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Virtual Reality after Surgery-A Method to Decrease Pain After Surgery in Pediatric Patients
Brian J Specht1, Caroline R Buse2, Janey R Phelps1
1Department of Anesthesiology, University of North Carolina Hospitals, Chapel Hill, NC, USA.
The American Surgeon
|July 19, 2021
Summary
Virtual reality (VR) effectively reduced postoperative pain compared to iPads, especially in younger patients. While well-tolerated, VR showed no impact on opioid consumption.
Area of Science:
- Pain Management
- Virtual Reality Applications
- Pediatric Surgery
Background:
- Virtual Reality (VR) is recognized for its potential in pain management and patient distraction.
- Studies are needed to compare VR effectiveness against standard digital devices for postoperative pain relief.
Purpose of the Study:
- To compare the efficacy of Virtual Reality (VR) versus standard iPad use in managing postoperative pain.
- To assess the impact of VR on pain scores and opioid consumption in surgical patients.
Main Methods:
- A randomized controlled study involving pediatric patients (7-18 years) stratified by age, gender, and surgery type.
- Pain and anxiety were measured using validated scales (STAI, FACES, VAS, FLACC).
- Outcomes were compared between patients using VR and those using an iPad.
Main Results:
- Virtual Reality (VR) use was associated with significantly lower FLACC pain scores compared to iPad use (OR 2.95, P=.021).
- Younger patients (7-12 years) experienced greater pain reduction with VR, particularly with 20-30 minutes of use (OR 1.67, P=.0003).
- No significant difference in opioid consumption was observed between the VR and iPad groups.
Conclusions:
- Virtual Reality (VR) is a well-tolerated and effective intervention for reducing immediate postoperative pain compared to standard iPad use.
- Younger pediatric patients demonstrate a more pronounced benefit from VR interventions for pain management.
- While VR showed a slightly higher withdrawal rate in younger patients, its pain-alleviating effects are significant.

