Virtual reality use in adult ICU to mitigate anxiety for a patient on V-V ECMO

Blair, Gregory J.; Kapil, Shikha; Cole, Sheela Pai; Rodríguez, Samuel

doi:10.1016/j.jclinane.2018.12.033

Cited by 10 publications

(11 citation statements)

References 2 publications

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“…Unlike other studies that found reduced levels of anxiety and depression following VR-based emotional interventions [26][27][28][29], we found no significant differences in emotional outcomes between the stimulated and non-stimulated groups. However, at one-month follow-up, 50% fewer patients in the ENRIC group experienced pathological levels of nonspecific anxiety (11.8% vs. 21.1%) and depression (5.9% vs. 10.5%) compared with patients who received only standard ICU care.…”

Section: Discussioncontrasting

confidence: 99%

“…Using a central processing unit, a flat screen TV, and a Kinect ® motion sensor to detect the movement of the patient's arms and hands, the stimulation software places patients in a relaxing environment (tropical island) composed of 4 scenarios with real nature sounds (wheat field, beach, forest, and mountain landscape) in which they can walk accompanied by a virtual avatar. All scenarios are similar to previous environments that have proven effective in reducing stress and anxiety in critically ill patients [26][27][28][29]. The route through the virtual world and the order of the cognitive exercises is initially predefined; however, the therapist can modify the route, reconfigure the order of appearance of the exercises, or jump from one exercise to another using commands.…”

Section: Enric Technology Featuresmentioning

confidence: 99%

“…Virtual reality (VR) refers to immersive, multisensory, viewer-centered, 3D computergenerated, interactive environments created by combining different technologies. Cognitive and emotional therapies based on VR techniques have achieved promising results in patients with neurocognitive and mental health disorders [24,25], but reports on their use in critically ill patients are scarce [26][27][28][29]. Thus far, most studies in critically ill patients have used immersive systems that provide a full stereoscopic experience through the use of various sensory output devices, such as head-mounted displays [26,28,29].…”

Section: Introductionmentioning

confidence: 99%

“…Cognitive and emotional therapies based on VR techniques have achieved promising results in patients with neurocognitive and mental health disorders [24,25], but reports on their use in critically ill patients are scarce [26][27][28][29]. Thus far, most studies in critically ill patients have used immersive systems that provide a full stereoscopic experience through the use of various sensory output devices, such as head-mounted displays [26,28,29]. Other studies have used non-immersive systems that employ computer displays or large projection screens that are less expensive but do not provide a full stereoscopic experience [27].…”

Section: Introductionmentioning

confidence: 99%

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Virtual Reality-Based Early Neurocognitive Stimulation in Critically Ill Patients: A Pilot Randomized Clinical Trial

Navarra-Ventura

Gomà

Haro

et al. 2021

JPM

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This study focuses on the application of a non-immersive virtual reality (VR)-based neurocognitive intervention in critically ill patients. Our aim was to assess the feasibility of direct outcome measures to detect the impact of this digital therapy on patients’ cognitive and emotional outcomes. Seventy-two mechanically ventilated adult patients were randomly assigned to the “treatment as usual” (TAU, n = 38) or the “early neurocognitive stimulation” (ENRIC, n = 34) groups. All patients received standard intensive care unit (ICU) care. Patients in the ENRIC group also received adjuvant neurocognitive stimulation during the ICU stay. Outcome measures were a full neuropsychological battery and two mental health questionnaires. A total of 42 patients (21 ENRIC) completed assessment one month after ICU discharge, and 24 (10 ENRIC) one year later. At one-month follow-up, ENRIC patients had better working memory scores (p = 0.009, d = 0.363) and showed up to 50% less non-specific anxiety (11.8% vs. 21.1%) and depression (5.9% vs. 10.5%) than TAU patients. A general linear model of repeated measures reported a main effect of group, but not of time or group–time interaction, on working memory, with ENRIC patients outperforming TAU patients (p = 0.008, ηp2 = 0.282). Our results suggest that non-immersive VR-based neurocognitive stimulation may help improve short-term working memory outcomes in survivors of critical illness. Moreover, this advantage could be maintained in the long term. An efficacy trial in a larger sample of participants is feasible and must be conducted.

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Section: Discussioncontrasting

confidence: 99%

Section: Enric Technology Featuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Virtual Reality-Based Early Neurocognitive Stimulation in Critically Ill Patients: A Pilot Randomized Clinical Trial

Navarra-Ventura

Gomà

Haro

et al. 2021

JPM

View full text Add to dashboard Cite

show abstract

“…18,48,[51][52][53][56][57][58]61,64,65 The country of study varied with studies taking place in France, 55,56 Netherlands, 58,59,63 Singapore, 60 South Korea, 51,52 Switzerland, [45][46][47]57 United Kingdom, 53,54 and the United States. 18,43,44,[48][49][50]61,64,65,67 The mean age of included participants ranged from 21 to 66.42 years. 43,44,49,51,52,68 There were seven different primary uses of VR in ICU (defined by primary aim of study), specifically relaxation, delirium, PTSD, sleep, lower limb function, early neurocognitive stimulation, and orientation (See Table 1 for full study characteristics).…”

Section: Resultsmentioning

confidence: 99%