게시판
| 21KS-032 |
Effectiveness of Virtual Reality Immersion on Procedure-related Pain and Anxiety in Outpatient Pain Clinic
서울대학교 의과대학 마취통증의학교실¹, 일산차병원 마취통증의학과²
Background
The study investigated virtual reality (VR) immersion in alleviating procedure-related pain in patients with chronic pain undergoing fluoroscopy-guided minimally-invasive intervention in a prone position at an outpatient clinic.
Methods
In this prospective randomized controlled study, 38 patients undergoing lumbar sympathetic ganglion block were randomized into either the VR or the Control group. In the VR group, procedure-related pain was controlled via infiltration of local anesthetics, watching a 30-minute VR hypnotic program. In the Control group, the skin infiltration was used standalone, with the VR device switched off. The primary endpoint was an 11-point score on the numerical rating scale, indicating procedure-related pain. Patients’ satisfaction with pain control, anxiety levels, the need for additional local anesthetics during the procedure, hemodynamic stability, and any adverse events were assessed.
Results
Procedure-related pain was significantly lower in the VR group (3.7 ± 1.4) than in the Control group (5.5 ± 1.7; P = 0.002). Post-procedural anxiety was lower in the VR group than in the Control group (P = 0.025), with a significant reduction from pre-procedural anxiety (P < 0.001). Although patients’ satisfaction did not differ significantly (P = 0.158) between the groups, a higher number of patients required additional local anesthetics in the Control group (n = 13) than in the VR group (n = 4; P = 0.001). No severe adverse events occurred in either group during the study.
Conclusion
VR immersion can be safely used as a novel adjunct to reduce procedural pain and anxiety during fluoroscopic pain intervention.
References
1. Chuan A, Zhou JJ, Hou RM, Stevens CJ, Bogdanovych A. Virtual reality for acute and chronic pain management in adult patients: a narrative review. Anaesthesia 2020 Jul 27.doi: 10.1111/anae.15202. Online ahead of print.
2. Moon JY, Shin J, Chung J, Ji S-H, Ro S, Kim WH. Virtual reality distraction during endoscopic urologic surgery under spinal anesthesia: a randomized controlled trial. J Clin Med 2019;8:2.
The study investigated virtual reality (VR) immersion in alleviating procedure-related pain in patients with chronic pain undergoing fluoroscopy-guided minimally-invasive intervention in a prone position at an outpatient clinic.
Methods
In this prospective randomized controlled study, 38 patients undergoing lumbar sympathetic ganglion block were randomized into either the VR or the Control group. In the VR group, procedure-related pain was controlled via infiltration of local anesthetics, watching a 30-minute VR hypnotic program. In the Control group, the skin infiltration was used standalone, with the VR device switched off. The primary endpoint was an 11-point score on the numerical rating scale, indicating procedure-related pain. Patients’ satisfaction with pain control, anxiety levels, the need for additional local anesthetics during the procedure, hemodynamic stability, and any adverse events were assessed.
Results
Procedure-related pain was significantly lower in the VR group (3.7 ± 1.4) than in the Control group (5.5 ± 1.7; P = 0.002). Post-procedural anxiety was lower in the VR group than in the Control group (P = 0.025), with a significant reduction from pre-procedural anxiety (P < 0.001). Although patients’ satisfaction did not differ significantly (P = 0.158) between the groups, a higher number of patients required additional local anesthetics in the Control group (n = 13) than in the VR group (n = 4; P = 0.001). No severe adverse events occurred in either group during the study.
Conclusion
VR immersion can be safely used as a novel adjunct to reduce procedural pain and anxiety during fluoroscopic pain intervention.
References
1. Chuan A, Zhou JJ, Hou RM, Stevens CJ, Bogdanovych A. Virtual reality for acute and chronic pain management in adult patients: a narrative review. Anaesthesia 2020 Jul 27.doi: 10.1111/anae.15202. Online ahead of print.
2. Moon JY, Shin J, Chung J, Ji S-H, Ro S, Kim WH. Virtual reality distraction during endoscopic urologic surgery under spinal anesthesia: a randomized controlled trial. J Clin Med 2019;8:2.
