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Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study

BACKGROUND: Mechanically ventilated patients experience anxiety for many reasons. Pharmacological treatments such as benzodiazepines are commonly employed to manage anxiety; however, these therapies often cause undesired side effects. Additional therapies for anxiety management are needed. We sought...

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Autores principales: Haley, Alexander C., Wacker, David A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Critical Care Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9184980/
https://www.ncbi.nlm.nih.gov/pubmed/35172527
http://dx.doi.org/10.4266/acc.2021.00843
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author Haley, Alexander C.
Wacker, David A.
author_facet Haley, Alexander C.
Wacker, David A.
author_sort Haley, Alexander C.
collection PubMed
description BACKGROUND: Mechanically ventilated patients experience anxiety for many reasons. Pharmacological treatments such as benzodiazepines are commonly employed to manage anxiety; however, these therapies often cause undesired side effects. Additional therapies for anxiety management are needed. We sought to determine whether cell phone-based virtual reality therapy could feasibly be used for anxiety management in mechanically ventilated patients. METHODS: Mechanically ventilated subjects underwent at least one session of virtual reality therapy in which they were shown a cinematic video of an outdoor green space or blue space with 360° visual range of motion. Goal session duration was 5 minutes. The primary outcome was incidence of predefined patient safety events, including self-extubation and accidental removal of tubes or lines. RESULTS: Ten subjects underwent a total of 18 virtual reality sessions. Fifteen sessions lasted the planned 5 minutes, one session was extended at participant request, and two sessions were terminated early at participant request. There were no occurrences of the predefined safety events, and no occurrences of cybersickness. Use of a visual analog scale to measure anxiety level was feasible for this pilot study, demonstrating feasibility of this scale for future, larger scale studies. CONCLUSIONS: Virtual reality therapy shows potential as a means of managing anxiety in patients undergoing mechanical ventilation, and further rigorous exploration with this protocol is feasible.
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spelling pubmed-91849802022-06-14 Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study Haley, Alexander C. Wacker, David A. Acute Crit Care Original Article BACKGROUND: Mechanically ventilated patients experience anxiety for many reasons. Pharmacological treatments such as benzodiazepines are commonly employed to manage anxiety; however, these therapies often cause undesired side effects. Additional therapies for anxiety management are needed. We sought to determine whether cell phone-based virtual reality therapy could feasibly be used for anxiety management in mechanically ventilated patients. METHODS: Mechanically ventilated subjects underwent at least one session of virtual reality therapy in which they were shown a cinematic video of an outdoor green space or blue space with 360° visual range of motion. Goal session duration was 5 minutes. The primary outcome was incidence of predefined patient safety events, including self-extubation and accidental removal of tubes or lines. RESULTS: Ten subjects underwent a total of 18 virtual reality sessions. Fifteen sessions lasted the planned 5 minutes, one session was extended at participant request, and two sessions were terminated early at participant request. There were no occurrences of the predefined safety events, and no occurrences of cybersickness. Use of a visual analog scale to measure anxiety level was feasible for this pilot study, demonstrating feasibility of this scale for future, larger scale studies. CONCLUSIONS: Virtual reality therapy shows potential as a means of managing anxiety in patients undergoing mechanical ventilation, and further rigorous exploration with this protocol is feasible. Korean Society of Critical Care Medicine 2022-05 2022-02-04 /pmc/articles/PMC9184980/ /pubmed/35172527 http://dx.doi.org/10.4266/acc.2021.00843 Text en Copyright © 2022 The Korean Society of Critical Care Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Haley, Alexander C.
Wacker, David A.
Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study
title Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study
title_full Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study
title_fullStr Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study
title_full_unstemmed Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study
title_short Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study
title_sort cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9184980/
https://www.ncbi.nlm.nih.gov/pubmed/35172527
http://dx.doi.org/10.4266/acc.2021.00843
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