Virtual Reality Distraction for Reduction in Acute Postoperative Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postoperative Pain
- Sponsor
- The Cleveland Clinic
- Enrollment
- 113
- Locations
- 1
- Primary Endpoint
- Pain Scores (Numerical Rating Scale)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Using a randomized controlled design, the investigators goal is to estimate the effect of VR on postoperative analgesia and opioid consumption.
Detailed Description
Specifically, the investigators propose to test the primary hypothesis that the use of AppliedVR software in Pico G2 4K headsets decreases acute postoperative pain scores (with a 1 point difference considered clinically important) compared to sham treatment on a 0-10 scale 15 minutes after each use in the first 48 hours after surgery or hospital discharge, whichever comes first.
Investigators
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiology Physical Status 1-3;
- •Scheduled for elective, primary total hip arthroplasty;
- •Anticipated hospitalization of at least 1 night;
- •Expected to require parenteral opioids for postoperative pain;
- •Able to use IV PCA systems.
- •Exclusion criteria:
- •History of chronic pain or care by a pain management specialist;
- •Use of more than 30 mg/day of oral oxycodone (or equivalent);
- •Greater than 12 weeks of current and continued opioid use;
- •History of seizures, epilepsy, motion sickness, stroke, dementia;
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Pain Scores (Numerical Rating Scale)
Time Frame: From the end of surgery until 48 hours after surgery or discharge, whichever comes first
The primary outcome was post-intervention pain score, adjusted for the corresponding pre-intervention pain score. Pain scores were measured by the Numerical Rating Scale which ranges from 0 (lowest pain) to 10 (highest pain) We targeted 3 interventions per day for each patient, and thus, correspondingly 3 pre-post pain measurements per day. The reported value is the least squares mean calculated using a mixed model for repeated measures.
Secondary Outcomes
- Perception of Video System Usability(Once between last intervention time and hospital discharge (up to 8 days after end of surgery))
- Time Weighted Average Pain Score(End of surgery to 48 hours after surgery)
- Total Opioid Consumption(End of surgery to 72 hours after surgery.)
- Post Discharge Analgesia.(One week (7 days) after hospital discharge)