Role of virtual reality technology in reducing pre-operative anxiety, stress and anaesthetic requirement in patients undergoing laparoscopic cholecystectomy - A randomised controlled trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- To investigate the role of virtual reality in reducing pre operative anxiety levels in patients undergoing laparoscopic cholecystectomy under general anaesthesia using the Amsterdam preoperative anxiety and information scale (APAIS).
研究概览
简要总结
More than 80 % of the patients experience pre-operative anxiety which adversely affects the overall comfort and well-being of the patient . The consequent release of catecholamines brings about various physiological and psychological changes such as tachycardia, hypertension , increased sensitivity to pain and ultimately increasing the amount of anaesthetic agents required. This also has a negative impact on post operative recovery of the patient. It has been observed that patients with higher pre-operative anxiety tend to experience more post-operative pain, have delayed wound healing, fluid – electrolyte imbalance and increased risk of infection. Virtual reality is a simulated 3D environment that enables the user to explore and interact with a virtual surrounding in a way that approximates reality as if perceived through the user’s senses. It is proposed that this immersive technology can work as a tool to distract patient’s attention away from the concerns regarding the upcoming surgery. Hence, in this study, we aim to evaluate the role of VR technology in mitigating the pre- operative anxiety and stress levels , hemodynamic parameters and patient satisfaction in patients undergoing surgery under general anaesthesia ..
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 40.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients aged 18-40 years posted for elective laparoscopic cholecystectomy.
- •ASA physical status classification I and II.
排除标准
- •Patient refusal to participate in the study.
- •Having visual or auditory abnormalities.
- •H/o claustrophobia.
- •Chronic alcohol or substance addiction.
- •Motion sickness or vertigo.
- •H/o seizures.
- •Known case of adrenal insufficiency.
- •Cerebrovascular disease.
- •Previous history of any surgery.
结局指标
主要结局
To investigate the role of virtual reality in reducing pre operative anxiety levels in patients undergoing laparoscopic cholecystectomy under general anaesthesia using the Amsterdam preoperative anxiety and information scale (APAIS).
时间窗: Just before and after intervention
次要结局
- Serum cortisol levels(just before the intervention and after the intervention .)
- The Bispectral Index value and the corresponding Minimum Alveolar Concentration value(every 15-minute interval intra-operatively.)
- Post-operative pain will be assessed by using Visual analogue scale (VAS) score(every 2 hourly, for the next 24 hours)
- Hemodynamic parameters like heart rate, blood pressure and peripheral oxygen saturation(just before and after the VR box intervention and every 15 minutes intra-operatively.)
研究者
Divya
Uttar Pradesh University Of Medical Sciences, saifai , etawah