Division of Pediatric Anesthesia (Ms Hemphill, Mr Nguyen, and Drs Rodriguez, Wang, and Caruso), Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California; Department of Physical Therapy (Dr Kwong), Lucile Packard Children's Hospital, Stanford, California.
Pediatr Phys Ther. 2021 Jan 1;33(1):E7-E9. doi: 10.1097/PEP.0000000000000769.
The purpose of this report is to demonstrate the successful application of virtual reality to improve physical therapy in the pediatric cardiovascular intensive care unit. Early mobilization and cognitive stimulation improve morbidity of critically ill children. However, maintaining child engagement with these therapies can be challenging, especially during extended intensive care stays.
While virtual reality has been successfully used as an analgesic and anxiolytic in the cardiovascular intensive care unit, this report demonstrates its novel use as a tool to augment physical therapy for a child who had been debilitated after heart transplantation. Virtual reality encouraged the child to engage in physical therapy sessions, participate for greater durations, and directly address barriers to discharge.
While further studies are needed to define best practice, this report demonstrates that virtual reality can be safely used for carefully selected and monitored children in critical care.
本报告旨在展示虚拟现实在儿科心血管重症监护病房改善物理治疗方面的成功应用。早期活动和认知刺激可降低危重病儿童的发病率。然而，在长时间的重症监护期间，保持儿童对这些治疗的参与可能具有挑战性。
虽然虚拟现实已成功用于心血管重症监护病房的镇痛和抗焦虑治疗，但本报告展示了其作为一种工具的新用途，可增强心脏移植后虚弱儿童的物理治疗效果。虚拟现实鼓励孩子参与物理治疗课程，延长参与时间，并直接解决出院障碍。
虽然需要进一步研究来确定最佳实践，但本报告表明，虚拟现实可以安全地用于重症监护中经过精心选择和监测的儿童。
