About this trial
The aim is to investigate the anxiolytic effect, and hemodynamic stability of using virtual reality immersion in adult patients undergoing Dacryocystorhinostomy (DCR) operation under general anesthesia and to compare its effect to that of using Midazolam as a premedication.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18-65.
Both sexes.
American Society of Anesthesiologists (ASA) classification: I - II.
Patient undergoing Dacryocystorhinostomy Surgery (DCR) operation under general anesthesia.
Disqualifiers
Patient refusal.
Patients with cardiac diseases.
Patients with renal diseases.
Patients with drug sensitivity and seizures.
Trial design
Parallel
Treatments tested in this trial
Virtual Reality Group
Other interventionPatient will undergo virtual reality (VR) immersion using oculus.
Midazolam Group
DrugPatient will receive midazolam premedication only.
Treatment groups
Trial outcomes
Primary outcomes
Anxiety Score
Beck Anxiety Inventory (BAI) score change measured from pre- to post-intervention (virtual reality (VR) or midazolam). The score ranges from 0 to 63. A greater reduction indicates better anxiolytic effect.5 minutes before intervention and Immediately after the 15-minute virtual reality (VR) session or midazolam injection
Secondary outcomes
Heart rate (HR)
Heart rate (HR) measured to assess perioperative hemodynamic response to anxiolytic intervention.At four time points: T1 (initial on the day of surgery), T2 (before induction), T3 (before intubation), and T4 (after intubation).
Systolic blood pressure (SBP)
Systolic blood pressure (SBP) recorded to evaluate cardiovascular response to premedication and induction.At four time points: T1 (initial on the day of surgery), T2 (before induction), T3 (before intubation), and T4 (after intubation).
Diastolic blood pressure (DBP)
Diastolic blood pressure (DBP) measured to monitor hemodynamic changes related to stress and sedation.At four time points: T1 (initial on the day of surgery), T2 (before induction), T3 (before intubation), and T4 (after intubation).
Mean blood pressure (MBP)
Mean blood pressure (MBP) recorded to reflect overall perfusion pressure during perioperative period.At four time points: T1 (initial on the day of surgery), T2 (before induction), T3 (before intubation), and T4 (after intubation).
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