From the Departments of *Intensive Care Medicine and †Anesthesia and Acute Pain Medicine, St. Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
Anesth Analg. 2017 Oct;125(4):1200-1202. doi: 10.1213/ANE.0000000000002169.
This pilot study assessed the feasibility and potential for any possible sedation sparing effect of immersive virtual reality (IVR) therapy on patients undergoing joint replacement surgery under regional anesthesia. Nine participants were given IVR, regional anesthetic, and sedation. Ten received conventional care. Mean propofol usage was 155 ± 45 mg/h in the conventional care group and 63 ± 21 mg/h in the IVR group (P = .088, mean difference -91.6 mg/h, 95% confidence interval, -200 to 16.87 mg/h). There was no significant difference in postoperative satisfaction between the 2 groups. This pilot study demonstrates that it is possible to safely provide IVR in an operating theater environment and may confer a sedation sparing effect. A larger, more powered, and randomized study is needed to assess this effect.
这项初步研究评估了沉浸式虚拟现实 (IVR) 治疗在区域麻醉下接受关节置换手术的患者中是否具有镇静作用，并评估了其可行性和潜力。9 名参与者接受了 IVR、区域麻醉和镇静治疗。10 名参与者接受常规护理。常规护理组中丙泊酚的平均用量为 155 ± 45 mg/h，IVR 组中丙泊酚的平均用量为 63 ± 21 mg/h（P =.088，平均差值-91.6 mg/h，95%置信区间-200 至 16.87 mg/h）。两组患者术后满意度无显著差异。这项初步研究表明，在手术室环境中安全提供 IVR 是可行的，并且可能具有镇静作用。需要更大、更有力和随机的研究来评估这种效果。
Zotero 插件