Virtual reality distraction during upper gastrointestinal endoscopy: a randomized controlled trial

被引:8
作者
Boonreunya, Natapak [1 ]
Nopawong, Ekapong [2 ]
Yongsiriwit, Karn [2 ]
Chirapongsathorn, Sakkarin [1 ]
机构
[1] Rangsit Univ, Div Gastroenterol, Dept Med, Phramongkutklao Hosp,Coll Med, Bangkok, Thailand
[2] Rangsit Univ, Coll Digital Innovat Technol, Bangkok, Thailand
关键词
Virtual reality; EGD; Pain score; Satisfaction score; PAIN MANAGEMENT; SEDATION;
D O I
10.1111/jgh.15786
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and Aim Virtual reality (VR) is an established and effective tool in reducing autonomic and somatic pain. We aimed to examine the analgesic effects of VR distraction during esophagogastroduodenoscopy (EGD). Methods We conducted a randomized controlled trial and enrolled patients who had indication for unsedated EGD with topical anesthesia. Patients were randomly assigned to use Oculus GO with three-dimensional specific software content (standalone VR headset), sham VR or without VR during EGD. The primary outcome was patient pain scores during EGD. Results A total of 96 patients undergoing diagnostic EGD were randomized to receive VR (n = 32), sham VR (n = 32), and no VR defined as the control group (n = 32). Patients in all groups reported no statistically different pain during esophageal intubation. The mean pain score was 2.7 +/- 2.4 in the VR group, 2.7 +/- 2.5 in the sham VR and 2.3 +/- 2.3 in the control group, (P value = 0.751). No significant difference was observed in heart rate and blood pressure, and the endoscopists reported higher overall satisfaction scores in VR (4.3 +/- 0.5) compared with the control group (4 +/- 0.8) but without significance (P value = 0.156). Conclusion Virtual reality-assisted anesthesia during EGD did not significantly reduce patient pain during esophageal intubation. There was no superiority in using VR distraction regarding patient's and endoscopist's satisfaction compared with standard EGD without VR Further studies are required to detect any true clinical advantage of VR distraction during EGD.
引用
收藏
页码:855 / 860
页数:6
相关论文
共 14 条
  • [2] Baniasadi Tayebeh, 2020, Oman Med J, V35, pe125, DOI 10.5001/omj.2020.43
  • [3] AGA institute review of endoscopic sedation
    Cohen, Lawrence B.
    Delegge, Mark H.
    Aisenberg, James
    Brill, Joel V.
    Inadomi, John M.
    Kochman, Michael L.
    Piorkowski, Joseph D., Jr.
    [J]. GASTROENTEROLOGY, 2007, 133 (02) : 675 - 701
  • [4] A prospective, randomized controlled trial of sedation vs. no sedation in outpatient diagnostic upper gastrointestinal endoscopy
    Fisher, NC
    Bailey, S
    Gibson, JA
    [J]. ENDOSCOPY, 1998, 30 (01) : 21 - 24
  • [5] A Rapid Evidence Assessment of Immersive Virtual Reality as an Adjunct Therapy in Acute Pain Management in Clinical Practice
    Garrett, Bernie
    Taverner, Tarnia
    Masinde, Wendy
    Gromala, Diane
    Shaw, Chris
    Negraeff, Michael
    [J]. CLINICAL JOURNAL OF PAIN, 2014, 30 (12) : 1089 - 1098
  • [6] Virtual reality and pain management: current trends and future directions
    Li, Angela
    Montano, Zorash
    Chen, Vincent J.
    Gold, Jeffrey I.
    [J]. PAIN MANAGEMENT, 2011, 1 (02) : 147 - 157
  • [7] Virtual reality simulation in endoscopy training: Current evidence and future directions
    Mahmood, Tahrin
    Scaffidi, Michael Anthony
    Khan, Rishad
    Grover, Samir Chandra
    [J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2018, 24 (48) : 5439 - 5445
  • [8] The effectiveness of virtual reality distraction for pain reduction: A systematic review
    Malloy, Kevin M.
    Milling, Leonard S.
    [J]. CLINICAL PSYCHOLOGY REVIEW, 2010, 30 (08) : 1011 - 1018
  • [9] Virtual Reality Distraction during Endoscopic Urologic Surgery under Spinal Anesthesia: A Randomized Controlled Trial
    Moon, Jee Youn
    Shin, Jungho
    Chung, Jaeyeon
    Ji, Sang-Hwan
    Ro, Soohan
    Kim, Won Ho
    [J]. JOURNAL OF CLINICAL MEDICINE, 2019, 8 (01)
  • [10] Sedation Regimens for Gastrointestinal Endoscopy
    Moon, Sung-Hoon
    [J]. CLINICAL ENDOSCOPY, 2014, 47 (02) : 135 - 140