About this trial
The VIRTUALR study evaluates the effect of virtual reality combined with hypnosis on anxiety in patients undergoing orthopedic surgery under regional anesthesia. Patients are randomly assigned to two groups: one group receiving virtual reality and a control group without the device. Anxiety and satisfaction questionnaires are used to compare the two groups.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent
Patient affiliated with or benefiting from a social security system
Patient aged 18 years or older
Patient requiring regional anesthesia for scheduled orthopedic surgery of the upper or lower limb
Disqualifiers
Patient refusal to participate in the study
Device interfering with the surgical or anesthetic procedure
Premedication before arrival in the operating room
Psychiatric or cognitive disorders, communication disorders
Trial design
Parallel
Treatments tested in this trial
Virtual reality headset
DevicePatients in the intervention group receive a virtual reality session with a hypnotic purpose during surgery under regional anesthesia. The device consists of a virtual reality headset providing visual and auditory immersion in a calming environment, freely chosen by the patient. The session begins before the regional anesthesia is administered and may continue throughout the entire surgical procedure
Standard Care (in control arm)
Other interventionParticipants in this group receive standard anesthetic and surgical care without the use of virtual reality
Treatment groups
Trial outcomes
Primary outcomes
Comparison of sedation use rates between the experimental group and the control group (level 0 versus ≥1).
Proportion of patients who required sedation (at level ≥1) during regional anesthesia or surgery, compared to those who did not receive sedation (level 0). Sedation levels are defined according to a standardized scale.
Secondary outcomes
Mean age of patients
Mean age of patient in each group at baseline
Sex distribution
Number of male and female patients in each group
type of surgery
Distribution of types of surgery performed in each group
ASA score distribution
Distribution of ASA physical status scores among patients in each group
Sponsors and contacts
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