Application of virtual reality technology in postoperative rehabilitation following total knee arthroplasty: A scoping review

Song, Shiyu; Liu, Zhixia; Zhang, Quanying

doi:10.1016/j.ijotn.2024.101124

International Journal of Orthopaedic and Trauma Nursing

2024

DOI: 10.1016/j.ijotn.2024.101124

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Application of virtual reality technology in postoperative rehabilitation following total knee arthroplasty: A scoping review

Shiyu Song,

Zhixia Liu,

Quanying Zhang

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2024

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Virtual Reality-Assisted Informed Consent for Anesthesia: A Prospective and Randomized Proof-of-Concept Study

Simon,

Opfermann,

Hofstaetter

et al. 2024

JCM

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Background/Objectives: Informed consent for anesthesia poses both legal challenges and problems of understandable communication. Fulfilling all the requirements through anesthesiologists directly interacting with patients is a time- and staff-consuming strategy. Given today’s smart technologies, notably including virtual reality (VR), we explored in a prospective randomized study whether ‘VR-assisted informed consent’ could improve this situation. Methods: Fifty patients scheduled for orthopedic surgery were randomized. In the control group, informed consent was obtained via patient–specialist dialogs only. The patients in the study group, wearing a head-mounted display, watched an 8 min immersive 3D movie with the standard explanations of general anesthesia, followed by a patient–specialist dialog to address open questions. The time spent on the dialogs in both groups was evaluated as the primary outcome variable. As secondary variables, we analyzed both a three-item Likert scale on patient satisfaction with the VR experience and cost differences between both groups. Results: Patient–specialist dialogs were carried on for median (IQR) durations of 93 (20–182) seconds in the study group versus 665 (261–829) seconds in the control group (p < 0.001). All the patients exposed to VR rated this experience as favorable (87.5%) or neutral (12.5%). Based on anesthesiologists’ incomes in the US and UK, our approach would reduce the staff expenditure for each patient–specialist dialog by median amounts of USD ≈40 or ≈11, respectively (2 × p < 0.001). Conclusions: ‘VR-assisted informed consent’ for anesthesia is well accepted by patients and reduces the time requirements for patient–specialist dialogs, thus pointing out a potential avenue towards increasing the work-time efficiency of anesthesiologists.

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Virtual Reality-Assisted Informed Consent for Anesthesia: A Prospective and Randomized Proof-of-Concept Study

Simon,

Opfermann,

Hofstaetter

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

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Application of virtual reality technology in postoperative rehabilitation following total knee arthroplasty: A scoping review

Cited by 1 publication

References 48 publications

Virtual Reality-Assisted Informed Consent for Anesthesia: A Prospective and Randomized Proof-of-Concept Study

Virtual Reality-Assisted Informed Consent for Anesthesia: A Prospective and Randomized Proof-of-Concept Study

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