The objective of this study is to investigate whether the addition of immersive virtual reality (VR) in the immediate postoperative period to an enhanced recovery after surgery (ERAS) protocol could improve postoperative recovery from bariatric surgery.
The investigators propose conducting a randomized, controlled, single-center clinical trial of patients recovering from laparoscopic bariatric surgery. The objective is to investigate whether the use of virtual reality (VR) during the immediate postoperative period could improve patient reported quality of recovery and potentially reduce opioid analgesic requirements as compared to an existing ERAS protocol. The investigators hypothesize that immersive VR will improve subjective quality of recovery scores at time of Post Anesthesia Care Unit (PACU) discharge as compared to standard ERAS.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
66
The VR software developed allows patients to select from scenery such as mountains, the beach or from a selection of short videos, which are intended to promote relaxation.
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Quality of Recovery Questionnaires (QoR-15)
The primary outcome of this study will be patient reported quality of recovery at time of PACU discharge, as assessed by the QOR-15. The QOR-15 is a validated instrument to assess postoperative recovery from the patient's perspective, assessing overall well-being, nausea, pain, and anxiety and depression following surgery.
Time frame: Measured at time of post anesthesia care unit discharge, on average of 1 to 5 hours after surgery.
PACU Opioid Requirements
The postoperative opioid requirements following the patients surgery, will be measured in milligrams and converted to morphine dose equivalents.
Time frame: Measured throughout a patient's stay in the post anesthesia care unit, on average 1 to 5 hours after surgery.
Length of PACU stay
The length of the patients stay in the Post Anesthesia Care Unit will be measured in minutes.
Time frame: Duration of the patient's stay in the post anesthesia care unit, from time of admission to time of readiness for PACU discharge, on average 1 to 5 hours.
PACU pain scores using numeric rating scale
Clinically documented pain scores will be recorded on a scale from 0 (best outcome) to 10 (worst outcome).
Time frame: Administered every hour following admission to the post anesthesia care unit until discharge from the post anesthesia care unit, on average 1 to 5 hours.
Postoperative Quality of Recovery Questionnaires (QoR-15) score
The QOR-15 is a validated instrument to assess postoperative recovery from the patient's perspective, assessing overall well-being, nausea, pain, and anxiety and depression following surgery.
Time frame: Measured at 24 hours after post anesthesia unit discharge.
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Hospital length of stay
The length of the patients stay following surgery.
Time frame: Measured throughout the patients stay at the hospital, on average 1 to 3 days.
Opioid requirements
Opioid requirements throughout the hospital stay.
Time frame: Measured throughout the patients stay at the hospital, on average 1 to 3 days.
Opioid-related adverse effects
Opioid-related adverse effects such as nausea or ileus.
Time frame: Measured throughout the patients stay at the hospital, on average 1 to 3 days.