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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Virtual Reality Experiments with Physiological Measures
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Virtual Reality for PEripheral Regional Anesthesia (VR-PERLA Study).

Camille Alaterre1, Baptiste Duceau2, Eileen Sung Tsai3

  • 1Department of Anaesthesiology and Intensive Care, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, 75012 Paris, France.

Journal of Clinical Medicine
|January 17, 2020
PubMed
Summary
This summary is machine-generated.

Virtual reality (VR) distraction significantly enhanced patient satisfaction and reduced anxiety during ambulatory surgery. This innovative approach also led to fewer intraoperative hemodynamic changes, improving the overall patient experience.

Keywords:
ambulatory surgeryanesthesiaanxietyregional anesthesiasatisfactionvirtual reality

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Area of Science:

  • Anesthesiology
  • Medical Technology
  • Patient Care

Background:

  • Virtual reality (VR) shows potential for reducing anxiety and sedation needs during regional anesthesia.
  • The impact of intraoperative VR on patient satisfaction remains debated.
  • Implementing VR distraction in surgical settings requires feasibility assessment.

Purpose of the Study:

  • To evaluate the feasibility and benefits of intraoperative VR distraction in ambulatory upper limb surgery.
  • To assess VR's impact on patient satisfaction, anxiety levels, and hemodynamic stability.
  • To compare outcomes between patients receiving VR distraction and standard care.

Main Methods:

  • A monocentric observational before-after study involving 100 patients undergoing ambulatory upper limb surgery under peripheral nerve block.
  • 50 patients received standard care, and 50 patients received intraoperative VR distraction.
  • Outcomes included patient-reported satisfaction scores (immediate and 2-month follow-up), anxiety levels, and intraoperative hemodynamic changes.

Main Results:

  • VR distraction was associated with significantly higher immediate postoperative satisfaction scores (p < 0.001).
  • Patients in the VR group reported lower intraoperative anxiety scores (p < 0.001) and fewer hemodynamic changes (p = 0.031).
  • High patient satisfaction was maintained at the 2-month follow-up.

Conclusions:

  • Intraoperative VR distraction is a feasible and effective method to improve patient satisfaction during regional anesthesia.
  • VR offers significant anxiety-reduction and hemodynamic benefits, enhancing the surgical experience.
  • This technology presents a valuable tool for optimizing patient care in ambulatory surgery settings.