Paediatric medical treatment frequently involves painful medical procedures. Paediatric patients might feel severe anxiety and distress from such procedures. Procedural pain and anxiety are frequently poorly managed, which can lead to agitation in kids.

Trials have been conducted on both pharmaceutical and non-pharmacological methods to lessen anxiety and pain during procedures. Dexmedetomidine is a selective 2-adrenoceptor agonist with sedative, anxiolytic, sympatholytic and analgesic-sparing effects. Dextmedetomidine is an intriguing substitute for medication in children because of its low effect on breathing and ease of waking the patient.

Non-pharmacological option to reduce preoperative anxiety is the use of video as a form of distraction. Observing video distracts children from the operating room environment by engaging their minds in a familiar made-up world. Studies have indicated that the use of screen-based technologies can lessen the discomfort and anxiety associated with burn dressings and surgery. Children become engrossed in watching that they become unaware of their surroundings and disregard any verbal or tactile stimuli.

Investigating whether the theoretical advantages of actively engaging therapies on procedural pain and anxiety are supported in the clinical setting is therefore necessary. This study aimed to identify the research gaps in the effects of video distraction for pre-operative anxiolysis in pediatrics undergoing surgery under general anesthesia.