Use of virtual reality for treating burned children: case reports

ABSTRACT Objective: to report the use of virtual reality and its effects on clinical parameters, pain and its consequences in the treatment of two burned children in a Burn Treatment Center in southern Brazil. Method: case report on the use of virtual reality in two burned children treated at a reference burn treatment center in southern Brazil. Data were collected from January to February 2017, using the variables: pain, distraction, clinical parameters (heart rate and oxygen saturation) and analgesic medications. The measurements were carried out in five occasions and the intervention was applied for three days. The reports and reactions of children, guardians and the nursing team were also registered. Results: the use of virtual reality during dressings reduced the pain between two to four points on the scale used; oxygen saturation remained between 96 and 98%; heart rate decreased after the intervention. The children reported having fun, less time thinking about pain and were more collaborative during the procedure. Conclusion: this technology is innovative in the treatment of burned children and proved to be effective for the analyzed variables. New clinical studies with a larger sample are needed in the Brazilian context to contribute to these findings.

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VIRTUAL REALITY AS COMPLEMENTARY TREATMENT IN PAIN RELIEF IN BURNT CHILDREN

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2018-0277 ◽

2020 ◽

Vol 29 ◽

Author(s):

Soliane Scapin ◽

Maria Elena Echevarría-Guanilo ◽

Paulo Roberto Boeira Fuculo Junior ◽

Andreia Tomazoni ◽

Natália Gonçalves

Keyword(s):

Heart Rate ◽

Virtual Reality ◽

Oxygen Saturation ◽

Treatment Center ◽

Clinical Parameters ◽

Southern Brazil ◽

Complementary Treatment ◽

Burn Treatment ◽

Nursing Team ◽

Larger Sample

ABSTRACT Objective: to report the use of virtual reality and its effects on clinical parameters, pain and its consequences in the treatment of two burned children in a Burn Treatment Center in southern Brazil. Method: case report on the use of virtual reality in two burned children treated at a reference burn treatment center in southern Brazil. Data were collected from January to February 2017, using the variables: pain, distraction, clinical parameters (heart rate and oxygen saturation) and analgesic medications. The measurements were carried out in five occasions and the intervention was applied for three days. The reports and reactions of children, guardians and the nursing team were also registered. Results: the use of virtual reality during dressings reduced the pain between two to four points on the scale used; oxygen saturation remained between 96 and 98%; heart rate decreased after the intervention. The children reported having fun, less time thinking about pain and were more collaborative during the procedure. Conclusion: this technology is innovative in the treatment of burned children and proved to be effective for the analyzed variables. New clinical studies with a larger sample are needed in the Brazilian context to contribute to these findings.

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Rescue of a deep burned elbow using a radial forearm pedicled flap, an original irrigation system and a specific immobilization

Journal of Burn Care & Research ◽

10.1093/jbcr/iraa081 ◽

2020 ◽

Author(s):

Marie Benayoun ◽

Marie-Charlotte Dutot ◽

Céline Aboud ◽

Kévin Serror ◽

Marc Chaouat ◽

...

Keyword(s):

Irrigation System ◽

Case Reports ◽

Donor Site ◽

Drainage System ◽

Complete Recovery ◽

Pedicled Flap ◽

Treatment Center ◽

Burn Treatment ◽

Efficient Treatment ◽

Radial Forearm

Abstract Introduction Deep soft tissue defects next to the joints can rapidly lead to irreversible damages and have to be covered urgently and effectively. In severely burned patients the usual approach is to use a flap even though it has its limitations in regards to the extent of the burn and the general condition of the patient. Case report A twenty seven-year-old male was admitted at the Burn Treatment Center for a thermic burn of seventy-two percent of his body surface area. At first he has benefited from several skin grafts and later on a major open right elbow had to be treated urgently to rescue the joint. Results After the burn, a revascularization of the donor site was noticed, sufficient to use the radial forearm pedicled flap as a cover for the elbow. This case reports an innovative approach based on the use of an irrigation and drainage system placed underneath the flap. The elbow was rigidly immobilized with an external fixator in order to facilitate an optimal healing of the flap. Conclusion In this case, the choice of this flap, combined with the irrigation and drainage system and the immobilization by external fixation, provided an original and efficient treatment. Post operatively the healing of the flap and of the donor site was complete. The functional results exceeded the expectations with a complete recovery of the joint amplitude. Thus, in case of no other therapeutic options, it is probably possible to use a variety of flaps recently healed.

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Effect of virtual reality distraction on pain and anxiety during infiltration anesthesia in pediatric patients: a randomized clinical trial

BMC Oral Health ◽

10.1186/s12903-021-01678-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Osama M. Felemban ◽

Rawan M. Alshamrani ◽

Doha H. Aljeddawi ◽

Sara M. Bagher

Keyword(s):

Heart Rate ◽

Virtual Reality ◽

Local Anesthesia ◽

Pediatric Patients ◽

Rating Scale ◽

Test Group ◽

Control Group ◽

Buccal Infiltration ◽

Pain Rating Scale ◽

Infiltration Anesthesia

Abstract Background Different distraction techniques have been used in dentistry and have shown great results in managing anxious pediatric patients specially during local anesthesia administration. One of the recently invented techniques is virtual reality. The purpose of the study was to evaluate the effect of virtual reality distraction on anxiety and pain during buccal infiltration anesthesia in pediatric patients. Methods Healthy, cooperative 6- to 12-year-old children requiring buccal infiltration anesthesia were randomly assigned to a test or control group. In the test group, local anesthesia was administered while the subjects were watching a cartoon video using virtual reality goggles. Subjects in the control group watched a cartoon video on a screen during the administration of local anesthesia. To assess anxiety in both groups, heart rate was recorded using a pulse oximeter at five time points: (1) once the subject sets on the dental chair as a baseline; (2) when video is on; (3) at topical anesthesia application; (4) during needle insertion; (5) after the administration of local anesthesia. The face, legs, activity, cry, consolability (FLACC) behavioral pain assessment scale and the Wong–Baker FACES pain rating scale were used to assess pain. Results A total of 50 subjects were included with a mean age of 8.4 ± 1.46 years. Twenty-nine (58.0%) of the subjects were females. The mean heart rate at all time points except baseline was significantly higher among the test group compared to the control group. Multiple regression analysis showed that younger subjects and females had higher mean FLACC behavioral pain assessment scale scores (P = 0.034 and P = 0.004, respectively) regardless of the distraction technique used. Younger subjects and subjects with higher baseline heart rate reported higher mean Wong–Baker FACES pain rating scale score (P = 0.031 and P = 0.010, respectively), controlling for all other variables. Conclusion Female subjects and the younger age group were more likely to report higher pain scores during local anesthesia administration regardless of the type of distraction used. Trial registration The study was retrospectively registered in ClinicalTrials.gov with the identifier: NCT04483336 on 23/07/2020.

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Effect of Virtual Reality Distraction on Pain and Anxiety in Children during Local Anesthesia

THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY ◽

10.5933/jkapd.2021.48.1.95 ◽

2021 ◽

Vol 48 (1) ◽

pp. 95-104

Author(s):

Doosoo Kim ◽

Sangho Lee ◽

Nanyoung Lee ◽

Myeongkwan Jih ◽

Jihye Ahn

Keyword(s):

Heart Rate ◽

Virtual Reality ◽

Scale Score ◽

Local Anesthesia ◽

Rating Scale ◽

Heart Rate Change ◽

Control Group ◽

Pain Rating ◽

Watching Tv ◽

Pain Rating Scale

The purpose of this study was to evaluate the effect of virtual reality distraction on pain and anxiety in children during local anesthesia. Local anesthesia was administered to 3 groups: a control group without distraction, a group watching TV, and a group using a virtual reality device. The pulse rate and oxygen saturation rate were measured before and at the time of local anesthesia to assess the patients’ pain and anxiety, and the Wong-Baker Faces Pain Rating Scale was completed after local anesthesia.The group using the virtual reality device had a significantly lower heart rate change and lower Wong-Baker Faces Pain Rating Scale score than those in the control group and the group watching TV (<i>p</i> < 0.05). The greatest difference in heart rate change and Wong-Baker Faces Pain Rating Scale score, between the control and virtual reality distraction groups, was seen in 5 - 7-year-olds and a Frankl’s behavior rating scale grade of 3.The virtual reality device alleviated pain and reduced anxiety in children during local anesthesia.

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Circle therapy for headache management: case studies

Anaesthesia, Pain & Intensive Care ◽

10.35975/apic.v24i1.1232 ◽

2020 ◽

Vol 24 (1) ◽

pp. 101-104

Author(s):

Muhammad Rafiq

Keyword(s):

Pain Intensity ◽

Case Studies ◽

Rating Scale ◽

Psychological Pain ◽

Current Case ◽

Paired Samples ◽

Subjective Pain ◽

Headache Management ◽

Test Use ◽

Pain Rating Scale

Recent findings have indicated that hypnotic interventions produce significant decrease in pain intensity. This current case studies are focused to highlight significant impact on pain management including headache. All the patients underwent a complete observation and clinical interview and only patients with psychological pain were included in the study group. For the management of headache, a novel hypnotic intervention - Circle Therapy (CT), was applied on a group of ten patients indicating their pain intensity in the range of 8-10 on subjective pain rating scale. According to rating scale, headache above 8 was considered as severe, 5-8 moderate and < 5 as mild. CT is a brief hypnotic technique limited to about 10 min. Post hypnosis ratings were also measured. The pre and post hypnosis data were recorded and analyzed by paired samples t test. Use of CT showed significant results between pre and post rating e.g. 9 ± 0.25 vs. 1 ± 0.21 (p < 0.001). This brief CT intervention provided an immediate relief from headache, however, this is limited to few case studies focusing on just headache. So, we recommend large sample studies to document the effects of CT in different types of pain. Citation: Rafiq M. Circle therapy for headache management: case studies. Anaesth pain intensive care 2020;24(1):__ DOI: https://doi.org/10.35975/apic.v24i1. Received – 28 December 2019; Reviewed – 10 January 2020; Accepted - 10 January 2020;

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The ASSET Global Rating Scale is a Valid and Reliable Adjunct Measure of Performance on a Virtual Reality Simulator for Hip Arthroscopy.

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2021.01.046 ◽

2021 ◽

Author(s):

Meghan E. Bishop ◽

Gabriella E. Ode ◽

Daniel Hurwit ◽

Stephan Zmugg ◽

Ryan Rauck ◽

...

Keyword(s):

Virtual Reality ◽

Hip Arthroscopy ◽

Rating Scale ◽

Global Rating Scale ◽

Global Rating ◽

Virtual Reality Simulator ◽

Measure Of Performance

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Child Life Reduces Distress and Pain and Improves Family Satisfaction in the Pediatric Emergency Department

Clinical Pediatrics ◽

10.1177/0009922818798386 ◽

2018 ◽

Vol 57 (13) ◽

pp. 1567-1575 ◽

Cited By ~ 5

Author(s):

Natasha Sanchez Cristal ◽

Jennifer Staab ◽

Rachel Chatham ◽

Sarah Ryan ◽

Brian Mcnair ◽

...

Keyword(s):

Emergency Department ◽

Rating Scale ◽

Pediatric Trauma ◽

Family Satisfaction ◽

Pediatric Emergency ◽

Child Life ◽

Convenience Sample ◽

Patient Cooperation ◽

To Receive ◽

Pain Rating Scale

This study evaluated the effects of Certified Child Life Specialist (CCLS) intervention on pediatric distress and pain and family satisfaction during routine peripheral intravenous (PIV) line placement in the emergency department (ED). A convenience sample of 78 children (3-13 years) requiring PIV placement for their treatment at a regional level 1 pediatric trauma center ED with 70 000 annual visits were selected to receive either standard nursing care or CCLS intervention for PIV placement. CCLS involvement was associated with fewer negative emotional behaviors as indicated by a lower score on the Children’s Emotional Manifestation Scale (−3.37 ± 1.49, P = .027), a reduction in self-reported pain on the Wong-Baker Faces pain rating scale (−1.107 ± 0.445, P = .017), an increase in parent-reported patient cooperation during PIV placement, and greater satisfaction with the ED visit. This study demonstrates that Child Life can have an impact on important outcomes in the pediatric ED such as distress, pain, and visit satisfaction.

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Immersive Virtual Reality Improves Labor and Delivery Experience for Women: A Randomized Controlled Trial

10.21203/rs.3.rs-898920/v1 ◽

2021 ◽

Author(s):

Elif Gizem Carus ◽

Nazli Albayrak ◽

Selen Gur Ozmen ◽

Halit Mert Bildirici

Keyword(s):

Virtual Reality ◽

Patient Satisfaction ◽

Rating Scale ◽

Secondary Outcome ◽

Immersive Virtual Reality ◽

Labor And Delivery ◽

Control Groups ◽

Randomized Controlled ◽

Pain Scores ◽

And Control

Abstract Objective: To evaluate the effectiveness of immersive Virtual Reality (VR) in laboring women on patient satisfaction as a distractive tool and pain relief.Methods: Randomized, controlled clinical trial with 42 laboring women allocated to VR intervention and control groups. Among the VR group, patient satisfaction with the use of VR was assessed by a Virtual Reality Satisfaction Survey and questioning whether they would choose VR in future labor. As a primary outcome patient satisfaction scores regarding the overall labor and delivery experience were compared between the two groups. A secondary outcome was pain assessed by a visual pain rating scale in the early and active phases of labor in both groups. Psychometric information was also collected from participants in each group using Beck Anxiety Inventory and Beck Depression Inventory. Results: We observed a high level of patient satisfaction with the use of immersive VR during labor. The survey revealed a mean satisfaction score of 89.6 ± 10.8 out of a maximum of 100. 20 out of 21 (95%) women in the VR group stated that they would like to use VR again in future labor. VR improved pain scores in early labor and contributed positively to overall labor and delivery experience. The mean pain score pre-VR was 2.6±1.2 compared to 2.0±1.3, post-VR, respectively (p<0.01). Anxiety and depression scores were similar in the intervention and control groups (p=0.103, p=0.13, respectively). Conclusion: Immersive VR application during labor was feasible and associated with higher patient satisfaction based on our study. VR also improved pain scores in early labor before epidural placement. Immersive VR may find a place as an adjunct in Labor and Delivery Units to improve the lengthy labor experience for women. Larger studies are needed to confirm these observations. Trial Registration: ClinicalTrials.gov: NCT05032456 / 02/09/2021https://clinicaltrials.gov/ct2/show/NCT05032456

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A novel approach to diagnose ADHD using virtual reality

International Journal of Web Information Systems ◽

10.1108/ijwis-03-2021-0021 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Ha Min Son ◽

Dong Gyu Lee ◽

Yoo-Sook Joung ◽

Ji Woo Lee ◽

Eun Ju Seok ◽

...

Keyword(s):

Virtual Reality ◽

Diagnostic Test ◽

Rating Scale ◽

Necessary Condition ◽

Natural Environments ◽

Content Type ◽

Adhd Diagnosis ◽

Dsm 5 ◽

Novel Approach ◽

Potential Patient

Purpose The current golden standard for attention deficit hyperactivity disorder (ADHD) diagnosis is clinical diagnosis based on psychiatric interviews and psychological examinations. This is suboptimal, as clinicians are unable to view potential patients in multiple natural settings – a necessary condition for objective diagnosis. The purpose of this paper is to improve the objective diagnosis of ADHD by analyzing a quantified representation of the actions of potential patients in multiple natural environments. Design/methodology/approach The authors use both virtual reality (VR) and artificial intelligence (AI) to create an objective ADHD diagnostic test. Diagnostic and statistical manual of mental disorders, 5th Edition (DSM-5) and ADHD Rating Scale are used to create a rule-based system of quantifiable VR-observable actions. As a potential patient completes tasks within multiple VR scenes, certain actions trigger an increase in the severity measure of the corresponding ADHD symptom. The resulting severity measures are input to an AI model, which classifies the potential patient as having ADHD in the form inattention, hyperactivity-impulsivity, combined or neither. Findings The result of this study shows that VR-observed actions can be extracted as quantified data, and classification of this quantified data achieves near-perfect sensitivity and specificity with a 98.3% accuracy rate on a convolutional neural network model. Originality/value To the best of the authors’ knowledge, this is the first study to incorporate VR and AI into an objective DSM-5-based ADHD diagnostic test. By including stimulation to the visual, auditory and equilibrium senses and tracking movement and recording voice, we present a method to further the research of objective ADHD diagnosis.

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