Overview
The feasibility of using an electronic tool to measure pain, nausea, and vomiting after surgery in English or Spanish-speaking pediatric cancer patients.
Description
Primary Objective:
To determine the feasibility of administering an AR-based electronic tool to assess postoperative pain, nausea, and vomiting in English or Spanish-speaking pediatric patients with neoplastic conditions.
Secondary Objectives:
- To evaluate the willingness to use the AR app,
- To evaluate the time spent using the AR app (recorded in the study device),
- To calculate the difference (delta) between pain and nausea intensity recorded from the app and those gathered by nursing personnel,
- To evaluate app recorded responses to pain intensity,
- To evaluate app recorded responses to nausea intensity,
- To assess the frequency of vomiting,
- To measure the length of stay in PACU (calculated from the EMR),
- To determine the rate (number) of assessments completed,
- To calculate PACU opioid use,
- To calculate opioid use during hospitalization,
- To assess the quality of life using the PedsQL Cancer Module survey responses (administered by the study team),
- To evaluate patient/caregiver satisfaction following the PACU stay
- To assess nursing experience with AR tool following patient discharge from PACU.
Exploratory Objectives:
- To assess the primary/secondary outcomes for the English and Spanish-speaking patients separately.
- To correlate pain-reported intensity to the analgesia nociception index (ANI).
Eligibility
Inclusion Criteria:
- Ages 7-17 years old,
- Able to provide assent, and a legal guardian able to provide informed consent
- Current diagnosis of pediatric cancer or benign neoplasm,
- Surgery with an estimated duration longer than 2 hours,
- An expected prescription of opioids during the inpatient perioperative period
- Demonstrate capacity to comprehend and interact with the game in English or Spanish.
Exclusion criteria:
- Any concerns from the principal investigator or primary team about the use of the app,
- Inability or refusal from the parents to provide written informed consent.