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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
PubMed
Summary
This summary is machine-generated.

Virtual reality (VR) effectively reduced postoperative pain compared to iPads, especially in younger patients. While well-tolerated, VR showed no impact on opioid consumption.

Keywords:
opioidpainpediatric surgerypostoperativevirtual reality

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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.