The purpose of this study is to evaluate the effect of a pre-ICU admission virtual reality ICU simulation on post-operative delirium in the elective cardiothoracic surgical population while in the intensive care unit.
Study Type
OBSERVATIONAL
Enrollment
234
Mayo Clinic in Rochester
Rochester, Minnesota, United States
Confusion Assessment Method for the ICU (CAM-ICU)
Number of Participants with one or more Positive Confusion Assessment. "Confusion Assessment Method for the ICU" - Establishes ability to detect delirium in high-risk settings such as the intensive care unit. Recorded during every scheduled patient assessment by nurse and with mental changes. Reports as "Positive" or "Negative" with response to different assessments regarding level of consciousness, acute onset or fluctuating course of mental status and inattention.
Time frame: Once, during ICU admission within 24 hours of ICU admission.
Subjective Experiential Outcome After ICU Simulation
Survey questions to understand patient's subjective experience during the virtual reality ICU simulation session. Internally created survey. The number of subjects who completed the survey.
Time frame: Once, immediately following the virtual reality ICU simulation session.
Subjective Experiential Outcome After ICU Admission
Survey questions to understand patient's subjective experience in the intensive care unit. The number of subjects who completed the survey.
Time frame: Once, up to 3 days after transfer out of the Intensive Care Unit.
Duration of ICU Admission
Number of hours in the intensive care unit measured in the electronic health record from admission time to the ICU to discharge time from the ICU.
Time frame: During ICU admission; average 2 days
Duration of Intravenous Sedation in the ICU
Number of hours of intravenous sedation in the ICU measured through the medication administration record via the electronic healthcare record.
Time frame: During ICU admission; average 2 days
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Duration of Mechanical Ventilation in the ICU
Number of hours of mechanical ventilation in the ICU measured via the electronic healthcare record with data imported into the electronic healthcare record directly from the mechanical ventilator.
Time frame: During ICU admission; average 2 days
Use of Anti-psychotic Medications
Number of antipsychotic medication administrations in the ICU measured through the medication administration record via the electronic healthcare record.
Time frame: Throughout ICU admission; average of 5 days
Cardiopulmonary Bypass
Number of hours of use of cardiopulmonary bypass in the operating room via record from the cardiopulmonary bypass perfusionist in the operating room imported into the electronic healthcare record.
Time frame: During OR case; average 12 hours