Impact of virtual reality hypnosedation on perioperative pain and anxiety in port implantation under local anesthesia: a randomized controlled pilot trial (VIP Trial)
Authors' conclusion
While VR hypnosedation did not significantly reduce perioperative pain or anxiety in this pilot trial, the observed trends in reduced medication usage suggest potential benefits.
Study context
- Population
- Patients undergoing elective port implantation under local anaesthesia, January 2022 to August 2023; ASA > 3, chronic pain, cognitive issues and contraindications to virtual reality (VR) excluded
- Participants
- 120 patients
- Comparison
- VR vs No VR
- Primary endpoint
- Perioperative pain and anxiety scores
Methodological detailspilot, monocentric, 1:1 randomisation, unblinded, descriptive and exploratory analysis, Blinding of patients and physicians not feasible
- Pilot
- Monocentric
- 1:1 randomisation
- Unblinded
- Descriptive and exploratory analysis
- Blinding of patients and physicians not feasible
Primary result
As reported in the abstract
Immediate postoperative pain · immediate postoperative
No VR
1.43
± 1.63
VR
1.6
± 2.05
P = 0.62
Secondary outcomes
Remifentanil usage · not statistically significant
P = 0.12
Novaminsulfon usage · not statistically significant
P = 0.26
| Outcome | VR | No VR | P value |
|---|---|---|---|
| Anxiety scores (co-primary)No significant difference | 31.78 ± 13.34 | 30.65 ± 9.13 | P = 0.60 |
- Remifentanil usage: values in the order printed (VR group vs. no VR group, respectively)
- Novaminsulfon usage: values in the order printed (VR group vs. no VR group, respectively)
Remifentanil usage
- Trend to less usage in the VR group
Novaminsulfon usage
- Trend to less usage in the VR group
Original publication
Impact of virtual reality hypnosedation on perioperative pain and anxiety in port implantation under local anesthesia: a randomized controlled pilot trial (VIP Trial). Perioper Med (Lond). Published 10 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →