Cardiothoracic & vascular anesthesia

The Influence of Audiovisual Distraction on Pain Reduction During Transcatheter Aortic Valve Implantation Under Monitored Anesthesia Care: A Prospective Randomized Trial

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Audiovisual distraction is a useful adjunct to reduce the dose of remifentanil under monitored anesthesia care during transcatheter aortic valve implantation.

Study context

Population
Patients undergoing transfemoral TAVI under MAC with remifentanil sedation, tertiary referral academic hospital, July 2019–July 2021
Participants
90 patients
Comparison
Audiovisual distraction system vs standard care during TAVI under MAC
  • Audiovisual distractionn = 45
  • Standard caren = 45reference
Primary endpoint
Average and peak infusion rates of remifentanil
Methodological detailssingle-centre, prospective, nonblinded
  • Single-centre
  • Prospective
  • Nonblinded

Primary result

As reported in the abstract

Average and peak remifentanil infusion rates
  • Audiovisual distraction vs Standard care: P = 0.028
  • Audiovisual distraction vs Standard care: P = 0.025
  • Intention-to-treat

Further findings

OutcomeP value
Reported pain scoresNo significant differenceP = 0.364

Pre- and postinterventional anxiety

No relevant differences between the groups

Original publication

The Influence of Audiovisual Distraction on Pain Reduction During Transcatheter Aortic Valve Implantation Under Monitored Anesthesia Care: A Prospective Randomized Trial. J Cardiothorac Vasc Anesth. Published 1 December 2023. doi:10.1053/j.jvca.2023.11.041

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