Virtual reality for pain control during shock wave lithotripsy: a randomized controlled study

Weynants, Laurens; Chys, Brecht; D’hulst, Pieter; Merckx, L.; Besien, Jeroen Van; Tailly, Thomas

doi:10.1007/s00345-023-04280-8

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…Recently, two studies have investigated the effects of AV stimulation using VR device on pain, anxiety, and relaxation during ESWL for ureteral stones [18,19]. Candela et al reported the median pre-procedure pain and anxiety VAS scores were 1 (0-2) and 3 (2-5) respectively, whereas they were 4 (2-7) and 1 (0-2) after the procedure and the HypnoVR® device is a clinical-friendly and safe device during ESWL for upper urinary tract stones [18].…”

Section: Discussionmentioning

confidence: 99%

“…Candela et al reported the median pre-procedure pain and anxiety VAS scores were 1 (0-2) and 3 (2-5) respectively, whereas they were 4 (2-7) and 1 (0-2) after the procedure and the HypnoVR® device is a clinical-friendly and safe device during ESWL for upper urinary tract stones [18]. Weynants et al showed the control group not using VR experienced signi cantly more pain compared to the AVVR group (mean VAS-score = 4.94 vs 4.01; p = 0.011) [19]. The mean total delivered energy was signi cantly higher in the AVVR group compared to the control group (55.2 J vs. 48.8 J; p = 0,037).…”

Section: Discussionmentioning

confidence: 99%

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Effects of Audiovisual Virtual Reality Stimulation on Pain, Anxiety, and Relaxation During Extracorporeal Shockwave Lithotripsy for Ureteral Stones : A Prospective Cohort Study

Kwon

Lee

Choi

et al. 2023

Preprint

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Purpose We evaluate the effect of audiovisual virtual reality (AVVR) stimulation through a virtual reality (VR) device on pain, anxiety, and patient relaxation during SWL.Materials and Methods A total of 86 patients from a single institution who underwent SWL for ureteral stone were prospectively allocated. Patients with tolerable pain were randomized 1:1 two groups (SWL with or without AVVR stimulation groups). Anxiety, vital sign, renal colic pain represented the primary outcomes and were measured before and after SWL using STAI, visual analogue scale (VAS). Secondary outcomes were pain due to SWL and stone free rate.Results Thirty-nine and 37 patients were randomly assigned to the AVVR and Control groups, respectively. In pre and post-SWL, SBP, DBP, HR, STAI, and pain due to renal colic were not statistically different between the two groups, but pain due to SWL showed a statistical difference of 1.79 ± 1.32 in the VR group, and 2.54 ± 1.26 in the control group (p = 0.014). In the VR group, significant decreases were shown in SBP (-4.97 ± 5.87 mmHg, p < 0.001), DBP (-1.67 ± 6.06 mmHg, p < 0.016), and HR (-1.41 ± 3.49 beats/min, p < 0.008).Conclusions AVVR reduces procedure-related pain and increases patient relaxation. The application of VR may be an effective and non-pharmacological technique to replace additional pain control during SWL. Developing specialized software for VR will maximize the advantages of these new instruments.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of Audiovisual Virtual Reality Stimulation on Pain, Anxiety, and Relaxation During Extracorporeal Shockwave Lithotripsy for Ureteral Stones : A Prospective Cohort Study

Kwon

Lee

Choi

et al. 2023

Preprint

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“…[6][7][8] Patients who inevitably tolerate pain during lithotripsy processes have poor pain relief, delayed recovery, and bad patient satisfaction. [9][10][11] Numerous conventional treatments are used for pain relief during extracorporeal shock wave lithotripsy, and they mainly include pharmacological and non-pharmacological methods. [12][13][14] Pharmacological approaches may result in adverse events such as nausea, vomiting, gastric bleeding and respiratory depression etc.…”

Section: Introductionmentioning

confidence: 99%

“…[6–8] Patients who inevitably tolerate pain during lithotripsy processes have poor pain relief, delayed recovery, and bad patient satisfaction. [9–11]…”

Section: Introductionmentioning

confidence: 99%

Efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy: A meta-analysis of randomized controlled studies

Lei,

Li,

Tang

et al. 2024

Medicine

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Introduction: Music therapy may have some potential in the pain control of extracorporeal shock wave lithotripsy, and this meta-analysis aims to study the analgesic efficacy of music therapy for extracorporeal shock wave lithotripsy. Methods: We have searched several databases including PubMed, EMbase, Web of Science, EBSCO and Cochrane Library databases, and selected the randomized controlled trials (RCTs) comparing the efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy. This meta-analysis was conducted using the random-effect or fixed-effect model based on the heterogeneity. Results: Ten RCTs and 879 patients were included in this meta-analysis. Compared with routine care for extracorporeal shockwave lithotripsy, music therapy was associated with substantially reduced pain scores (standard mean difference [SMD] = −1.00; 95% CI = −1.57 to −0.42; P = .0007), improved patient satisfaction (SMD = 1.61; 95% CI = 0.45 to 2.77; P = .006) and willingness to repeat (SMD = 2.06; 95% CI = 0.40 to 3.72; P = .01), but had no influence on analgesic consumption (SMD = −3.11; 95% CI = −7.07 to 0.85; P = .12) or adverse events (OR = 1.66; 95% CI = 0.20 to 14.10; P = .64). Conclusions: Music therapy was effective to control the pain of extracorporeal shock wave lithotripsy.

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Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial

Cukierman,

Guerra-Londoño,

Cata

2023

Curr Anesthesiol Rep

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Virtual reality for pain control during shock wave lithotripsy: a randomized controlled study

Cited by 5 publications

References 26 publications

Effects of Audiovisual Virtual Reality Stimulation on Pain, Anxiety, and Relaxation During Extracorporeal Shockwave Lithotripsy for Ureteral Stones : A Prospective Cohort Study

Effects of Audiovisual Virtual Reality Stimulation on Pain, Anxiety, and Relaxation During Extracorporeal Shockwave Lithotripsy for Ureteral Stones : A Prospective Cohort Study

Efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy: A meta-analysis of randomized controlled studies

Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial

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