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Virtual Reality as Distraction Analgesia for Office-Based Procedures: A Randomized Crossover-Controlled Trial
Mingyang L Gray1, David Y Goldrich1, Sean McKee1
1Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Summary
Immersive virtual reality (VR) significantly reduced anxiety and reflexive head movements in patients undergoing postoperative debridements. VR also showed promise for pain reduction and improved satisfaction, offering a nonpharmacologic approach.
Area of Science:
- Otolaryngology
- Pain Management
- Medical Technology
Background:
- Postoperative debridements can cause significant pain and anxiety.
- Nonpharmacologic interventions are sought to improve patient experience and reduce reliance on opioids.
Purpose of the Study:
- To evaluate the efficacy of immersive virtual reality (VR) for analgesia, anxiety reduction, and patient satisfaction during outpatient postoperative debridements.
Main Methods:
- A randomized crossover-controlled trial was conducted with adult patients undergoing sinus and skull base surgery.
- Participants received standard analgesia or VR for two consecutive postoperative visits, crossing over treatments.
- Outcomes measured included pain, anxiety, satisfaction, procedural time, and reflexive head movements.
Main Results:
- The VR group experienced significantly less anxiety and fewer reflexive head movements compared to the control group.
- Patients receiving VR after standard care showed decreased pain, anxiety, and head movements.
- A majority of patients (69.51%) preferred the VR treatment over standard analgesia.
Conclusions:
- Immersive virtual reality (VR) shows potential as a nonpharmacologic analgesic and anxiolytic for otolaryngology procedures.
- VR may enhance patient satisfaction and reduce procedural discomfort.
- Further research into VR's application in diverse medical procedures is recommended.
