A pilot study assessing tolerance safety and feasibility of diagnostic transnasal esophagogastroduodenoscopy using an improved larger caliber endoscope and an adapted topical anesthesia

Dauri, Mario; Cappuccio, R.; Camillo, Mauro Di; Benavoli, Domenico; Buonomo, Oreste Claudio; Petrella, Giuseppe; Stroppa, I.

doi:10.1007/s00464-014-4025-5

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…Conversely, VR has shown not only to be effective in pain mitigation in children undergoing circumcisions, active dressing changes in chronic lower limb wounds, gastrointestinal and nasal endoscopies [25][26][27]60], but also to be safe and to increase procedural satisfaction for patients, without disrupting procedural efficiency and workflow [26,27] (Table 2). In particular VR technology may be of aid in nasal gastrointestinal endoscopy, as recently the feasibility and tolerance of this last procedure has been tested even in the absence of deep sedation [61,62].…”

Section: Application Of Vr On Other Proceduresmentioning

confidence: 99%

Is Virtual Reality a Game Changer in Pediatrics' Acute Pain Perception?

Mantegazza¹,

Silvera²,

Brevini³

et al. 2022

Int. J. Pediatr. Child Health

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Purpose of review: Virtual reality (VR) is a promising tool that is becoming increasingly popular for the prevention and treatment of procedural pain in children. This review aims to investigate the current literature on the use and effectiveness of VR in paediatric procedural pain management, focusing on needle-related procedures, burn wound care, dental procedures among others; limitations and future perspectives on the use of VR will also be highlighted. Recent findings: in addition to the most researched fields of application (e.g. needle procedures), VR has also started to be used in new areas, such as nasal and gastrointestinal endoscopies as well as minor surgeries. From the latest evidence, VR seems to be effective in many procedures, especially compared to no distraction; however, there is conflicting data in the literature due to numerous factors such as differences between technologies, degree of VR-immersion, patients coping styles among others. Summary: there are still no data of absolute certainty on the effectiveness of VR in reducing procedural pain in paediatric patients and data pooling is still difficult. Future research should carry on large randomised-controlled, multicentre studies to better define VR properties and how best to optimise VR software and user experience for maximum pain reduction.

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Section: Application Of Vr On Other Proceduresmentioning

confidence: 99%

Is Virtual Reality a Game Changer in Pediatrics' Acute Pain Perception?

Mantegazza¹,

Silvera²,

Brevini³

et al. 2022

Int. J. Pediatr. Child Health

View full text Add to dashboard Cite

show abstract

“…Insertion failure (median 5.8%, range 0–22%), epistaxis (median 2.7%, range 0–33%), and nasal pain (median 35%, range 0–58.3%) associated with UT‐EGD have been reported in the literature, but their ranges are too wide, so is the median visual analogue scale (VAS, 0–5) for nasal pain (1.4 ± 0.4, range 0.8–1.9) . In contrast, the average nasal pain (2.5 ± 0.8, range 1.2–3.7), insertion failure (3.1%, range 0–10.9%), and epistaxis (4.7%, range 0–8.9%) are more convergent and thus reliable to reflect the real‐world data from my study seriers . In brief, the approximately average side effect triad nasal pain (~VAS 2), insertion failure (~3%), and epistaxis (~4%) are tempting for inexperienced endoscopists and patients to accept UT‐EGD.…”

Section: Introductionmentioning

confidence: 99%