Atmospheric Projection in the Emergency Department (AERIAL-MED)

Lausanne University Hospital (CHUV)

Status: Terminated

Conditions: Anxiety Acute; Pain, Acute

Treatments: Device: Immersive atmospheric projection; Device: Minimal atmospheric projection

Study type: Interventional

Funder types: Other

Identifiers

NCT05967988

CER-VD 2023-00867

Details and patient eligibility

About

The goal of this clinical trial is to learn about the reduction of pain and anxiety during a minor procedure in the emergency department on adult patients through the visualisation of atmospheric projection as a distraction mean. The main question it aims to answer is :

Can the atmospheric projection of a video reduce pain and anxiety in adult patients receiving painful procedures in the emergency department ?

Participants will look at an atmospheric projection (projection of a media on the walls and roof around the patient) while receiving their planned care procedures. Researchers will compare an active group watching a video with a control group watching a simple colored light to see if the visualisation of an atmospheric projected video reduces pain and anxiety more than the visualisation of a colored light does.

Enrollment: 62 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged ≥18 ;
• Patient requiring one of the following treatment procedures : suturing, plaster cast placement and/or repositioning, fracture or dislocation reduction, ascites puncture, pleural puncture, lumbar puncture.

Exclusion criteria

• Patient clinically unstable;
• Patient incapable of discernment or consent ;
• Altered mental status (cognitive disorders, mental retardation, acute state of confusion, acute psychosis);
• Alcoholic patient with University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) score of 10/10 ;
• Patient hard of hearing ;
• Patient with visual impairments preventing him/her from perceiving his/her environment ;
• Patient unable to understand the use of visual analog scales (VAS);
• Impaired sensitivity of the part of the body where the medical intervention is to take place;
• Planned use of analgesia/sedation with a dissociative agent (midazolam, ketamine, propofol);
• Incarcerated patient ;
• Patient transferred from another hospital ;
• Patient having already participated in this study during a previous consultation in the emergency department of the Centre Hospitalier Universitaire Vaudois.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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62 participants in 2 patient groups

Atmospheric 3D video projection

Experimental group

Description:

Patients in the interventional arm will watch an immersive atmospheric video projection on the walls of their examination room.

Treatment:

Device: Immersive atmospheric projection

Atmospheric 3D color projection

Sham Comparator group

Description:

Patients in the interventional arm will look at a neutral color of their choice projected on the walls of their examination room.

Treatment:

Device: Minimal atmospheric projection