Atmospheric Projection in the Emergency Department

NCT ID: NCT05967988

Last Updated: 2025-04-16

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: NA
• Total Enrollment: 62 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-14
• Study Completion Date: 2024-04-30

Brief Summary

The goal of this clinical trial is to learn about the reduction of pain and anxiety during a minor procedure in the emergency department on adult patients through the visualisation of atmospheric projection as a distraction mean. The main question it aims to answer is :

Can the atmospheric projection of a video reduce pain and anxiety in adult patients receiving painful procedures in the emergency department ?

Participants will look at an atmospheric projection (projection of a media on the walls and roof around the patient) while receiving their planned care procedures. Researchers will compare an active group watching a video with a control group watching a simple colored light to see if the visualisation of an atmospheric projected video reduces pain and anxiety more than the visualisation of a colored light does.

Conditions

Pain, Acute; Anxiety Acute

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Atmospheric 3D video projection

Patients in the interventional arm will watch an immersive atmospheric video projection on the walls of their examination room.

Group Type: EXPERIMENTAL

Immersive atmospheric projection

Intervention Type: DEVICE

Projection of computer-generated videos or videos of real moving landscapes on the walls of the examination room

Atmospheric 3D color projection

Patients in the interventional arm will look at a neutral color of their choice projected on the walls of their examination room.

Group Type: SHAM_COMPARATOR

Minimal atmospheric projection

Intervention Type: DEVICE

Projection of a colors on the walls on the walls of the examination room

Interventions

Immersive atmospheric projection

Projection of computer-generated videos or videos of real moving landscapes on the walls of the examination room

Intervention Type: DEVICE

Minimal atmospheric projection

Projection of a colors on the walls on the walls of the examination room

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Aged ≥18 ;
• Patient requiring one of the following treatment procedures : suturing, plaster cast placement and/or repositioning, fracture or dislocation reduction, ascites puncture, pleural puncture, lumbar puncture.

Exclusion Criteria

• Patient clinically unstable;
• Patient incapable of discernment or consent ;
• Altered mental status (cognitive disorders, mental retardation, acute state of confusion, acute psychosis);
• Alcoholic patient with University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) score of 10/10 ;
• Patient hard of hearing ;
• Patient with visual impairments preventing him/her from perceiving his/her environment ;
• Patient unable to understand the use of visual analog scales (VAS);
• Impaired sensitivity of the part of the body where the medical intervention is to take place;
• Planned use of analgesia/sedation with a dissociative agent (midazolam, ketamine, propofol);
• Incarcerated patient ;
• Patient transferred from another hospital ;
• Patient having already participated in this study during a previous consultation in the emergency department of the Centre Hospitalier Universitaire Vaudois.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lausanne

OTHER

Sponsor Role: collaborator

University of Lausanne Hospitals

OTHER

Sponsor Role: lead

Responsible Party

Olivier Hugli

Head of Emergency Department

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Olivier Hugli, MD

Role: PRINCIPAL_INVESTIGATOR

University of Lausanne Hospitals

Locations

Lausanne University Hospital

Lausanne, Canton of Vaud, Switzerland

Countries

Switzerland

Other Identifiers

CER-VD 2023-00867

Identifier Type: -

Identifier Source: org_study_id