Virtual Reality for Postoperative Pain Management
关键词
抽象
描述
Management of postoperative pain after head and neck surgery is complex, and has received increased attention to improve patient recovery and quality of life. Narcotic analgesics are frequently utilized in postoperative pain management, but these have risks including nausea, sedation, constipation, and dependence. Multimodal analgesia can reduce narcotic use and improve recovery, but medical comorbidities may contraindicate the use of certain medications. Non-pharmacologic measures for postoperative pain control may provide novel and cost-effective strategies to confront this complex issue.
Patients undergoing head and neck surgery will be randomly allocated to participate in an immersive experience in VR, or to participate in a similar experience on a two-dimensional screen using a smartphone.
日期
最后验证: | 06/30/2020 |
首次提交: | 07/05/2020 |
提交的预估入学人数: | 07/05/2020 |
首次发布: | 07/08/2020 |
上次提交的更新: | 07/12/2020 |
最近更新发布: | 07/14/2020 |
实际学习开始日期: | 07/10/2020 |
预计主要完成日期: | 09/30/2020 |
预计完成日期: | 11/30/2020 |
状况或疾病
干预/治疗
Device: Smartphone
Device: Virtual Reality
相
手臂组
臂 | 干预/治疗 |
---|---|
Active Comparator: Virtual Reality Patients will be provided with a commercially-available VR device for use up to 15 minutes at bedside. | Device: Virtual Reality Patients will participate in a game using VR. |
Sham Comparator: Smartphone Patients will be provided with a commercially-available smartphone device for use up to 15 minutes at bedside. | Device: Smartphone Patients will participate in a similar game to the VR cohort, but will use a smartphone device. |
资格标准
有资格学习的年龄 | 18 Years 至 18 Years |
有资格学习的性别 | All |
接受健康志愿者 | 是 |
标准 | Inclusion Criteria: - Patients who have undergone head and neck surgery with an average pain score of 3 or greater out of 10 during the 24 hours preceding the screening - Are able to provide informed consent - Are not in the intensive care unit (ICU) Exclusion Criteria: - Symptoms concerning for an active respiratory infection including fever, cough, and shortness of breath or confirmed respiratory infection - Active eye discharge - Active nausea or vomiting - History of seizure, epilepsy, or hypersensitivity to flashing light - History of motion sickness or vertigo - Have wound dressings on the head or neck that prevent comfortable and safe use of the virtual reality headset |
结果
主要结果指标
1. Change in patient-reported pain scores [Up to 4 hours after intervention use]
次要成果指标
1. Opioid usage [Average 24 hours after intervention use]
2. Patient experience [Up to 4 hours after intervention use]