Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective

Critical Care, Год журнала: 2022, Номер 26(1)

Опубликована: Окт. 25, 2022

Abstract Virtual reality (VR) and augmented (AR) are aspiring, new technologies with increasing use in critical care medicine. While VR fully immerses the user into a virtual three-dimensional space, AR adds overlaid elements real-world environment. offer great potential to improve medicine for patients, relatives health providers. may help ameliorate anxiety, stress, fear, pain patient. It assist patients mobilisation rehabilitation can communication between all those involved patient’s care. be an effective tool support continuous education of intensive providers, complement traditional learning methods acquire key practical competences such as central venous line placement, cardiopulmonary resuscitation, extracorporeal membrane oxygenation device management or endotracheal intubation. Currently, technical, human, ethical challenges remain. The adaptation integration VR/AR modalities useful clinical applications that used routinely on ICU is challenging. Users experience unwanted side effects (so-called “cybersickness”) during sessions, which limit its applicability. Furthermore, critically ill one most vulnerable patient groups warrant special considerations if introduced their daily To date, studies involving AR/VR provide only low level evidence due research design. Here we summarise background information, current developments, should taken account future scientific investigations this field. Graphical abstract

Язык: Английский

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Multimodal non-invasive non-pharmacological therapies for chronic pain: mechanisms and progress

BMC Medicine, Год журнала: 2023, Номер 21(1)

Опубликована: Сен. 29, 2023

Abstract Background Chronic pain conditions impose significant burdens worldwide. Pharmacological treatments like opioids have limitations. Non-invasive non-pharmacological therapies (NINPT) encompass diverse interventions including physical, psychological, complementary and alternative approaches, other innovative techniques that provide analgesic options for chronic without medications. Main body This review elucidates the mechanisms of major NINPT modalities synthesizes evidence their clinical potential across populations. leverages peripheral, spinal, supraspinal to restore normal processing limit central sensitization. However, heterogeneity in treatment protocols individual responses warrants optimization through precision medicine approaches. Conclusion Future adoption requires addressing limitations standardization accessibility as well synergistic combination with emerging therapies. Overall, this highlights promise a valuable option ready integration into contemporary paradigms improve patient care outcomes.

Язык: Английский

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Virtual and augmented reality in intensive care medicine: a systematic review

Annals of Intensive Care, Год журнала: 2023, Номер 13(1)

Опубликована: Сен. 11, 2023

Abstract Background Virtual reality (VR) and augmented (AR) are rapidly developing technologies that offer a wide range of applications enable users to experience digitally rendered content in both physical virtual space. Although the number studies about different use VR AR increases year by year, systematic overview these innovative intensive care medicine is lacking. The aim this review was provide detailed summary how currently being used various areas medicine. Methods We systematically searched PubMed until 1st March 2023 identify existing evidence for health providers unit children or adults, who were an because critical illness. Results After screening literature, total 59 included. Of note, substantial publications consists case reports, study plans lacking control group. Furthermore, designs seldom comparable. However, there have been variety cases researchers explored. They can help (ICU) personnel train, plan, perform difficult procedures such as cardiopulmonary resuscitation, vascular punctures, endotracheal intubation percutaneous dilatational tracheostomy. Patients might benefit from during invasive interventions ICU stay alleviating stress pain. it enables contact with relatives also assist patients their rehabilitation programs. Conclusion Both, AR, multiple possibilities improve current care, perspective healthcare professional patient. It be assumed will develop further application increase. Graphic

Язык: Английский

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Virtual reality and hypnosis for anxiety and pain management in intensive care units

European Journal of Anaesthesiology, Год журнала: 2021, Номер 39(1), С. 58 - 66

Опубликована: Ноя. 15, 2021

BACKGROUND Virtual reality and hypnosis are little studied in complex contexts, such as intensive care, where patients need significant physical psychological assistance. OBJECTIVES To compare combine virtual benefits on anxiety pain before after cardiac surgery. DESIGN Prospective randomised controlled clinical trial. SETTING The study was conducted the University Hospital of Liege (Belgium) from October 2018 to January 2020. PATIENTS One hundred (66 ± 11.5 years; 24 women, 76 men) were included. Participants adults undergoing Exclusion criteria: psychiatric diseases, claustrophobia, acrophobia, hearing loss, visual impairment, extreme fatigue, confusion surgery cancelled. INTERVENTIONS Patients randomly assigned four arms (control; hypnosis; reality; hypnosis) had 20 min one techniques day MAIN OUTCOMES MEASURES Anxiety, pain, relaxation, physiological parameters, opioid use evaluated each session. RESULTS main results did not show any differences between groups. In all groups, decreased increased baseline postoperative day. Relaxation groups pre-operative ( P < 0.0001) period = 0.03). There no for measures, or use. CONCLUSION As there measured variables, we cannot affirm that technique is better than another. Additional studies required evaluate cost-effectiveness these critical care caregivers. TRIAL REGISTRATION ClinicalTrials.gov: NCT03820700. https://clinicaltrials.gov/ct2/show/NCT03820700. Retrospectively registered 29 2019.

Язык: Английский

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Hypnosis to manage musculoskeletal and neuropathic chronic pain: A systematic review and meta-analysis

Neuroscience & Biobehavioral Reviews, Год журнала: 2022, Номер 135, С. 104591 - 104591

Опубликована: Фев. 19, 2022

Язык: Английский

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Effectiveness of virtual reality on pain and anxiety in patients undergoing cardiac procedures: A systematic review and meta-analysis of randomized controlled trials

Current Problems in Cardiology, Год журнала: 2024, Номер 49(5), С. 102532 - 102532

Опубликована: Март 19, 2024

Cardiac procedures often induce pain and anxiety in patients, adversely impacting recovery. Pharmachological approaches have limitations, prompting exploration of innovative digital solutions like virtual reality (VR). Although early evidence suggests a potential favourable benefit with VR, it remains unclear whether the implementation this technology can improve anxiety. We aimed to assess by systematic review meta-analysis effectiveness VR alleviating on patients undergoing cardiac procedures.

Язык: Английский

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Complementary treatment comparison for chronic pain management: A randomized longitudinal study

PLoS ONE, Год журнала: 2021, Номер 16(8), С. e0256001 - e0256001

Опубликована: Авг. 6, 2021

Background In chronic pain, it seems that the effect of cognitive-behavioral therapy (CBT) is boosted when combined with hypnosis. The aim this study was to assess efficacy self-hypnosis self-care (i.e., a type CBT) compared music/self-care, and psychoeducation/CBT evaluate their long-term effects. Methods An open label randomized clinical trial enrolled patients pain carried out at University Hospital Liège (Belgium). Patients were into four groups: self-hypnosis/self-care, self-care, (7 monthly sessions 2 hours). Two follow-up delivered 6- 12-month. Levels fatigue intensity, anxiety, depression, insomnia severity, disability, health locus control, mental physical quality life attitudes (control, harm, emotion, medical cure, medication, solicitude) towards assessed before after treatments, follow-up. Results 203 randomized: 52 in 59 47 45 psychoeducation/CBT. No group found. A significant time showed. Directly treatment, all groups decreased life. Perceived control increased. At 6-month, kept levels perceived showed decrease emotion cure. 12-month, scores had change previously remained ameliorated, severity an increase internal observed. Conclusions present findings are encouraging as they display beneficial effects complementary biopsychosocial-based treatments pain. It continued apply learnt strategies improvements observed one year ended.

Язык: Английский

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Application of Virtual Reality Technology in Clinical Practice, Teaching, and Research in Complementary and Alternative Medicine

Evidence-based Complementary and Alternative Medicine, Год журнала: 2022, Номер 2022, С. 1 - 12

Опубликована: Авг. 11, 2022

Background. The application of virtual reality (VR) in clinical settings is growing rapidly, with encouraging results. As VR has been introduced into complementary and alternative medicine (CAM), a systematic review must be undertaken to understand its current status. Aim. This aims evaluate summarize the applications CAM, as well explore potential directions for future research development. Methods. After brief description technology, we discuss past 20 years medical field. Then, theoretical basis combination technology thus far, practical factors regarding usability, etc., from following three main aspects: application, teaching, scientific research. Finally, propose hypotheses on CAM limitations. Results. Our underpinnings findings date leads prediction that will have significant impact practice. Conclusion. Although there still much needed advance science this area, strongly believe become indispensable tools toolbox researchers practitioners only grow relevance popularity era digital health.

Язык: Английский

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State-trait anxiety levels and vital signs of pregnant women following intervention with virtual reality during the nonstress test: A randomized controlled trial

Journal of Affective Disorders, Год журнала: 2024, Номер 355, С. 308 - 314

Опубликована: Март 26, 2024

Pregnant women often experience anxiety due to pregnancy, negatively impacting their and fetus' health. Non-pharmacological interventions, such as virtual reality (VR), could reduce levels, potentially non-stress tests or the physiological responses of pregnant woman fetus. A randomized clinical trial conducted between February December 2022 involved 286 term women. They were divided into a VR intervention group (146 women) control (140 women). The consisted 20 min 3D glasses with images sounds during third-trimester nonstress test. Anxiety was measured using Spielberg State-Trait Inventory (STAI), alongside parameters. exhibited lower levels compared controls (STAI score: Rosenthal's r: −0.54, p = 0.01; state anxiety: −0.40, 0.001; trait −0.41, 0.001). Within group, there significant reduction in (Rosenthal's r, 1.27; < 0.001) total 1.63; post-intervention, along decreased systolic blood pressure (p 0.001), diastolic maternal heart rate 0.02). Future research explore additional pregnancy-related variables, postpartum anxiety. results confirm that use is beneficial for fetuses, it decreases improves parameters technique easy integrate healthcare system its non-invasive non-pharmacological nature.

Язык: Английский

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Applications and Advances of Immersive Technology in Cardiology

Current Problems in Cardiology, Год журнала: 2024, Номер 49(10), С. 102762 - 102762

Опубликована: Июль 26, 2024

Different forms of immersive technology, such as Virtual Reality (VR) and Augmented (AR), are getting increasingly invested in medicine. Advances head-mounted display processing, rendering power have demonstrated the increasing utility technology medicine healthcare environment. There a growing number publications on using cardiology. We reviewed articles published within last decade that reported case studies or research uses investigates application broad field cardiology - from education to preoperative planning intraoperative guidance. summarized advantages disadvantages AR VR for various categories. Our review highlights need robust assessment effectiveness methods discusses technical limitations hinder complete integration cardiology, including cost-effectiveness regulatory compliance. Despite gaps inhibited us benefiting technologies' full potential settings date, its promising, impactful future standard cardiovascular care is undoubted.

Язык: Английский

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