The Effect of Virtual Reality on Preoperative Anxiety: A Meta-Analysis of Randomized Controlled Trials

Koo, Chang Hoon; Park, Jin-Woo; Ryu, Jin Suk; Han, Sung Hee

doi:10.3390/jcm9103151

Cited by 56 publications

(61 citation statements)

References 48 publications

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“…Massage and physiotherapy have contributed to improved pain control in other settings and are being explored for perioperative applications [ 55 ]. Preoperative virtual reality technology has also been successfully employed to reduce perioperative anxiety and pain [ 161 , 162 , 163 ].…”

Section: Pain Management and Opioid Stewardship Across The Periopementioning

confidence: 99%

Perioperative Pain Management and Opioid Stewardship: A Practical Guide

et al. 2021

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Surgical procedures are key drivers of pain development and opioid utilization globally. Various organizations have generated guidance on postoperative pain management, enhanced recovery strategies, multimodal analgesic and anesthetic techniques, and postoperative opioid prescribing. Still, comprehensive integration of these recommendations into standard practice at the institutional level remains elusive, and persistent postoperative pain and opioid use pose significant societal burdens. The multitude of guidance publications, many different healthcare providers involved in executing them, evolution of surgical technique, and complexities of perioperative care transitions all represent challenges to process improvement. This review seeks to summarize and integrate key recommendations into a “roadmap” for institutional adoption of perioperative analgesic and opioid optimization strategies. We present a brief review of applicable statistics and definitions as impetus for prioritizing both analgesia and opioid exposure in surgical quality improvement. We then review recommended modalities at each phase of perioperative care. We showcase the value of interprofessional collaboration in implementing and sustaining perioperative performance measures related to pain management and analgesic exposure, including those from the patient perspective. Surgery centers across the globe should adopt an integrated, collaborative approach to the twin goals of optimal pain management and opioid stewardship across the care continuum.

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Section: Pain Management and Opioid Stewardship Across The Periopementioning

confidence: 99%

Perioperative Pain Management and Opioid Stewardship: A Practical Guide

et al. 2021

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“…Researchers have postulated the effect of VR on perioperative anxiety and pain by two mechanisms: exposure and distraction [ 30 , 36 •]. VR can expose patients and their parents to the perioperative settings (e.g., operating room and recovery area), which allows them to become familiar with the physical environment.…”

Section: Mechanism Of Action Of Immersive Technology In the Pediatric Populationmentioning

confidence: 99%

“…Recent research shows that immersive technology, particularly virtual reality (VR), is an effective intervention to alleviate perioperative anxiety and pain in children [23][24][25][26][27][28][29][30][31]. Immersive technology, namely VR and augmented reality (AR), refers to technology that aims to extend an individual's sensory environment by emulating or simulating physical reality through technology [32].…”

Section: Introductionmentioning

confidence: 99%

“…Over the past years, several review studies have been published about the effect of VR intervention on anxiety, acute, and chronic pain in the pediatric population. These reviews incorporate various medical procedures (e.g., dental care, burn, venipuncture, chemotherapy administration, and various surgical procedures) [ 29 , 44 , 45 ], focus on preoperative anxiety in adult and pediatrics [ 30 ], or assess the use of VR distraction interventions for children with acute pain in any healthcare setting [ 36 •]. None of these reviews concentrated on the perioperative anxiety, acute, and chronic pain in children.…”

Section: Introductionmentioning

confidence: 99%

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State of the Art: Immersive Technologies for Perioperative Anxiety, Acute, and Chronic Pain Management in Pediatric Patients

Alqudimat

Mesaroli

Lalloo

et al. 2021

Curr Anesthesiol Rep

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Purpose of Review This review summarizes and provides a comprehensive narrative synthesis of the current evidence on immersive technology's (i.e., virtual and augmented Reality) use for perioperative anxiety, acute, and chronic pain in pediatrics. Recent Findings Researchers have increasingly studied immersive technology as a non-pharmacological alternative for perioperative anxiety, acute, and chronic pain management. We found several research studies published over the last 3 years: almost all studies examined the use of virtual reality for perioperative anxiety and pain; only one case report was about the use of augmented reality for preoperative anxiety. Most studies showed that virtual reality intervention is effective and safe for perioperative anxiety, acute, and chronic pain. However, the studies are heterogeneous with relatively small sample sizes. Summary This review shows that more high-quality studies (i.e., randomized controlled trials with larger sample sizes and standardized methods for measuring and reporting outcomes) are needed to examine the effectiveness and adverse effects of virtual reality intervention on perioperative anxiety, acute, and chronic pain in pediatrics.

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“…A recent meta-analysis demonstrated that VR, in the form of exposure therapy, significantly reduced PTSD symptoms in a non-ICU setting ( 14 ). In a hospital setting, head-mounted display VR (HMD-VR) is effective in delivering information to patients, resulting in increased patient satisfaction and better postoperative outcomes ( 15 , 16 ). Recently, a commercial meditative app using HMD-VR improved patient experiences and lowered pain perception during an ICU stay ( 17 ).…”

mentioning

confidence: 99%