Article Text

Download PDFPDF

#36277 Case series of patient satisfaction levels with loco-regional anaesthesia & immersive virtual reality (VR) sedation
  1. Vikas Gulia,
  2. Dominic Goold,
  3. Mahul Gorecha and
  4. Kausik Dasgupta
  1. Anaesthesiology, George Eliot Hospital Nuneaton, Nuneaton, United Kingdom


Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submission

Application for ESRA Abstract Prizes: I don’t wish to apply for the ESRA Prizes

Background and Aims Immersive Virtual Reality(VR) simulator used in anaesthesia for relaxing images, videos and sounds, to engage the patient from the distraction of surgery.3-D environment puts patient in hypnotic state and reduces Phobias and stress levels. Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative blocks(1).’VR for Peripheral Regional Anaesthesia (VR-PERLA Study)’, demonstrated benefit in improved patient satisfaction levels . Aim – 1. Primary outcomes are to study patient self reported satisfaction levels with and without VR . 2.Secondary outcomes were patient anxiety levels monitored with or without VR and reduced sedation requirements.

Methods 1. 15 Patients for elective orthopaedic surgery were consented for VR under Loco-regional anaesthesia ( Adductor canal , axillary , interscalene blocks). VR initiated on arrival to Anaesthesia room. Comparison were made with 15 similar patients undergoing similar procedures without VR. 2. Self-reporting patient‘s satisfaction on five-point Likert scale ((1 = very dissatisfied, 2 = dissatisfied, 3 = neutral, 4 = satisfied, and 5 = very satisfied.

1. Modified Observer’s Assessment of Alertness and Sedation (MOAA/S) scale 6-point scale .

Results 2. MOAA/S scales were 5 in all patients having VR, with appropriate response to verbal stimuli . 3.Likert scale- all VR patients were satisfied.

Abstract #36277 Figure 1

MOAA/S Scoring system for patient anxiety levels

Abstract #36277 Figure 2

Pt with VR on awaiting Axillary block

Conclusions 1. Both Primary and secondary outcomes met through VR use. 2. Onset of peripheral nerve block, administration of systemic analgesics, Pre-op anxiety & analgesic history pre-op were significant determinant factors for patients’ level of satisfaction. 3.VR reduces anxiety & sedation requirement levels in Loco-Regional anaesthesia and improves satisfaction with more Haemodynamic stability.

Attachment Likerts Questionnaire used.pdf

  • Virtual Reality Sedation Loco Regional

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.