A pilot non-randomized controlled study examined whether the use of VR technology can serve as an appropriate substitute for sedation in a colonoscopy examination.
VR is an attention-distracting technology via visual and auditory signals by a computer-generated virtual engulfing environment. This technology has already been used in a variety of medical conditions and previous studies have demonstrated the benefit of using it as an additional tool for pain relief and as a substitute to sedation in invasive procedure. In this study we examined the use of VR as a substitute for sedation in colonoscopy. In this randomized control study, 60 patients were sequentially enrolled in a 1:1 ratio to either standard sedated colonoscopy or VR-unsedated procedure. The primary outcome was the overall satisfaction of patients who underwent unsedated colonoscopy with VR headset compared with patients who underwent standard sedation colonoscopy. Pain during the procedure, PDR, colonoscopy duration, post colonoscopy adverse events, post colonoscopy recovery and time-to-return to daily functions and turnaround time at the endoscopy unit were secondary outcomes.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
60
use of virtual reality headset during colonoscopy as a substitute to sedation.
use of standard sedation during colonoscopy.
Gastroenterology department, Sheba Medical Center
Tel Litwinsky, Israel
RECRUITINGOverall satisfaction of patients who underwent un-sedated colonoscopy with virtual reality (VR) headset compared with patients who underwent standard sedation colonoscopy.
Questionnaire (1 - not satisfied at all, 5 - very satisfied)
Time frame: 1 day
Pain during the procedure
Questionnaire (1- severe pain, 5 - no pain at all)
Time frame: 1 day
polyp detection rate (PDR)
number of polyps detected during colonoscopy
Time frame: during colonoscopy procedure
Colonoscopy duration
in minutes starting at insertion of the colonoscope to the anus until final withdrawal
Time frame: during colonoscopy procedure
Post colonoscopy adverse events
Questionnaire: Did you suffer from a general bad feeling after the test, including dizziness, nausea, abdominal pain (1 - no complaints at all, 5 - serious complaints)
Time frame: 1 day
Time-to-return to daily activities (work, driving)
hours
Time frame: 1 day
Turn-around time at the endoscopy Unit (overall duration of stay at the Endoscopy unit)
overall time at the unit
Time frame: 1 day
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