Virtual reality for acute pain reduction in adolescents undergoing burn wound care: A prospective randomized controlled trial

Kipping, Belinda; Rodger, Sylvia; Miller, K.; Kimble, Roy M.

doi:10.1016/j.burns.2011.11.010

Cited by 228 publications

(260 citation statements)

References 28 publications

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“…It was possible to notice that the therapy with three-dimensional goggles was beneficial, because the equipment ended up distracting the child during dressing procedure. These findings support studies that, besides pointing out the distraction, highlight entertainment and less time thinking about the pain, reduction in the need to increase pharmacological dosages, less need to add more than just one sedation and, especially, a significant drop in the amount of pain (4,7,10) . The use of goggles was easy to apply and well-accepted by the children; after all, besides being convenient to put on and take off, they did not cause any adverse effect while wearing them.…”

Section: Discussionsupporting

confidence: 82%

“…The results of several studies have shown that there is no reduction in the VR effect even after a few days using it, and that its use reduces significantly pain, anxiety, and stress (5)(6)(7)(8)(9) . This allows to consider that child resistance could be improved during hospital stay and, thus, facilitate the care provided by the health team and minimize the effects of a prolonged hospital stay, as well as the incidence of psychological and psychiatric disorders (10) .…”

Section: Discussionmentioning

confidence: 99%

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Use of virtual reality for treating burned children: case reports

et al. 2017

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Objective: To report the use of virtual reality (VR) in pain intensity during dressing change of two burned children hospitalized in a Burn Treatment Center (BTC) in Southern Brazil. Method: Case report on the use of VR during dressing change of two burned children hospitalized in a BTC, from May to July 2016. For assessing pain, a facial pain rating scale was applied at four times: just before the dressing, during the dressing without the use of VR, during the dressing with the VR, and after the use of VR. Results: The use of goggles was easy to apply and well-accepted by the children, and also had a relevant effect reducing pain. Conclusion: VR can become an important nonpharmacological method for treating pain in burned children. Descriptors: Virtual Reality Exposure Therapy; Burns; Pediatrics; Burn Units; Pain; Three-dimensional Imaging.RESUMO Objetivo: Relatar a utilização da Realidade Virtual (RV) na diminuição da intensidade dolorosa durante a troca de curativo de duas crianças queimadas internadas em um Centro de Tratamento ao Queimado (CTQ) do Sul do Brasil. Método: Relato de caso da utilização da RV durante a troca de curativos de duas crianças queimadas internadas em um CTQ, de maio a julho de 2016. Para avaliar a dor, foi utilizada escala numérica sobreposta à de faces, sendo aplicada em quatro momentos: imediatamente antes do curativo, durante o curativo sem uso da RV, durante o curativo com a RV e após a utilização da RV. Resultado: O uso dos óculos foi de fácil aplicação e bem aceito pelas crianças, além disso houce efeitos relevantes em relação à diminuição da dor. Conclusão: A RV pode se tornar um importante método não farmacológico no tratamento da dor em crianças queimadas. Descritores: Terapia de Exposição à Realidade Virtual; Queimaduras; Pediatria; Unidades de Queimados; Dor; Imagem Tridimensional. RESUMEN Objetivo: Relatar la utilización de la Realidad Virtual (RV) en disminución de intensidad del dolor durante cambio de vendajes de dos niños quemados, internados en un Centro de Tratamiento del Quemado (CTQ) del Sur de Brasil. Método: Relato de caso de utilización de RV durante cambio de vendajes de dos niños quemados internados en CTQ, de mayo a julio de 2016. Se evaluó el dolor utilizando escala numérica conjuntamente con la de faces, aplicándosela en cuatro momentos: inmediatamente antes del vendaje, durante el vendaje sin utilizar la RV, durante el vendaje utilizando RV y luego de la utilización de la RV. Resultado: El uso de los visores fue simple y bien recibido por los niños; además, hubo efectos relevantes en relación a la disminución del dolor. Conclusión: La RV puede constituir un importante método no farmacológico para el tratamiento del dolor en niños quemados.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Use of virtual reality for treating burned children: case reports

et al. 2017

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“…A study by Kipping et al on teenagers (age range, 11 -17 years) in Queensland, Australia (2012), as well as a study by Maani et al on a population aged 20 -27 years in Washington (2011) and few other reports, indicates that virtual multidimensional games are possible tools for pain management during painful dressing changes (12,13). This finding is based on the fact that if lattice formation in the brain stem receives sufficient and diverse sensory stimulations, it can selectively prevent sensory transmission, such as pain (14).…”

Section: Discussionmentioning

confidence: 98%

The Effect of a Multi-Dimensional Play Program on Children’s Pain Intensity During Burn Dressing Change in Burn Intensive Care Units: A Clinical Trial

Koushali¹,

Daryabeigi²,

Alimohammadi³

et al. 2017

Crit Care Nurs J

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Background: Playing is one of the recommended tools in recent years for decreasing pain in children having painful and stressful experiences. It can also help these children cope with such situations. Objectives: This study was performed with the aim of assessing the effect of a multidimensional play program on pain intensity during wound dressing change in children hospitalized in burn intensive care units. Methods: In this clinical trial, forty 7 to 12-year-old children, hospitalized in burn intensive care units of Imam Mousa Kazem (SA) medical educational center in Isfahan, were selected through simple random sampling and were divided into 2 groups. The multidimensional play program was applied for children in the experimental group. Finally, pain intensity was assessed in the groups, using Wong-Baker's pain rating scale. In addition, the results were documented in the pre and posttest stages, and data analysis was performed using statistical tests.

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“…The view to the real environment is cut off by the goggles and the patient is only able to look into the virtual world [11,12]. A considerable amount of literature has been published about the use of VR in reducing pain [13][14][15][16][17][18][19][20][21]. Malloy et al showed in a systematic review that VR distraction is an effective intervention for experimental pain and pain associated with burn injuries [14].…”

Section: Introductionmentioning

confidence: 99%

Home to Hospital Live Streaming With Virtual Reality Goggles: A Qualitative Study Exploring the Experiences of Hospitalized Children (Preprint)

Bakker¹,

Janssen²,

Noordam³

2017

Preprint

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BACKGROUND Being separated from home and relatives is a major stressor for children and adolescents when hospitalized. Children long for a manner to be distracted, pleasured, and socially connected during hospitalization. Different technological devices have been applied in health care to answer those needs. Both virtual reality (VR) and videoconferencing have proven their value in hospital wards and pediatrics. VisitU combines these 2 technologies innovatively. VisitU is a recently launched VR product enabling users to be virtually at home during hospitalization. OBJECTIVE This study aims to explore the experiences of hospitalized patients with the VR intervention of VisitU in addition to standard care. METHODS Over a 3-month period, a purposive sample of 10 patients hospitalized in the Radboudumc Amalia Children’s Hospital was included in this qualitative study. Semistructured interviews were performed, one before and one after the use of the VR device. Patients were asked open-ended questions concerning their experiences with VisitU on practical, cognitive, emotional, and social domains. The interviews were audiorecorded and transcribed verbatim. Atlas.ti was used to support the qualitative analysis. Furthermore, the inductive thematic analysis was done according to the 6-step procedure described by Braun and Clarke. RESULTS The following 6 main themes were the result of the qualitative analysis: “Being hospitalized,” “Expectations of VisitU,” “VisitU in use,” “VisitU, the benefits,” “The impact of VisitU,” and “Barriers when using VisitU.” The way VisitU was used by patients varied. The main benefits of VisitU were being somewhere else, being at home, and facilitating social connection. Limitations were experienced on the technical abilities, physical side effects, and complexity of use. Despite that, patients were positive about VisitU and unanimous in the view that they would like to use it again and advise other patients to use it. CONCLUSIONS This study shows the positive experiences of pediatric patients with VR live streaming. VisitU brings together the needs of patients and possibilities of VR and videoconferencing; it offers patients a way out of the hospital. Nevertheless, practical and technical obstacles must be overcome and side effects are an area of further research.

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Virtual reality for acute pain reduction in adolescents undergoing burn wound care: A prospective randomized controlled trial

Cited by 228 publications

References 28 publications

Use of virtual reality for treating burned children: case reports

Use of virtual reality for treating burned children: case reports

The Effect of a Multi-Dimensional Play Program on Children’s Pain Intensity During Burn Dressing Change in Burn Intensive Care Units: A Clinical Trial

Home to Hospital Live Streaming With Virtual Reality Goggles: A Qualitative Study Exploring the Experiences of Hospitalized Children (Preprint)

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