Virtual Reality Pain Distraction During Gynecological Surgery—A Report of 44 Cases

Wiederhold, Brenda K.; Vázquez, José Luis Mosso; Vaca, Verónica; Miller, Ian; Wiederhold, Mark D.

doi:10.12970/2311-9888.2017.05.02

Cited by 10 publications

(3 citation statements)

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“…Also, using VR glasses for 10 min during the episiotomy procedure reduced pain and increased the satisfaction of pregnant mothers 40 . The effectiveness of distraction through VR as an accessible, cost-effective, and non-invasive technique for pain and anxiety during fine needle aspiration (FNA), colonoscopy, and endoscopic surgery was also reported 41 , 46 , 47 . Additionally, the use of VR with D3 films has been found to significantly reduce the pain associated with dressing changes in the VR group, compared to the control group 48 .…”

Section: Discussionmentioning

confidence: 99%

Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

Dalir,

Seddighi,

Esmaily

et al. 2024

Sci Rep

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The pain associated with chest tube removal (CTR) is one of the significant complications of cardiac surgery. The management of this pain is recognized as a vital component of nursing care. The application of distraction techniques using virtual reality (VR) is an effective and straightforward non-pharmacological approach to alleviate pain. This study aimed to determine the impact of VR technology on the management of pain caused by CTR following coronary artery bypass grafting (CABG). This randomized clinical trial was conducted on 70 patients undergoing CABG at Imam Reza and Qaem hospitals in Mashhad, Iran, in 2020. The patients were randomly divided into two groups of 35. For the intervention group, a 360-degree video was played using VR glasses 5 min before the CTR procedure. The pain intensity was measured before, immediately after, and 15 min after CTR, using the Visual Analogue Scale. Also, the Depression Anxiety and Stress Scale-21 (DASS-21), and the Rhoten Fatigue Scale (RFS) were used to evaluate intervention and control groups before the CTR procedure. The collected data was analyzed using statistical tests, such as Chi-square, independent t-test, and Mann–Whitney test. The patients were homogeneous in terms of stress, anxiety, and fatigue levels before CTR, and they did not show any significant differences (P > 0.05). The average pain intensity score of patients in the intervention group significantly decreased immediately and 15 min after CTR, compared to the control group (P < 0.001). Given the positive impact of VR distraction on the severity of pain associated with CTR in patients undergoing CABG, this technique can serve as an effective, accessible, and cost-efficient non-pharmacological approach for managing pain in these patients.Trial registration: This study was registered in the Iranian Registry of Clinical Trials (code: IRCT20190708044147N1; approval date, 08/26/2019).

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Section: Discussionmentioning

confidence: 99%

Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

Dalir,

Seddighi,

Esmaily

et al. 2024

Sci Rep

View full text Add to dashboard Cite

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“…It has been found safe and effective in reducing pain and anxiety for inpatients and those with chronic pain, during minor procedures, as well as the rst stage of labor. (9)(10)(11)(12)(13)(14) Its effects are less well-established during surgery. In a preliminary study, we demonstrated that VR immersion during upper extremity surgery with regional anesthesia reduced intraoperative propofol dose while maintaining a high degree of patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative virtual reality for older patients undergoing total knee arthroplasty: study protocol for a randomized clinical trial

Espinosa-Leon,

Mathura,

Chen

et al. 2024

Preprint

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Background: In an aging surgical patient population, preventing complications such as oversedation has taken increasing priority in perioperative care. Intraoperative use of Virtual Reality (VR) may decrease sedative requirements. We hypothesize that the use of immersive VR during total knee arthroplasty (TKA) will lead to decreased propofol requirements, improved patient-reported satisfaction, and reduced postoperative opioid requirements compared to active and usual care controls. Methods: This is a single center, randomized clinical trial of older (age > 60) patients undergoing TKA. Participants will be randomized into three groups (2:2:1): VR immersion, music, and sham VR plus usual care. All patients will receive a regional block and spinal anesthesia. Patients in the immersive VR and music groups will use Patient Controlled Sedation (PCS) with propofol, while those in the sham VR group will act as the standard of care control group and will receive Monitored Anesthesia Care (MAC) with propofol infusion. Statistical Analysis: Analyses will be conducted using IBM SPSS Statistics Version 25, considering a two-sided p-value < 0.05 to be statistically significant. The primary outcome is the intraoperative dose of propofol (mg kg− 1 min− 1). Secondary outcomes include patient satisfaction, post-anesthesia care unit (PACU) length of stay, postoperative pain scores and analgesic requirements, functional outcomes, postoperative delirium, and postoperative neurocognition. Discussion: VR used as a non-pharmacological adjunct to regional and spinal anesthesia during TKA may reduce sedative requirements while maintaining patient satisfaction. If true, this approach to minimizing sedation may impact clinical outcomes including perioperative complications and length of stay for older patients, while maintaining a high degree of patient satisfaction. Trial Registration: This trial was registered on clinicaltrials.gov on January 29, 2021. The registration number is NCT04748549. https://clinicaltrials.gov/ct2/show/NCT04748549

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“…In addition, VR distraction has been shown to decrease pain effectively during bandage changes in burn victims [13]. Recent studies with regard to the analgesic effects of VR during surgical procedures showed that pain reduction was associated with a decrease in heart rate, respiratory rate, oral secretions, and blood pressure [14,15].…”

Section: Introductionmentioning

confidence: 99%

The Advances of Immersive Virtual Reality Interventions for the Enhancement of Stress Management and Relaxation among Healthy Adults: A Systematic Review

et al. 2022

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The rapid changes in human contacts due to the COVID-19 crisis have not only posed a huge burden on the population’s health but may have also increased the demand for evidence-based psychological programs delivered through digital technology. A systematic review, following the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” guidelines, was therefore conducted to explore the advances in stress management interventions utilizing VR and suggest up-to-date directions for future practice. The relevant literature was screened and the search resulted in 22,312 records, of which 16 studies were considered for analysis. The Methodological Index for Non-Randomized Studies (MINORS) was also employed to assess the quality of the included studies. The results suggest that VR-based interventions can facilitate positive changes in subjective stress levels and stress-related biomarkers. However, special attention should be paid to the development of rigorous VR protocols that embrace natural elements and concepts deriving from traditional treatment approaches, such as cognitive behavioral therapy techniques. Overall, this review aims to empower future researchers to grasp the opportunity that the COVID-19 pandemic generated and utilize digital technologies for strengthening individuals’ mental health. Future projects need to conduct large-scale VR studies to evaluate their effectiveness compared to other mental health interventions.

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Virtual Reality Pain Distraction During Gynecological Surgery—A Report of 44 Cases

Cited by 10 publications

References 0 publications

Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

Intraoperative virtual reality for older patients undergoing total knee arthroplasty: study protocol for a randomized clinical trial

The Advances of Immersive Virtual Reality Interventions for the Enhancement of Stress Management and Relaxation among Healthy Adults: A Systematic Review

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