Anesthesia, Anxiety, Postoperative Pain, Postoperative Recovery
Conditions
Brief summary
Regional anesthesia allows surgery without affecting the patient's level of consciousness.However, this may cause anxiety in some patients.In previous research, scientists have tried to prevent anxiety with non-pharmacological interventions such as music and cognitive therapies.Virtual reality is thought to offer an immersive experience that can alter the mind's perception of pain. Scientists have found in previous preliminary studies that virtual reality is safe and effective as an adjunct to standard sedative/analgesic protocols for reducing patients' pain and anxiety during endoscopy, colonoscopy, dental treatments, burn dressings, and labor. In this study, it is expected that anxiety scores, postoperative analgesic need and intraoperative sedation need will decrease, recovery quality will improve and patient satisfaction will increase in patients who will undergo upper extremity surgery under regional anesthesia and watch videos through VR glasses.
Interventions
DEVICEOculus Quest 2 VR virtual reality glasses and wired over-ear headphones
After the VR group comes to the preoperative area and is evaluated, they will be asked to wear VR glasses and headphones. VR glasses and headphones were worn on the patient during peripheral nerve block applications and the operation. At the end of the operation, the VR glasses and headphones were removed and they were taken to the postoperative recovery room.
OTHERNo VR
After evaluation of the patients taken to the preoperative area, routine peripheral nerve block application was performed without the use of VR glasses. VR glasses were not worn during the operation, as is the routine protocol. At the end of the surgery, they were taken to the postoperative recovery room.
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* who will undergo upper extremity surgery under regional anesthesia
Exclusion criteria
* being under 18 years old * Those who do not have the ability to read, understand and sign the consent form * An active infection or open wound in the face or eye area * History of seizures due to an epileptic condition or any other reason * Planning to wear a hearing aid during the surgical procedure * Having a pacemaker or other implanted medical device * Migraine * Having an infectious condition that is transmitted through droplets or airborne * not knowing Turkish * Not deemed suitable for the approach by the surgeon * History of psychosis or claustrophobia * Being visually and/or hearing impaired
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State-Trait Anxiety Scale | Preoperative, Postoperative 4.hour | preoperative and postoperative STAI I and II score questions will be asked. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| diastolic blood pressure | Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour | non invasive diastolic blood pressure measurement |
| mean arterial pressure | Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour | mean blood pressure measurement |
| heart rate | Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour | intraoperatif and perioperatif ecg monitarization |
| oxygen saturation | Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour | intraoperatif and perioperative pulse oxymeter measurement |
| systolic blood pressure | Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour | non invasive systolic blood pressure measurement |
| VAS score | Postoperative 1.hour, 4.hour., 12.hour., 24hour. | A blinded evaluator will evaluate the visual analog scale score. |
| Patient satisfaction scale | Postoperative 4.hour | A blinded evaluator will evaluate the Patient satisfaction scale |
| Surgeon satisfaction scale | Postoperativ 1.hour | A blinded evaluator will evaluate the surgeon satisfaction scale |
| The quality of recovery-15 (QoR-15) | Preoperative, Postoperative 24.hour | A blinded evaluator will evaluate the QoR-15 scale. |
| aditional analgesic requirement | postoperative up to 24 hour | postoperative additional analgesic requirement |
Countries
Turkey (Türkiye)
Outcome results
None listed