Using Augmented Reality to Reduce Fear and Promote Cooperation During Pediatric Otolaryngologic Procedures

Caruso, Thomas J.; Madill, Martine; Sidell, Douglas; Meister, Kara D; Wang, Ellen; Menéndez, María; Kist, Madison N; Rodríguez, Samuel

doi:10.1002/lary.29098

Cited by 15 publications

(7 citation statements)

References 4 publications

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“…The earliest procedures that relied on virtual reality involved wound and burn care with patients immersed in a virtual reality application called SnowWorld [44]. Since then, pediatric patients have successfully undergone numerous procedures using virtual reality with little-to-no sedation including mediastinal mass biopsies, hormone suppository implantations, abscess drainages, nasal endoscopies, laceration repairs, lumbar punctures, and central line placements [24,45 ▪ ,46 ▪▪ ,47 ▪ ,48 ▪▪ ].…”

Section: Periprocedural Care With Virtual Realitymentioning

confidence: 99%

Virtual reality for pediatric periprocedural care

Wang

Thomas

Rodríguez

et al. 2021

Current Opinion in Anaesthesiology

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Purpose of reviewCommercial availability of virtual reality headsets and software has exponentially grown over the last decade as it has become more sophisticated, less expensive, and portable. Although primarily used by the general public for entertainment, virtual reality has been adopted by periprocedural clinicians to improve patient experiences and treatments. The purpose of this review is to explore recently reported evidence for virtual reality effectiveness for pediatric periprocedural care and discuss considerations for clinical implementation. Recent findingsIn the preprocedure setting, practitioners use virtual reality to introduce children to periprocedural environments, distract attention from preprocedural vascular access, and increase cooperation with anesthesia induction. Intraprocedure, virtual reality decreases sedation requirements, and in some instances, eliminates anesthesia for minor procedures. Virtual reality also augments pain reduction therapies in the acute and extended rehabilitation periods, resulting in faster recovery and improved outcomes. Virtual reality seems to be well treated for pediatric use, given close clinical care and carefully curated content. SummaryGiven the multiple clinical applications of virtual reality to supplement pediatric periprocedural care, practitioners should consider developing clinical programs that reliably provide access to virtual reality. Future research should focus on identification of patient characteristics and types of software that yield optimal patient outcomes.

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Section: Periprocedural Care With Virtual Realitymentioning

confidence: 99%

Virtual reality for pediatric periprocedural care

Wang

Thomas

Rodríguez

et al. 2021

Current Opinion in Anaesthesiology

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“…In most previous studies on VR, patients are asked to use VR just before the surgery 24 and, when reported, the time during which children keep their VR headset on is about 5 min. Perhaps due to the AR glasses being less bothersome (and less heavy), patients in our study wore their AR glasses for 51 min on average 16,17 . That patients willingly use AR for a longer period allows developers to include educational content and more interactive virtual objects.…”

Section: Discussionmentioning

confidence: 86%

“…Perhaps due to the AR glasses being less bothersome (and less heavy), patients in our study wore their AR glasses for 51 min on average. 16,17 That patients willingly use AR for a longer period allows developers to include educational content and more interactive virtual objects.…”

Section: Discussionmentioning

confidence: 99%

“…More specifically, in pediatric care, it has been used in recent years as a mean to manage preoperative anxiety. To our knowledge, three case reports showed preliminary positive results of using AR 14 : (i) one child (age = 11) and his parents who opted for AR glasses over the VR headset as a playful distraction technique during preinduction intravenous access 15 ; (ii) the satisfactory use of AR during the induction of general anesthesia in a case study of three children 16 (mean age = 8.7); and (iii) in a case study with three children, AR was shown to reduce fear during pediatric otolaryngology procedures 17 (mean age = 14.7).…”

Section: Introductionmentioning

confidence: 99%

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The effect of augmented reality on preoperative anxiety in children and adolescents: A randomized controlled trial

Chamberland,

Bransi,

Boivin

et al. 2023

Pediatric Anesthesia

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Background and AimsVirtual reality has been shown to be an effective non‐pharmacological intervention for reducing anxiety of pediatric patients. A newer immersive technology, that of augmented reality, offers some practical advantages over virtual reality, and also seems to show beneficial effects on anxiety. The main objective of this study was to determine whether augmented reality could reduce preoperative anxiety in pediatric patients undergoing elective day surgeries. A secondary outcome was to document the level of satisfaction from pediatric patients toward augmented reality intervention.MethodsChildren and adolescents aged between 5 and 17 years old scheduled for elective day surgery under general anesthesia were randomly divided into two groups. Patients in the control group received standard care, whereas patients in the augmented reality group were accompanied by two virtual characters who taught them relaxation techniques and provided emotional and informational support. Anxiety was measured at the time of admission and at the time of induction using the short version of the modified Yale Preoperative Anxiety Scale.ResultsThe analysis included 37 pediatric patients in the augmented reality group and 64 in the control group. Anxiety scores were statistically significantly lower in the augmented reality group than those in the control group at the time of admission (median difference [95% CI]: 6.3 [0–10.4], p = .01), while no difference was observed between groups at the time of induction (median difference [95% CI]: −4.2 [−5.2–4.2], p = .58). Most patients in the augmented reality group wished to wear the glasses again and reported to be very satisfied with the intervention.ConclusionTo our knowledge, this study is the first large randomized controlled trial to provide empirical evidence of reduction in anxiety for children and adolescents using augmented reality prior to induction of general anesthesia.

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“…17,38 There have been studies demonstrating benefit of VR as distraction analgesia or anxiolysis in other otolaryngology procedures as well, including laryngotracheal interventions, 79 endoscopic nasal debridement, 80 and pediatric nasal endoscopy. 81,82 Functional magnetic resonance imaging studies have shown that VR immersion decreases brain activity in regions associated with pain perception, underscoring the basis of VR distraction analgesia. 83,84 For FPRS procedures, a major limitation of using VR for analgesia is that HMDs may obstruct access to much of the upper and midface.…”

Section: Distraction Analgesiamentioning

confidence: 99%

Augmented and Virtual Reality Applications in Facial Plastic Surgery: A Scoping Review

Chou,

Annadata,

Willson

et al. 2023

The Laryngoscope

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ObjectivesAugmented reality (AR) and virtual reality (VR) are emerging technologies with wide potential applications in health care. We performed a scoping review of the current literature on the application of augmented and VR in the field of facial plastic and reconstructive surgery (FPRS).Data SourcesPubMed and Web of Science.Review MethodsAccording to PRISMA guidelines, PubMed and Web of Science were used to perform a scoping review of literature regarding the utilization of AR and/or VR relevant to FPRS.ResultsFifty‐eight articles spanning 1997–2023 met the criteria for review. Five overarching categories of AR and/or VR applications were identified across the articles: preoperative, intraoperative, training/education, feasibility, and technical. The following clinical areas were identified: burn, craniomaxillofacial surgery (CMF), face transplant, face lift, facial analysis, facial palsy, free flaps, head and neck surgery, injectables, locoregional flaps, mandible reconstruction, mandibuloplasty, microtia, skin cancer, oculoplastic surgery, rhinology, rhinoplasty, and trauma.ConclusionAR and VR have broad applications in FPRS. AR for surgical navigation may have the most emerging potential in CMF surgery and free flap harvest. VR is useful as distraction analgesia for patients and as an immersive training tool for surgeons. More data on these technologies' direct impact on objective clinical outcomes are still needed.Level of EvidenceN/A Laryngoscope, 2023

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Using Augmented Reality to Reduce Fear and Promote Cooperation During Pediatric Otolaryngologic Procedures

Cited by 15 publications

References 4 publications

Virtual reality for pediatric periprocedural care

Virtual reality for pediatric periprocedural care

The effect of augmented reality on preoperative anxiety in children and adolescents: A randomized controlled trial

Augmented and Virtual Reality Applications in Facial Plastic Surgery: A Scoping Review

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