Anxiolytic Effectiveness of Virtual Reality Glasses in Surgery

Ankara City Hospital

Status: Completed

Conditions: Postoperative Pain; Postoperative Recovery; Anxiety; Anesthesia

Treatments: Device: Oculus Quest 2 VR virtual reality glasses and wired over-ear headphones; Other: No VR

Study type: Interventional

Funder types: Other

Identifiers

NCT06244654

E2-23-4787

Details and patient eligibility

About

Regional anesthesia allows surgery without affecting the patient's level of consciousness.However, this may cause anxiety in some patients.In previous research, scientists have tried to prevent anxiety with non-pharmacological interventions such as music and cognitive therapies.Virtual reality is thought to offer an immersive experience that can alter the mind's perception of pain. Scientists have found in previous preliminary studies that virtual reality is safe and effective as an adjunct to standard sedative/analgesic protocols for reducing patients' pain and anxiety during endoscopy, colonoscopy, dental treatments, burn dressings, and labor. In this study, it is expected that anxiety scores, postoperative analgesic need and intraoperative sedation need will decrease, recovery quality will improve and patient satisfaction will increase in patients who will undergo upper extremity surgery under regional anesthesia and watch videos through VR glasses.

Enrollment: 86 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• who will undergo upper extremity surgery under regional anesthesia

Exclusion criteria

• being under 18 years old
• Those who do not have the ability to read, understand and sign the consent form
• An active infection or open wound in the face or eye area
• History of seizures due to an epileptic condition or any other reason
• Planning to wear a hearing aid during the surgical procedure
• Having a pacemaker or other implanted medical device
• Migraine
• Having an infectious condition that is transmitted through droplets or airborne
• not knowing Turkish
• Not deemed suitable for the approach by the surgeon
• History of psychosis or claustrophobia
• Being visually and/or hearing impaired

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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86 participants in 2 patient groups

Standart Anesthesia management

Other group

Description:

In the non-VR group, the standard anesthesia procedure will be followed. Brachial plexus nerve block will be performed with a 50mm peripheral block needle (Vygon echoplex+ 22Gx50mm) with a mixture of 2% lidocaine and 0.5% bupivacaine (10 mL each) prepared as 20ml. After waiting for a sufficient time, the nerve block effectiveness of the patients will be measured by Modified Broomage scale and pinprick. Additional sedative agents may be applied to both groups at the discretion of the anesthesiologist and will be recorded. Anesthesia management will be applied to both groups in accordance with the standard working order of the Anesthesia clinic.

Treatment:

Other: No VR

VR group

Experimental group

Description:

Oculus Quest 2 VR virtual reality glasses and wired over-ear headphones will be used for patients to hear the sounds of the immersive environment and to block the sounds coming from the operating room environment. Brachial plexus nerve block will be performed with a 50mm peripheral block needle (Vygon echoplex+ 22Gx50mm) with a mixture of 2% lidocaine and 0.5% bupivacaine (10 mL each) prepared as 20ml. After waiting for a sufficient time, the nerve block effectiveness of the patients will be measured by Modified Broomage scale and pinprick.Additional sedative agents may be applied to both groups at the discretion of the anesthesiologist and will be recorded. Anesthesia management will be applied to both groups in accordance with the standard working order of the Anesthesia clinic.

Treatment:

Device: Oculus Quest 2 VR virtual reality glasses and wired over-ear headphones