多中心,随机,受控的比较有效性研究,比较虚拟现实与镇静和标准局部麻醉剂在外围注射类固醇注射期间治疗疼痛和焦虑
Steven P Cohen1,2,3, Tina L Doshi4,5, Col Sithapan Munjupong6
1Departments of Anesthesiology, Neurology, Physical Medicine & Rehabilitation, Psychiatry and Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
The Lancet regional health. Southeast Asia
|July 22, 2024
概括
虚拟现实 (VR) 提供了可比的疼痛缓解,以镇静外围注射类固醇注射 (ESI),与改善的沟通和更快的恢复. 这种VR方法为传统镇静方法提供了可行的替代方案.
科学领域:
- 疼痛管理 疼痛管理
- 干预程序 干预程序
- 虚拟现实应用 虚拟现实应用
背景情况:
- 干预手术中镇静剂的使用正在增加,导致成本增加和潜在的并发症.
- 寻求镇静的替代方案,以提高诊断注射有效性和患者的治疗结果.
- 虚拟现实 (VR) 在减少疼痛和焦虑方面表现有前途,但缺乏对缓解疼痛手术的比较研究.
研究的目的:
- 评估虚拟现实 (VR) 在降低外周内皮质类固醇注射 (ESI) 过程中与程序相关的疼痛的有效性.
- 为了比较VR对镇静和局部麻醉的有效性,仅用于ESI手术中的疼痛和其他结果.
主要方法:
- 一项随机对照试验,涉及146名在6家国际医院接受ESI的患者.
- 患者被分配到浸入式VR与局部麻醉,用米达佐拉姆/芬太尼加局部麻醉镇静,或仅局部麻醉.
- 主要结局:与手术相关的疼痛 (0-10级);次要结局:皮肤小麦疼痛,焦虑,沟通,满意度,离院时间,以及4周的疼痛,功能和成功.
主要成果:
- 与对照组 (仅局部麻醉) 相比,VR和镇静都显著减少了与程序相关的疼痛.
- 在VR和镇静之间没有观察到疼痛减轻的显著差异.
- 与镇静相比,VR表现出更好的沟通和更短的恢复时间,满意度趋势相似.
结论:
- 虚拟现实 (VR) 提供了可比的疼痛缓解和患者满意度,以镇静外围注射类固醇注射 (ESI).
- 虚拟现实比镇静药具有优势,包括副作用较少,沟通能力更强,恢复速度更快.
- 在ESI手术期间,VR代表了镇静治疗治疗疼痛的有希望的替代方案.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
428
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
428
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
386
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...
One of the advantages of...
386
Local Anesthetics: Clinical Application as Spinal Anesthesia
607
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
607
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
Stages of General Anesthesia
409
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
409


