AtmosphEric pRojection for paIn and Anxiety reLated to Minor Medical Procedures in the Emergency Department: a Monocentric, Parallel, Randomized, Controlled Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pain, Acute
- Sponsor
- University of Lausanne Hospitals
- Enrollment
- 62
- Locations
- 1
- Primary Endpoint
- Procedural Anxiety
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
The goal of this clinical trial is to learn about the reduction of pain and anxiety during a minor procedure in the emergency department on adult patients through the visualisation of atmospheric projection as a distraction mean. The main question it aims to answer is :
Can the atmospheric projection of a video reduce pain and anxiety in adult patients receiving painful procedures in the emergency department ?
Participants will look at an atmospheric projection (projection of a media on the walls and roof around the patient) while receiving their planned care procedures. Researchers will compare an active group watching a video with a control group watching a simple colored light to see if the visualisation of an atmospheric projected video reduces pain and anxiety more than the visualisation of a colored light does.
Investigators
Olivier Hugli
Head of Emergency Department
University of Lausanne Hospitals
Eligibility Criteria
Inclusion Criteria
- •Aged ≥18 ;
- •Patient requiring one of the following treatment procedures : suturing, plaster cast placement and/or repositioning, fracture or dislocation reduction, ascites puncture, pleural puncture, lumbar puncture.
Exclusion Criteria
- •Patient clinically unstable;
- •Patient incapable of discernment or consent ;
- •Altered mental status (cognitive disorders, mental retardation, acute state of confusion, acute psychosis);
- •Alcoholic patient with University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) score of 10/10 ;
- •Patient hard of hearing ;
- •Patient with visual impairments preventing him/her from perceiving his/her environment ;
- •Patient unable to understand the use of visual analog scales (VAS);
- •Impaired sensitivity of the part of the body where the medical intervention is to take place;
- •Planned use of analgesia/sedation with a dissociative agent (midazolam, ketamine, propofol);
- •Incarcerated patient ;
Outcomes
Primary Outcomes
Procedural Anxiety
Time Frame: Just after the procedure
Maximal anxiety intensity felt by the patient during the medical procedure, assessed using a Visual Analogic Scale from 0mm to 100mm anchored with "Not at all anxious/Extremely anxious."
Procedural Pain
Time Frame: Just after the procedure
Maximal pain intensity experienced by the patient during the medical procedure, assessed using a Visual Analogic Scale from 0mm to 100mm anchored with "No pain/Worst pain imaginable"
Secondary Outcomes
- Cybercinetosis(Just after the procedure)
- Appreciation of the atmospheric projection(Just after the procedure)
- Dissociation(Just after the procedure)
- Patient's comfort(Just after the procedure)
- Telepresence(Just after the procedure)
- Procedural support(After the procedure)
- Procedural disturbance(Just after the procedure)
- Pain catastrophizing(Just before the procedure)