Perioperative Outcomes of Immersive Virtual Reality as Adjunct Anesthesia in Primary Total Hip and Knee Arthroplasty

The Role of Immersive Virtual Reality on the Patient Experience and Future Applications in Spinal Care

“…16 Conversely, a retrospective cohort analysis of 18 patients undergoing lower extremity arthroplasty with adjunct intraoperative VR demonstrated that patients with VR self-administered significantly less propofol sedation compared with propensity-matched controls (48 ± 27 mg vs 708 ± 297 mg, P < 0.001). 17 Additionally, intraoperative heart rate and blood pressure monitoring revealed no difference in maximum heart rate or systolic blood pressure, suggesting that both groups' pain was well-controlled despite the significantly lower sedation requirements. 17 Although adjunctive VR did not affect variables assessed in the postanesthesia care unit (PACU), this is thought to be secondary to the relatively short half-life of propofol limiting the postoperative effects of this sedation modality in general.…”

“…17 Additionally, intraoperative heart rate and blood pressure monitoring revealed no difference in maximum heart rate or systolic blood pressure, suggesting that both groups' pain was well-controlled despite the significantly lower sedation requirements. 17 Although adjunctive VR did not affect variables assessed in the postanesthesia care unit (PACU), this is thought to be secondary to the relatively short half-life of propofol limiting the postoperative effects of this sedation modality in general. 17 VR can play a role in reducing instances of oversedation by distracting the patient from processing noxious stimuli.…”

The Role of Immersive Virtual Reality on the Patient Experience and Future Applications in Spinal Care

“…Conversely, a retrospective cohort analysis of 18 patients undergoing lower extremity arthroplasty with adjunct intraoperative VR demonstrated that patients with VR self-administered significantly less propofol sedation compared with propensity-matched controls (48 ± 27 mg vs 708 ± 297 mg, P < 0.001) 17. Additionally, intraoperative heart rate and blood pressure monitoring revealed no difference in maximum heart rate or systolic blood pressure, suggesting that both groups' pain was well-controlled despite the significantly lower sedation requirements 17. Although adjunctive VR did not affect variables assessed in the postanesthesia care unit (PACU), this is thought to be secondary to the relatively short half-life of propofol limiting the postoperative effects of this sedation modality in general 17…”

“…In a trial of 50 patients randomized to patient-controlled propofol sedation with adjunctive VR versus patient-controlled sedation alone, there were no differences in propofol patterns between groups 16. Conversely, a retrospective cohort analysis of 18 patients undergoing lower extremity arthroplasty with adjunct intraoperative VR demonstrated that patients with VR self-administered significantly less propofol sedation compared with propensity-matched controls (48 ± 27 mg vs 708 ± 297 mg, P < 0.001) 17. Additionally, intraoperative heart rate and blood pressure monitoring revealed no difference in maximum heart rate or systolic blood pressure, suggesting that both groups' pain was well-controlled despite the significantly lower sedation requirements 17.…”

“…17 Although adjunctive VR did not affect variables assessed in the postanesthesia care unit (PACU), this is thought to be secondary to the relatively short half-life of propofol limiting the postoperative effects of this sedation modality in general. 17 VR can play a role in reducing instances of oversedation by distracting the patient from processing noxious stimuli. In a randomized controlled trial, elective hand surgery patients received either intraoperative VR with monitored anesthesia care (MAC) or MAC only.…”