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Status: Bibliographieeintrag

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Verfasst von:Steinkraus, Kira Carlotta [VerfasserIn]   i
 Feldmann, Hannah [VerfasserIn]   i
 Hunold, Lisa [VerfasserIn]   i
 Graf, Sandra [VerfasserIn]   i
 Dörr-Harim, Colette [VerfasserIn]   i
 Nasir, Nadir [VerfasserIn]   i
 Michalski, Christoph [VerfasserIn]   i
 Hüttner, Felix [VerfasserIn]   i
Titel:Impact of virtual reality hypnosedation on perioperative pain and anxiety in port implantation under local anesthesia
Titelzusatz:a randomized controlled pilot trial (VIP Trial)
Verf.angabe:Kira C. Steinkraus, Hannah Feldmann, Lisa S. Hunold, Sandra Graf, Colette Dörr-Harim, Nadir Nasir, Christoph W. Michalski and Felix J. Hüttner
E-Jahr:2024
Jahr:10 October 2024
Umfang:11 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 10.04.2025
Titel Quelle:Enthalten in: Perioperative medicine
Ort Quelle:London : Biomed Central, 2012
Jahr Quelle:2024
Band/Heft Quelle:13(2024), Artikel-ID 101, Seite 1-11
ISSN Quelle:2047-0525
Abstract:Background This monocentric randomized controlled pilot trial investigates the impact of virtual reality (VR) hypnosedation on perioperative anxiety, pain, patient satisfaction, and medication usage during port implantation under local anesthesia. Methods A total of 120 patients undergoing elective port implantation between January 2022 and August 2023 were enrolled and randomized in a 1:1 ratio to either a VR hypnosedation group or a control group. The VR group used a commercially available VR headset with the HypnoVR application, providing various environments, musical back‑grounds, and a guiding voice, while the control group underwent the procedure without VR. Patients with ASA > 3, chronic pain, cognitive issues, and contraindications against VR use were excluded. The main outcomes measured were perioperative pain and anxiety scores, with secondary outcomes including perioperative medication usage. Due to the nature of the interventions, blinding of patients and physicians was not feasible. Statistical analysis was primarily descriptive and exploratory, focusing on estimating effect sizes for future trials. Results The study found no significant differences in immediate postoperative pain with 1.43 ± 1.63 vs. 1.6 ± 2.05 (p = 0.62) or anxiety scores 30.65 ± 9.13 vs. 31.78 ± 13.34 (p = 0.60) between the no VR and VR group, respectively. Additionally, there was a trend to less usage of certain medications, particularly remifentanil (mean dose of 200 mg vs. 100 mg (p = 0.12)) and novaminsulfon (mean dose of 1250 mg vs. 900 mg (p = 0.26)) in the VR group vs. no VR group, respectively. However, these differences were not statistically significant and therefore no definitive conclusions can be drawn regarding medication usage based on this data. Conclusion While VR hypnosedation did not significantly reduce perioperative pain or anxiety in this pilot trial, the observed trends in reduced medication usage suggest potential benefits. These findings warrant further investigation in larger, confirmatory trials to better understand the role of VR in enhancing atient comfort and potentially reducing reliance on pharmacological interventions during surgical procedures.
DOI:doi:10.1186/s13741-024-00454-z
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1186/s13741-024-00454-z
 kostenfrei: Volltext: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-024-00454-z
 DOI: https://doi.org/10.1186/s13741-024-00454-z
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Hypnosedation
 Local anesthesia
 Outpatient surgery
 Perioperative anxiety
 Port implantation
 Virtual reality
K10plus-PPN:192211717X
Verknüpfungen:→ Zeitschrift

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