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沉浸式虚拟现实用作一名百岁患者全髋关节置换翻修术中的辅助麻醉

Immersive Virtual Reality Used as Adjunct Anesthesia for Conversion Total Hip Arthroplasty in a 100-Year-Old Patient.

作者信息

Ledford Cameron K, VanWagner Michael J, Sherman Courtney E, Torp Klaus D

机构信息

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL.

出版信息

Arthroplast Today. 2021 Aug 7;10:149-153. doi: 10.1016/j.artd.2021.07.001. eCollection 2021 Aug.

DOI:10.1016/j.artd.2021.07.001
PMID:34401418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8358466/
Abstract

Immersive virtual reality (IVR) is an adjunctive form of anesthesia intended to distract patients from their intraoperative environment and reduce other side effects of sedating or narcotic agents. While this technology has been applied sparingly in various orthopedic procedural environments, its clinical utility has not been widely evaluated in major, nonelective surgical settings. The use of IVR in the geriatric hip fracture population represents a novel indication with potential benefit to reduced cognitive dysfunction and delirium. We report a case of a 100-year-old patient who received IVR adjunctive to neuraxial anesthesia during conversion total hip arthroplasty via posterolateral approach for treatment of failed peritrochanteric hip fracture fixation.

摘要

沉浸式虚拟现实（IVR）是一种辅助麻醉形式，旨在使患者分散对术中环境的注意力，并减少镇静剂或麻醉剂的其他副作用。虽然这项技术已在各种骨科手术环境中少量应用，但其临床效用尚未在大型非选择性手术环境中得到广泛评估。在老年髋部骨折人群中使用IVR是一种新的应用指征，可能有助于减少认知功能障碍和谵妄。我们报告一例100岁患者，在经后外侧入路行翻修全髋关节置换术治疗转子周围髋部骨折内固定失败时，接受了IVR辅助神经轴索麻醉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/05eae0aa38c9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/58bb489daad8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/b4196864218f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/490ce820ffcd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/05eae0aa38c9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/58bb489daad8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/b4196864218f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/490ce820ffcd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8029/8358466/05eae0aa38c9/gr4.jpg

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