The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit

Nilsson, Stefan; Finnström, Berit; Kokinsky, Eva; Enskär, Karin

doi:10.1016/j.ejon.2009.01.003

Cited by 164 publications

(179 citation statements)

References 30 publications

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“…VR originates from the gaming industry, and there has been growing interest in its use in other fields, especially healthcare. VR has previously been described alone or as an adjunct to reduce acute pain and anxiety related to burn wound care [15161718], periodontal procedures [19], and needle-related procedures involving pediatric cancer patients [20]. VR is designed to allow patients to escape to a computer-generated virtual world away from the hospital setting in which they are undergoing painful procedures.…”

Section: Discussionmentioning

confidence: 99%

Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study

Pandya

Kim

Howard

et al. 2017

Korean J Anesthesiol

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BackgroundVirtual reality (VR) distraction is a nonpharmacological method to prevent acute pain that has not yet been thoroughly explored for anesthesiology. We present our experience using VR distraction to decrease routine intravenous sedation for patients undergoing preoperative perineural catheter insertion.MethodsThis 1-month quality improvement project involved all elective unilateral primary total knee arthroplasty patients who received a preoperative adductor canal catheter. Clinical data were analyzed retrospectively. For the first half of the month, all patients received usual care; intravenous sedation was administered at the discretion of the regional anesthesiologist. For the second half of the month, patients were offered VR distraction with intravenous sedation upon request. The primary outcome was fentanyl dosage; other outcomes included midazolam dosage, procedure-related pain, procedural time, and blood pressure changes.ResultsSeven patients received usual care and seven used VR. In the VR group, 1/7 received intravenous sedation versus 6/7 who received usual care (P = 0.029). The fentanyl dose was lower (median [10th–90th percentiles]) in the VR group (0 [0–20] µg) versus the non-VR group (50 [30–100] µg; P = 0.008). Midazolam use was lower in the VR group (0 [0–0] mg) than in the non-VR group (1 [0–1] mg; P = 0.024). Procedure-related pain was lower in the VR group (1 [1–4] NRS) versus the non-VR group (3 [2–6] NRS; P = 0.032). There was no difference in other outcomes.ConclusionsVR distraction may provide an effective nonpharmacological alternative to intravenous sedation for the ultrasound-guided placement of certain perineural catheters.

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Section: Discussionmentioning

confidence: 99%

Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study

Pandya

Kim

Howard

et al. 2017

Korean J Anesthesiol

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“…The Use of Virtual Reality for NeedleRelated Procedural Pain and Distress in Children and Adolescents in a Paediatric Oncology Unit 16 Nilsson S, Finnström B, Kokinsky E, Enskär K Twenty-one children and adolescents were included in an intervention group with nonimmersive VR and another 21 children and adolescents in a control group where they underwent either venous punctures or subcutaneous venous port devices. Self-reported pain and distress, heart rate, and observational pain scores were collected before, during, and after the procedures.…”

Section: Tests Vr Reduced Allmentioning

confidence: 99%

Virtual Reality for Pain Management in Cardiac Surgery

Mosso-Vázquez¹,

Gao

Wiederhold

et al. 2014

Cyberpsychology, Behavior, and Social Networking

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Surgical anxiety creates psychological and physiological stress, causes complications in surgical procedures, and prolongs recovery. Relaxation of patients in postoperative intensive care units can moderate patient vital signs and reduce discomfort. This experiment explores the use of virtual reality (VR) cybertherapy to reduce postoperative distress in patients that have recently undergone cardiac surgery. Sixty-seven patients were monitored at IMSS La Raza National Medical Center within 24 hours of cardiac surgery. Patients navigated through a 30 minute VR simulation designed for pain management. Results were analyzed through comparison of pre-and postoperative vital signs and Likert scale survey data. A connection was found in several physiological factors with subjective responses from the Likert scale survey. Heavy positive correlation existed between breathing rate and Likert ratings, and a moderate correlation was found between mean arterial pressure and Likert ratings and heart rate and Likert ratings, all of which indicated lower pain and stress within patients. Further study of these factors resulted in the categorization of patients based upon their vital signs and subjective response, providing a context for the effectiveness of the therapy to specific groups of patients.

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“…These results are also in keeping with studies carried out in medical literature, where VR glasses have been used as a distraction to overcome pain, fear, and anxiety in a number of treatment procedures, such as treatment of burn care, chemotherapy, traumatic injuries, injection or blood sampling, and physiotherapy. [10][11][12][13][14][15] The effect of VR distraction in decreasing perceived pain and anxiety can be attributed to a number of reasons. The application of VR distraction is based on the assumption that pain perception has a large psychological component and that pain attracts a strong attentive response because of the potential threat of damaged tissue associated with the sensation.…”

Section: Discussionmentioning

confidence: 99%

Effect of Virtual Reality Distraction on Pain Perception during Dental Treatment in Children

Panda¹

2017

IJOCRWEB

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The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit

Cited by 164 publications

References 30 publications

Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study

Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study

Virtual Reality for Pain Management in Cardiac Surgery

Effect of Virtual Reality Distraction on Pain Perception during Dental Treatment in Children

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