Perioperative medicine & outcomes

Effect of virtual reality hypnosis on intraoperative sedation needs and functional recovery in knee arthroplasty: a prospective randomized clinical trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

In total knee arthroplasty with spinal anesthesia, VRH reduces the requirement for intraoperative pharmacological sedation, without a change in the quality of recovery.

Study context

Population
Patients scheduled for total knee arthroplasty with spinal anesthesia
Participants
60 patients
Comparison
Virtual reality hypnosis vs standard care during surgery
  • VRHn = 30
  • Controln = 30reference
Primary endpoint
Total intraoperative midazolam dose (1 mg boluses on patient request)
Methodological detailsprospective, unblinded observer
  • Prospective
  • Unblinded observer

Primary result

As reported in the abstract

Intraoperative midazolam dose

P < 0.001

Further findings

QoR-15, anxiety and pain

Similar between groups

Original publication

Effect of virtual reality hypnosis on intraoperative sedation needs and functional recovery in knee arthroplasty: a prospective randomized clinical trial. Reg Anesth Pain Med. Published 27 February 2024. doi:10.1136/rapm-2023-105261

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