Sedation Using Virtual Reality During Surgery Under Spinal Anesthesia

NCT ID: NCT03055663

Last Updated: 2018-04-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-20

Study Completion Date

2017-10-31

Brief Summary

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During spinal anesthesia, sedation is performed using intravenous sedative for the patient's comfort and appropriate surgical environment. However, side effects of medications such as respiratory depression, hypotension, bradycardia and desaturation cannot be avoided. Recently, there have been developed a virtual reality experience equipment and a variety of virtual reality programs including visuo-haptic computer technology. There have been clinical studies that apply this technology to the pain medicine, sedation and medical education. However, no study has been reported for the purpose of replacing sedation during spinal anesthesia.

Therefore, we attempt to evaluate the efficacy and safety of sedation using virtual reality meditation program during spinal anesthesia for urologic surgery.

Detailed Description

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During spinal anesthesia, sedation is performed using intravenous sedative for the patient's comfort and appropriate surgical environment. However, side effects of medications such as respiratory depression, hypotension, bradycardia and desaturation cannot be avoided. Recently, there have been developed a virtual reality experience equipment and a variety of virtual reality programs including visuo-haptic computer technology. There have been clinical studies that apply this technology to the pain medicine, sedation and medical education. However, no study has been reported for the purpose of replacing sedation during spinal anesthesia.

Therefore, we attempt to evaluate the efficacy and safety of sedation using virtual reality meditation program during spinal anesthesia for urologic surgery.

Conditions

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Sedation Spinal Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Open-labelled

Study Groups

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Virtual reality sedation

Patients watches virtual reality sedation program that shows underwater world with comfortable music and narrations during surgery.

Group Type EXPERIMENTAL

Sedation by watching virtual reality sedative program

Intervention Type OTHER

Patients watch three-dimensional virtual reality program with headset and headphone during surgery.

Sedation with intravenous sedatives

Patients receives intravenous sedative of midazolam (initial bolus 1-2 mg with maintenance dose of 1 mg every 10 - 30 min).

Group Type ACTIVE_COMPARATOR

Sedation by using intravenous sedative

Intervention Type PROCEDURE

Patients receive intravenous sedative (midazolam 1-2 mg bolus with 1 mg maintenance dose every 10- 30 minutes)

Midazolam

Intervention Type DRUG

Patients receive intravenous sedative (midazolam 1-2 mg bolus with 1 mg maintenance dose every 10- 30 minutes)

Interventions

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Sedation by watching virtual reality sedative program

Patients watch three-dimensional virtual reality program with headset and headphone during surgery.

Intervention Type OTHER

Sedation by using intravenous sedative

Patients receive intravenous sedative (midazolam 1-2 mg bolus with 1 mg maintenance dose every 10- 30 minutes)

Intervention Type PROCEDURE

Midazolam

Patients receive intravenous sedative (midazolam 1-2 mg bolus with 1 mg maintenance dose every 10- 30 minutes)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing spinal anesthesia for urologic surgeries including Holmium Laser Enucleation of the Prostate or TransUrethral Resection of Bladder tumor).
* American Society of Anesthesiologists physical status classification 1, 2 or 3.
* Patients who voluntarily decides to participate in the trial and has given informed consent to this trial

Exclusion Criteria

* History of chronic use of sedative, narcotics, alcohol or drug abuse
* Baseline oxygen saturation \< 90%
* Baseline hemodynamic or respiratory instability (initial systolic blood pressure \< 80 mmHg, respiratory rate \> 25 breaths/min or \< 10 breaths/min)
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Won Ho Kim, MD

Clinical Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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1611-069-808

Identifier Type: -

Identifier Source: org_study_id

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