Appendix Rupture, Pain, Pain, Postoperative
Conditions
Brief summary
To determine the impact of VR-Biofeedback and VR-Distraction on pain and medication utilization in children and adolescents undergoing surgery for ruptured appendix.
Interventions
Participants will be instructed to use the Mindful Aurora Application
Participants will be instructed to use one of four applications
Sponsors
Study design
Intervention model description
60 participants assigned to one of two groups. VR- Distraction and VR-Biofeedback
Eligibility
Inclusion criteria
* Age 8 - 18 years * Able to read, understand, and speak English * Patients in the immediate postoperative period following laparoscopic appendectomy for ruptured appendix
Exclusion criteria
* Outside of age range (\<8 or \>18 years) * History of developmental delays, uncontrolled psychiatric conditions, or neurological conditions (especially epilepsy and/or significant motion sickness/nausea/vomiting) * History of vertigo, dizziness, and/or seizure disorders * Conditions that would preclude the application of the VR headset, such as craniofacial deformities * History of chronic pain, frequent opioid use and/or active cancer therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of VR-distraction on medication use | 24-90 hours | Pain medications used will be collected |
| Effect of VR-distraction on anxiety | Before 10 minute VR session. | Anxiety scores will be collected. Anxiety will be rated using a numerical rating scale. Anxiety will be rated from 0 - 10. 0 meaning no anxiety 10 being severe anxiety. |
| Effect of VR-distraction on pain | Postoperatively 24 - 90 hours. | Pain scores will be collected. Pain will be rated using the numerical rating scale. Participant will rate their pain from 0 - 10. 0 meaning no pain and 10 being the worst pain imaginable. |
| Effect on VR-biofeedback on anxiety | Before 10 minute VR session. | Anxiety scores will be collected. Anxiety will be rated using a visual analog scale. Anxiety will be rated from 0 - 10. 0 meaning no anxiety 10 being severe anxiety. |
| Effect of VR-biofeedback on pain | Postoperatively 24 - 90 hours. | Pain scores will be collected. Pain will be rated using the numerical rating scale. Participant will rate their pain from 0 - 10. 0 meaning no pain and 10 being the worst pain imaginable. |
| Effect of VR-biofeedback on medication use | 24-90 hours | Amount of pain medications used will be collected |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Role of pain catastrophizing | One time prior to study visit | Participants will complete a questionnaire regarding pain |
| Role of anxiety on changes in pain | One time prior to study visit | Participants will complete a questionnaire regarding anxiety |
Countries
United States