Virtual Reality Experiences on Acute Pain and Distress

Seoul National University

Status: Completed

Conditions: Anxiety; Acute Pain; Virtual Reality

Treatments: Device: Virtual reality group

Study type: Interventional

Funder types: Other

Identifiers

NCT03599479

1802-028-920

Details and patient eligibility

About

The aim of this study is to evaluate the efficacy of virtual reality experiences on acute pain and distress caused by fluoroscopic pain intervention in chronic pain patient.

Full description

The investigators perform lots of interventions for patients. But unfortunately, patients cannot help being exposed to the acute pain and fear during the interventions. "Virtual Reality(VR)" is a state-of-art advanced technology, which is now being extended to various medical fields such as pain management, dental treatment, body rehabilitation and cancer pain. There is no study that have conjugated the virtual reality experience for patients' acute pain and anxiety which occurs during the pain interventions. So the investigators like to evaluate the effects of virtual reality experience on acute pain and anxiety precipitated by the pain interventions.

Enrollment: 44 patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

If all of the following conditions are met :

• Patient who has chronic pain lasting more than 3 months and whose pain doctor determined that he or she needs following fluoroscopic pain intervention : Lumbar sympathetic ganglion block (LSGB), Fluoroscopic-guided pulsed radiofrequency ablation (pRF), Fluoroscopic-guided radiofrequency thermocoagulation (hRF)
• Adults who are at least 20 years of age
• Patients whose American Society of Anesthesiologists(ASA) physical status is classified as 1 or 2.
• A person who voluntarily agrees to participate in this clinical trial and has agreed in informed consent.

Exclusion criteria

If the subject falls under any of the following conditions :

• Patients who cannot have virtual reality experience due to hearing or visual impairment
• If the patient has difficulty communicating due to lack of cognitive ability
• Patients that examiners deemed unsuitable for this trial

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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44 participants in 2 patient groups

Virtual reality group

Experimental group

Description:

* After experiencing the VR machine in the transfer bed for 5 minutes, the subject moves to the operating room. * After the subject moves to the surgical bed, he/she takes the appropriate position for the fluoroscopic pain intervention, and wears the virtual reality device (headset, headphone, smartphone). * After the subject starts the VR program, the practitioner starts the fluoroscopic pain intervention. * Lidocaine skin infiltration and description of the practitioner during the intervention are performed with the intervention when necessary.

Treatment:

Device: Virtual reality group

Conventional group

No Intervention group

Description:

The fluoroscopic pain intervention is performed using only local anesthetics and description of the practitioner during the intervention as in the conventional cases.