Virtual Reality for Anxiety Management in Mechanically Vented Patients

Inclusion Criteria: Age: 18 years or older 1. Mechanically ventilated; defined as having an endotracheal tube or tracheostomy and requiring continuous support from a mechanical ventilator. 2. Able to spontaneously maintain a state of wakefulness and alertness and able to follow commands 3. Able to communicate with research staff; defined as writing or head nods/shakes Exclusion Criteria: 1. Delirious; defined as positive on the Confusion Assessment Method for the ICU (CAM-ICU +) 2. Expected to be liberated from ventilator within 12 hours of potential enrollment 3. Existence of skull injury or recent surgery (craniectomy) which precludes safely wearing VR visor 4. Impaired ability to see or hear, as determined by study investigator 5. Ventilator settings with positive end expiratory pressure (PEEP) greater than 10 6. Inability to be safely removed from physical restraints for VR (virtual reality) sessions 7. Chronic ventilator dependence prior to the present hospitalization 8. Lacking capacity to consent for one's self 9. Known difficult airway; based on review of intubation note 10. Tracheostomy performed within last seven days 11. Pre-existing symptoms overlapping with major symptoms of cyber-sickness: Headache, Vertigo (dizziness), Ataxia (tremor with movement), Nausea, Vomiting.