Health Condition 1: M171- Unilateral primary osteoarthritisof knee
Conditions
Interventions
Intervention1: VR Group:participants will receive an immersive virtual reality (IVR) experience using an Oculus Quest VR
headset with earphones: After shifting the patient to the operation theatre and
Sponsors
AIIMS Bhopal
Eligibility
Inclusion criteria
Inclusion criteria: adults aged 18 years and older with an American Society of Anesthesiologists (ASA) physical status classification of I or II who are undergoing orthopedic surgeries- 1. under brachial plexus block for upper limb 2. neuraxial anaesthesia for lower limb surgery
Exclusion criteria
Exclusion criteria: 1.patients declining participation 2.those with cognitive impairments 3.a history of epilepsy, psychosis, or claustrophobia 4.individuals with sensory impairments (blindness, deafness), and those unwilling to use the VR headset if applicable. 5.Cases will be excluded if we need to convert the anaesthesia to GA on account of prolonged duration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety levels assessed using Visual Analog Scale for Anxiety (VAS-A) [13] at specified time points: 1. Baseline (1 day pre-surgery) 2. Pre-operative room (prior to transfer to the operating theatre) 3. 30 minutes after the start of surgery and anaesthesia induction 4. Post-surgery in the recovery roomTimepoint: Anxiety levels assessed using Visual Analog Scale for Anxiety (VAS-A) [13] at specified time points: 1. Baseline (1 day pre-surgery) 2. Pre-operative room (prior to transfer to the operating theatre) 3. 30 minutes after the start of surgery and anaesthesia induction 4. Post-surgery in the recovery room | — |
Secondary
| Measure | Time frame |
|---|---|
| Requirement for additional sedation (total top-up doses of midazolam 0.02mg/kg in VR Group) 2. Hemodynamic changes (blood pressure, heart rate) 3. Patient satisfaction levels with anaesthesia and overall care measured by a satisfaction questionnaire, which will measured by a Likert scale after completing the surgical procedure. 4. Side effects for example- nausea, vomiting, headache, asthenopia 5. Postoperative Care Unit Stay Duration (patient will be shifted on achieving Aldrete score of 9).Timepoint: Specified time points- 30 minutes after the start of surgery and anaesthesia induction Post-surgery in the recovery room | — |
Countries
India
Contacts
Public ContactDr Shikha Jain
All India Institute Of Medical Sciences (AIIMS), Bhopal
Outcome results
None listed