Randomized comparative study of Virtual reality vs music therapy with Midazolam in decreasing anxiety in patients undergoing upper limb nerve blocks

This study is planned in context that Non pharmacological interventions are becoming popular as compared to pharmacological treatments in reducing preoperative anxiety due to their less adverse effects to decrease anxiety and pain experienced by the patients.

After getting approval from Institutional Ethical Committee ( IEC) , those patients who are fit in inclusion criteria will be included in our study.

Anxiety scores will be calculated by the Speilberger’s validated tool, the State trait anxiety invetory score (STAI-6)  range from 6 to 24.

Randomization using computer generated random number which are sealed in opaque envelop will be done.

GROUP 1- MUSIC THERAPY GROUP 2- VIRTUAL REALITY

USG guided Regional anesthesia will be delivered as per the institution protocol.

Before and after adminstration of upper limb nerve block , Anxiety scores based on STAI-6 tool will be calculated.

The patient and provider satisfaction scores will be recorded using a 10-point visual analogue scale

Evaluation of communication difficulties between provider and patient will be done by the response based on a 5-point Likert scale

Hemodynamics parameters (HR, RR, SBP, DBP, MAP, SpO2) will be monitored pre operatively,during the procedure every 5 mins and after procedure.

Data will be analyzed using the appropriate statistical method.