Virtual reality as an adjunct to anesthesia in the operating room

Faruki, Adeel A.; Nguyen, Thy B.; Proeschel, Samantha; Levy, Nadav; Yu, Jessica; Ip, Victoria; Mueller, Ariel; Banner‐Goodspeed, Valerie; O’Gara, Brian

doi:10.1186/s13063-019-3922-2

Cited by 19 publications

(15 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eleven studies describe how XR can modulate pain for patients. XR has been used to supplement sedative and pain relief processes prior to [32], during [33], and after surgery [34]. VR has been the most prevalent form of XR used, inducing a meditative state during or after the surgery.…”

Section: Painmentioning

confidence: 99%

The impact of extended reality on surgery: a scoping review

Zhang

Khanduja

2023

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Extended reality (XR) is defined as a spectrum of technologies that range from purely virtual environments to enhanced real-world environments. In the past two decades, XR-assisted surgery has seen an increase in its use and also in research and development. This scoping review aims to map out the historical trends in these technologies and their future prospects, with an emphasis on the reported outcomes and ethical considerations on the use of these technologies. Methods A systematic search of PubMed, Scopus, and Embase for literature related to XR-assisted surgery and telesurgery was performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines. Primary studies, peer-reviewed articles that described procedures performed by surgeons on human subjects and cadavers, as well as studies describing general surgical education, were included. Non-surgical procedures, bedside procedures, veterinary procedures, procedures performed by medical students, and review articles were excluded. Studies were classified into the following categories: impact on surgery (pre-operative planning and intra-operative navigation/guidance), impact on the patient (pain and anxiety), and impact on the surgeon (surgical training and surgeon confidence). Results One hundred and sixty-eight studies were included for analysis. Thirty-one studies investigated the use of XR for pre-operative planning concluded that virtual reality (VR) enhanced the surgeon’s spatial awareness of important anatomical landmarks. This leads to shorter operating sessions and decreases surgical insult. Forty-nine studies explored the use of XR for intra-operative planning. They noted that augmented reality (AR) headsets highlight key landmarks, as well as important structures to avoid, which lowers the chance of accidental surgical trauma. Eleven studies investigated patients’ pain and noted that VR is able to generate a meditative state. This is beneficial for patients, as it reduces the need for analgesics. Ten studies commented on patient anxiety, suggesting that VR is unsuccessful at altering patients’ physiological parameters such as mean arterial blood pressure or cortisol levels. Sixty studies investigated surgical training whilst seven studies suggested that the use of XR-assisted technology increased surgeon confidence. Conclusion The growth of XR-assisted surgery is driven by advances in hardware and software. Whilst augmented virtuality and mixed reality are underexplored, the use of VR is growing especially in the fields of surgical training and pre-operative planning. Real-time intra-operative guidance is key for surgical precision, which is being supplemented with AR technology. XR-assisted surgery is likely to undertake a greater role in the near future, given the effect of COVID-19 limiting physical presence and the increasing complexity of surgical procedures.

show abstract

Section: Painmentioning

confidence: 99%

The impact of extended reality on surgery: a scoping review

Zhang

Khanduja

2023

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…While in cardiology, the majority of devices are intended to monitor heart rhythm, others have a therapeutic purpose [8][9][10]. One such device, the virtual reality headset, is the subject of numerous studies [11][12][13][14][15] and has recently shown to improve analgesia in a small sample of patients undergoing transcatheter aortic valve implantation [16,17]. To our knowledge, this device has not been tested in other cardiac procedures.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality for Sedation During Atrial Fibrillation Ablation in Clinical Practice: Observational Study

Roxburgh¹,

Li²,

Guenancia³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

Background Connected devices are dramatically changing many aspects in health care. One such device, the virtual reality (VR) headset, has recently been shown to improve analgesia in a small sample of patients undergoing transcatheter aortic valve implantation. Objective We aimed to investigate the feasibility and effectiveness of VR in patients undergoing atrial fibrillation (AF) ablation under conscious sedation. Methods All patients who underwent an AF ablation with VR from March to May 2020 were included. Patients were compared to a consecutive cohort of patients who underwent AF ablation in the 3 months prior to the study. Primary efficacy was assessed by using a visual analog scale, summarizing the overall pain experienced during the ablation. Results The AF cryoablation procedure with VR was performed for 48 patients (mean age 63.0, SD 10.9 years; n=16, 33.3% females). No patient refused to use the device, although 14.6% (n=7) terminated the VR session prematurely. Preparation of the VR headset took on average 78 (SD 13) seconds. Compared to the control group, the mean perceived pain, assessed with the visual analog scale, was lower in the VR group (3.5 [SD 1.5] vs 4.3 [SD 1.6]; P=.004), and comfort was higher in the VR group (7.5 [SD 1.6] vs 6.8 [SD 1.7]; P=.03). On the other hand, morphine consumption was not different between the groups. Lastly, complications, as well as procedure and fluoroscopy duration, were not different between the two groups. Conclusions We found that VR was associated with a reduction in the perception of pain in patients undergoing AF ablation under conscious sedation. Our findings demonstrate that VR can be easily incorporated into the standard ablation workflow.

show abstract

“…VR technology has been widely used in clinical practice, such as treating the mental illness, reducing preoperative anxiety in patients [20][21][22][23][24]38]. Shah et al [39], found that stress was the primary target while depression was the secondary in the VR mood induction procedure study.The current study would be a positive result adding to the evidence that VR technology can be used as a effective measure to reduce the stress of night shift anesthesiologists.…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality as a Measure to Reduce Stress of Night-Shift Anesthesiologists: Study Protocol for a Cross-Over Design Trial

Chen¹,

Chen²,

Shen³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Because of the severe deficiency of global anesthesia workforce, anesthesiologists are forced to face work overload and more night shifts, which can disturbe the biological rhythm and cause major stress and depression, causing negative even devastating outcomes for both themselves and the patients eventually. Virtual reality (VR) as a new measure to reduce stress and pain for patients, has been widely used in biomedical fields.The purpose of the study is to evaluate the potential effectiveness of VR technology in reducing the stress of night-shift anesthesiologists.Methods: In this randomized controlled, cross-over design, single-center clinical trial, a total of 30 anesthesiologists are enrolled and randomized in a 1:1 allocation to either the VR immersion group (intervention group) or the routine night-shift group (control group) with a washout of 1 week. Anesthesiologists in the intervention group undergo VR immersion for twice while anesthesiologists in the control group will not watch VR videos during the night shift. The primary outcome is the difference between two groups about the score of NASA-TLX scale. Secondary outcomes include the score of CPSS, VAS and MFI-20 scales, satisfaction degree of the participants, heart rate (HR), blood pressure (BP), the incidence of arrhythmia as well as incidence of chest tightness, headache, palpitations.Discussion: It is unknown whether the use of VR technology during the night shift can reduce the stress of night-shift anesthesiologists. With the widely use of VR technology, a positive result of the trial could spur the hospital to apply the technology to reduce the stress of night shift doctors in every department as well as offer a relatively relaxed working environment.Trial registration: ChiCTR2000031025 on March 21, 2020.

show abstract

Virtual reality as an adjunct to anesthesia in the operating room

Cited by 19 publications

References 15 publications

The impact of extended reality on surgery: a scoping review

The impact of extended reality on surgery: a scoping review

Virtual Reality for Sedation During Atrial Fibrillation Ablation in Clinical Practice: Observational Study

Virtual Reality as a Measure to Reduce Stress of Night-Shift Anesthesiologists: Study Protocol for a Cross-Over Design Trial

Contact Info

Product

Resources

About