HEADPLAY personal cinema system (PCS) is a portable visual headset/visor through which movie clips may be viewed. We studied the use of HEADPLAY PCS as a distraction tool in facilitating intravenous cannulation in children undergoing anaesthesia. 60 children were enrolled into the study and randomized into 2 groups. EMLA local anaesthetic cream was used to reduce the pain associated with intravenous cannulation. Children in group 1 wore the HEADPLAY visor whereas children in group 2 were subject to conventional distraction therapy. Children were asked to rate their anxiety, pain, and satisfaction scores after intravenous cannulation. Periprocedural anxiety was also determined using the modified Yale Preoperative Anxiety Scale (mYPAS). There were no statistically significant differences in terms of pain and anxiety scores between the 2 groups. Although the satisfaction score of the children in the HEADPLAY PCS group was marginally higher compared to the conventional group, this did not hit statistical significance. 86.6% of children in group 1 reported that they would want to use the visor again for their next intravenous cannulation. We conclude that HEADPLAY PCS is a distraction tool that is acceptable to most children and can contribute towards satisfaction of the intravenous cannulation process in children. 1. Introduction Intravenous cannulation without inducing anxiety or pain in the awake child is desirable but not always attainable even with topical anaesthetics applied. Even if the topical anaesthetic is completely effective, it may not necessarily remove anticipated anxiety associated with what is normally deemed a painful procedure. For children undergoing surgery, anaesthetic induction appears to be the greatest stressor in the perioperative period [1]. There are numerous factors that contribute towards this, including the child’s age and personality [2], the fear of separation from parents, the fear of pain or surgery itself, and even parental anxiety [2, 3]. While mask induction may seem the less traumatic choice, it is well observed amongst paediatric anaesthetists that mask phobia exists in as much as needle phobia does [4]. In our institution, children are not routinely premedicated before anaesthesia, and intravenous cannulation is performed after EMLA cream is applied for 60？min, allowing sufficient time for it to have an effect. Age appropriate distraction therapy tools are usually employed during this process. We sought to study if HEADPLAY PCS was as effective as conventional therapy used at our institution for facilitating the
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