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Virtual Reality for Postoperative Pain Management

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Oregon Health and Science University

关键词

抽象

This trial studies an active virtual reality (VR) experience as a means for non-pharmacologic postoperative pain management among patients after head and neck surgery. Investigators will assess differences in pain scores, analgesic use, and subjective patient experiences between patients participating in a VR activity and patients participating in the same activity using a smartphone.

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

Surgery
Pain, Postoperative
Incision
Otolaryngological Disease

干预/治疗

Device: Smartphone

Device: Virtual Reality

-

手臂组

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
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]

Pain scores will be obtained using an 11-point Numeric Rating Scale (NRS) prior to each intervention, immediately after the intervention, and then hourly up to 4 hours after the intervention to assess changes in pain scores after each intervention. A score of 0 signifies no pain, and a score of 10 signifies the highest severity of pain.

次要成果指标

1. Opioid usage [Average 24 hours after intervention use]

Opioid use after intervention will be documented, measured in average morphine milligram equivalents (MME).

2. Patient experience [Up to 4 hours after intervention use]

Patients will complete a short survey at the completion of their participation in the study evaluating their audiovisual experience using a 5-point Likert scale, with responses ranging from "1 = Strongly Disagree" to "5 = Strongly Agree."

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*所有信息均基于已发表的科学研究

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