Implementing Virtual Reality in the Operating Room

Centre Hospitalier Universitaire de Nice45 enrolled

Overview

"Recently, virtual reality has become more accessible thanks to the use of smaller, more comfortable and easier-to-use devices. Its use in operating theatres is growing. However, despite the clinical effectiveness of virtual reality in reducing pain and anxiety, there are very few feedback studies from patients on their experience of surgery and their satisfaction, especially in orthopaedics. The aim of this study is to demonstrate the superiority, during long awake orthopaedic surgery, of equipping the patient with a virtual reality headset, on patient satisfaction, compared with the same surgery without a headset. The visual support offered will be appropriate to the duration of the surgery, i.e. more than 1 hour."

Study Type

OBSERVATIONAL

Enrollment

Conditions

General Surgery Orthopedic Procedures

Interventions

orthopaedic surgeryOTHER

usual procedures for an orthopaedic surgery

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient 18 years of age or older * Patient admitted for total hip or knee replacement surgery. * Patient undergoing anaesthetic management by loco-regional anaesthesia * Affiliation to a French health insurance scheme or equivalent * Patient who has given his non-opposition agreement Exclusion Criteria: * Patient with a neurological disorder (coma, dementia, confusion, photosensitive epilepsy) * Patient with a severe psychiatric disorder * Patients with severe deafness or visual impairment * Language barrier * Pregnant or breast-feeding women of childbearing age * Refusal of patient involvement

Outcomes

Primary Outcomes

To demonstrate the superiority, during long awake orthopaedic surgery, of equipping the patient with a virtual reality headset, on patient satisfaction, compared with the same surgery without a headset.

Patient satisfaction with their surgical experience. This will be measured using a Likert scale, graduated from 0 to 10, with 0 being the minimum and 10 the maximum.

Time frame: Immediate post-operative

Secondary Outcomes

1. To demonstrate the superiority, during long awake orthopaedic surgery, of equipping the patient with a virtual reality headset, on the doses of premedication, compared with the same surgeries without headset.

1\. The number and doses of Midazolam (in mg) received in the two distinct groups will make it possible to evaluate the effectiveness of virtual reality from a pharmaceutical point of view. A difference in the use of pharmaceutical therapeutics of 20% less in patients with VR is expected to be significant. If the difference is less, the doses of premedication used in the two groups will be compared in order to assess the positive impact of VR.

Time frame: Immediate post-operative

Evaluate the Virtual Reality device in terms of comfort when wearing the headset, visual comfort and image and scenario quality, and auditory quality

2\. VR evaluated using a Likert scale from 0 to as well as an open-ended questionnaire evaluating (isolation from noise pollution, possibility of communicating with nursing staff, quality of audio transmitted) : The comfort of wearing the helmet Visual comfort, image and scenario quality Hearing quality (isolation from noise pollution, ability to communicate with nursing staff, quality of audio transmitted)

Time frame: Immediate post-operative

Implementing Virtual Reality in the Operating Room

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes