TY - JOUR
T1 - Virtual Reality as an Adjunctive Nonpharmacological Sedative during Orthopedic Surgery under Regional Anesthesia
T2 - A Pilot and Feasibility Study
AU - Chan, Peter Y.
AU - Scharf, Simon
PY - 2017/10/1
Y1 - 2017/10/1
N2 - This pilot study assessed the feasibility and potential for any possible sedation sparing effect of immersive virtual reality (IVR) therapy on patients undergoing joint replacement surgery under regional anesthesia. Nine participants were given IVR, regional anesthetic, and sedation. Ten received conventional care. Mean propofol usage was 155 ± 45 mg/h in the conventional care group and 63 ± 21 mg/h in the IVR group (P =.088, mean difference -91.6 mg/h, 95% confidence interval, -200 to 16.87 mg/h). There was no significant difference in postoperative satisfaction between the 2 groups. This pilot study demonstrates that it is possible to safely provide IVR in an operating theater environment and may confer a sedation sparing effect. A larger, more powered, and randomized study is needed to assess this effect.
AB - This pilot study assessed the feasibility and potential for any possible sedation sparing effect of immersive virtual reality (IVR) therapy on patients undergoing joint replacement surgery under regional anesthesia. Nine participants were given IVR, regional anesthetic, and sedation. Ten received conventional care. Mean propofol usage was 155 ± 45 mg/h in the conventional care group and 63 ± 21 mg/h in the IVR group (P =.088, mean difference -91.6 mg/h, 95% confidence interval, -200 to 16.87 mg/h). There was no significant difference in postoperative satisfaction between the 2 groups. This pilot study demonstrates that it is possible to safely provide IVR in an operating theater environment and may confer a sedation sparing effect. A larger, more powered, and randomized study is needed to assess this effect.
UR - http://www.scopus.com/inward/record.url?scp=85020660785&partnerID=8YFLogxK
U2 - 10.1213/ANE.0000000000002169
DO - 10.1213/ANE.0000000000002169
M3 - Article
C2 - 28598921
AN - SCOPUS:85020660785
SN - 0003-2999
VL - 125
SP - 1200
EP - 1202
JO - Anesthesia and Analgesia
JF - Anesthesia and Analgesia
IS - 4
ER -