Use of Virtual Reality for minor procedures in the Emergency Department: A scoping review

McCahill, Robyn J.; Nagle, Cate; Clarke, Patricia

doi:10.1016/j.auec.2020.06.006

Cited by 9 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to distraction [ 8 ], there are novel mechanisms for VR treatment in pain, such as producing neurophysiologic changes related to conditioning and exposure therapies [ 9 ], or regulating autonomic, affective (mood, anxiety), and evaluative (subjective pain and enjoyment rating) responses associated with acute pain [ 10 ]. fMRI studies have demonstrated that VR can reduce pain comparable to a moderate dose of opioids [ 11 , 12 ]. The effects of VR simulations are well studied in a wide variety of clinical settings, including acute and postoperative [ 13 – 21 ], as well as chronic pain management [ 13 , 17 , 22 ], neuropathic pain [ 23 ], in patients undergoing invasive procedures [ 22 , 24 , 25 ], and for treatment of burn patients [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

“…The effects of VR simulations are well studied in a wide variety of clinical settings, including acute and postoperative [ 13 – 21 ], as well as chronic pain management [ 13 , 17 , 22 ], neuropathic pain [ 23 ], in patients undergoing invasive procedures [ 22 , 24 , 25 ], and for treatment of burn patients [ 26 , 27 ]. Furthermore, there is a growing body of evidence for the application of VR simulation especially in the pediatric population (burn pain, painful procedures, chemotherapy, anxiety, and palliative care [ 11 , 21 , 28 – 32 ]. Additionally, VR simulation can be used for the treatment of anxiety disorders [ 18 , 20 , 30 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Virtual Reality for Pain Relief in the Emergency Room (VIPER) – a prospective, interventional feasibility study

et al. 2022

View full text Add to dashboard Cite

Background Pain is one of the most common, yet challenging problems leading to emergency department (ED) presentation, despite the availability of a wide range of pharmacological therapies. Virtual reality (VR) simulations are well studied in a wide variety of clinical settings, including acute and chronic pain management, as well as anxiety disorders. However, studies in the busy environment of an adult ED are scarce. The aim of this study is to explore the feasibility and effectiveness of a VR simulation for pain and anxiety control in a convenience sample of adult ED patients presenting with traumatic and non-traumatic pain triaged 2–5 (i.e., urgent to non-urgent) with a pain rating of ≥ 3 on a numeric rating scale (NRS 0–10). Methods Prospective within-subject, repeated measures interventional feasibility pilot study at a Swiss University ED. The intervention consisted of a virtual reality simulation in addition to usual care. Pain and anxiety levels were measured using a verbally administered numeric rating scale (NRS) before and after the intervention. Information on patient experience was collected using established rating scales. Results Fifty-two patients were enrolled. The most common pain localisations were extremities (n = 15, 28.8%) and abdomen (n = 12, 23.1%). About one third of patients presented with trauma-associated pain (n = 16, 30.8%). Duration of pain was mainly acute (< 24 h) (n = 16, 30.8%) or subacute (> 24 h) (n = 32, 61.5%). The majority of patients were triage category 3, i.e. semi-urgent (n = 48, 92.3%). Significant reduction in pain (NRS median pre-VR simulation 4.5 (IQR 3–7) vs. median post-VR simulation 3 (IQR 2–5), p < 0.001), and anxiety levels (NRS median pre-VR simulation 4 (IQR 2–5) vs. median post-VR simulation 2 (IQR 0–3), p < 0.001) was achieved, yielding moderate to large effect sizes (Cohen’s d estimate for pain reduction = 0.59 (95% CI 0.19—0.98), for anxiety level on NRS = 0.75 (95% CI 0.34—1.15). With medium immersion and good tolerability of the VR simulation, user satisfaction was high. Conclusions Virtual reality analgesia for pain and anxiety reduction in the busy setting of an ED is feasible, effective, with high user satisfaction. Further randomized controlled studies are needed to better characterize its impact on pain perception and resource utilization.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Virtual Reality for Pain Relief in the Emergency Room (VIPER) – a prospective, interventional feasibility study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Chan et al 21 randomized controlled trials results indicate that virtual reality distraction was safe and effective at reducing distress, anxiety, and pain in comparison to standard of care. In the studies using virtual reality glasses for distinct medical procedures, McCahill et al, 29 Wong et al, 30 and Pourmand et al 31 reported that anxiety decreased, Piskorz and Czub 28 stated that stress level decreased and Won et al 17 stated that they had a potential for decreasing anxiety. The “fun” aspect of virtual reality was believed to influence virtual reality analgesic effects 32 .…”

Section: Discussionmentioning

confidence: 99%

Pain management in children during invasive procedures: A randomized clinical trial

Top

Ayyıldız

2021

Nursing Forum

View full text Add to dashboard Cite

Aims This study was performed to determine the effect of distraction technique that was applied to 4–6‐year‐old children during blood drawal for decreasing the pain of the child during the procedure. Material and Methods The study was carried out as randomized controlled trial. Data were collected by individual information form, Faces Pain Scale‐Revised (FPS‐R), and a timer. Virtual reality glasses were used for distraction in the study. Results Pain intensity and duration of crying significantly differed between the control and experimental groups. During the procedure, mean score of the children in the experimental group from “faces pain scale” was found to be 3.82 ± 1.20; the control group from “faces pain scale” was found to be 6.96 ± 2.08; and statistically significant differences were detected between both groups (p = 0.0001 and p = 0.001, respectively). When their duration of crying was examined, it was determined that mean crying time among the children in the experimental group was 8.43 ± 12.42 s and it was 33.65 ± 24.02 s among the children in control group; and the difference between groups was found to be statistically significant. Conclusion It was detected that using virtual reality glasses was an effective method in decreasing pain of the children during blood drawal procedure.

show abstract

“…Pain, fear, and anxiety management of children who underwent needle intervention in pediatric emergency services is quite inadequate due to many factors. 32 Health professionals' failure to recognize interventional pain, fear, and anxiety may hinder the implementation of preventative and therapeutic intervention approaches; as such, children at pediatric emergency departments may suffer pain, fear, and anxiety. 33,34 For this reason, VR and watching cartoons with a tablet as nonpharmacological methods may be promising in reducing pain, fear, and anxiety in children during invasive intravascular procedures, such as blood draws.…”

mentioning

confidence: 99%

“…Pain, fear, and anxiety management of children who underwent needle intervention in pediatric emergency services is quite inadequate due to many factors 32. Health professionals' failure to recognize interventional pain, fear, and anxiety may hinder the implementation of preventative and therapeutic intervention approaches; as such, children at pediatric emergency departments may suffer pain, fear, and anxiety 33,34.…”

mentioning

confidence: 99%

The Effect of 2 Different Distraction Methods on Pain, Fear, and Anxiety Levels During Venous Blood Draw in Children in a Pediatric Emergency Unit

Akarsu

Semerci

Kılınç

2023

Journal of Nursing Care Quality

View full text Add to dashboard Cite

Background: Blood draw procedures can cause pain, fear, and anxiety in the pediatric population. Purpose: To compare the effects of watching cartoons either with virtual reality (VR) or via a tablet on pain, fear, and anxiety during venous blood draw procedures in children. Methods: A randomized controlled study was conducted with 159 children aged 5 to 12 years in the pediatric emergency unit. The 3 groups included cartoons with VR (n = 53) or a tablet (n = 53), and a control group (n = 53). Results: Children in the 2 intervention groups had lower perceptions of pain, fear, and anxiety, with those watching cartoons via VR having the lowest perceptions. Conclusions: Findings from this study showed a reduction in the perception of pain, fear, and anxiety in children who watched cartoons with VR or tablets during blood draw procedures. Nurses should consider using these nonpharmacological methods to reduce pain, fear, and anxiety, among pediatric patients.

show abstract

Use of Virtual Reality for minor procedures in the Emergency Department: A scoping review

Cited by 9 publications

References 15 publications

Virtual Reality for Pain Relief in the Emergency Room (VIPER) – a prospective, interventional feasibility study

Virtual Reality for Pain Relief in the Emergency Room (VIPER) – a prospective, interventional feasibility study

Pain management in children during invasive procedures: A randomized clinical trial

The Effect of 2 Different Distraction Methods on Pain, Fear, and Anxiety Levels During Venous Blood Draw in Children in a Pediatric Emergency Unit

Contact Info

Product

Resources

About