off to sleep.  It also allows a child to use his or her best coping mechanism: Play!  PeDIA eases the experience for the parents, surgeon and staff as well.  Nothing prompts a five-star rating in parental satisfaction like a happy child.  So next time your child or patient needs anesthesia, make a better choice.  Choose PeDIA.

*Patient name changed to protect privacy.