[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100647263":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":32,"locations":26,"responsibleParty":38,"collaborators":26,"id":42,"slug":43,"hasResults":44,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":9,"eligibilityCriteria":48,"healthyVolunteers":44,"sex":49,"minAge":50,"maxAge":51,"enrollmentInfo":52,"targetDuration":26,"studyType":55,"phases":56,"briefSummary":58,"conditions":59,"keywords":26,"overallStatus":66,"whyStopped":26,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":26},{"fullName":5,"class":6},"Menoufia University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"VR","EXPERIMENTAL","Patients will use a VR headset placed 5 minutes before spinal anesthesia and throughout the procedure, experiencing an immersive, calming nature-based environment (e.g., underwater ocean scenes, forest walks)",[13],"Device: immersive virtual reality",{"label":15,"type":16,"description":17,"interventionNames":18},"control","ACTIVE_COMPARATOR","Patients will receive standard regional anesthesia with routine institutional sedation protocols (e.g., midazolam, fentanyl) without any VR intervention. They will wear an opaque eye mask to maintain blinding",[19],"Procedure: standard sedation",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"DEVICE","immersive virtual reality","A VR headset will be placed on the patient's head 5 minutes before the administration of spinal anesthesia. Throughout the intraoperative procedure under regional anesthesia, the patient will experience an immersive, calming, nature-based VR environment (such as underwater ocean scenes or forest walks) via specialized sights and sounds. This acts as a non-pharmacological distraction technique to reduce intraoperative anxiety and subsequently alleviate postoperative emergence agitation",[9],null,{"type":28,"name":29,"description":30,"armGroupLabels":31,"otherNames":26},"PROCEDURE","standard sedation","Patients will undergo standard preparation and management for elective hip arthroplasty under regional anesthesia. The intraoperative phase will follow routine institutional sedation and analgesia protocols using conventional pharmacological agents (e.g., midazolam, fentanyl) titrated based on standard clinical needs. To ensure robust triple-blinding, patients in this group will wear an opaque eye mask during the procedure to match the physical presence of a headset.",[15],[33],{"name":34,"role":35,"phone":36,"phoneExt":26,"email":37},"Mostafa Saieed Mansour, M.D.","CONTACT","00201225484055","dr.mostafa_s_fahim@yahoo.com",{"type":39,"investigatorFullName":40,"investigatorTitle":41,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","mostafa saieed fahim mansour","DR","100647263","virtual-reality-for-intraoperative-anxiolysis-and-postoperative-agitation-in-elderely-hip-arthroplasty-patients-100647263",false,"NCT07705451","Virtual Reality for Intraoperative Anxiolysis and Postoperative Agitation in Elderely Hip Arthroplasty Patients","Effect of Using Virtual Reality on Intraoperative Anxiolysis and Postoperative Agitation in Older Patients Undergoing Hip Arthroplasty Under Regional Anesthesia","Inclusion Criteria:\n\n* Patients scheduled for elective cemented or uncemented hip arthroplasty under regional (spinal or epidural) anesthesia.\n* ASA physical status I-III.\n* Mentally capable of providing informed consent.\n\nExclusion Criteria:\n\n* Pre-existing cognitive impairment or dementia (as assessed by the Mini-Mental State Examination).\n* Severe uncorrected visual or hearing impairments that prevent VR device tolerance.\n* Severe psychiatric disorders (e.g., schizophrenia, bipolar disorder).\n* General contraindications to regional anesthesia (e.g., localized back infection, severe coagulopathy).\n* Inability to physically tolerate or adjust to the VR headset","ALL","45 Months","75 Years",{"count":53,"type":54},40,"ESTIMATED","INTERVENTIONAL",[57],"NA","This study evaluates the effectiveness of Virtual Reality (VR) as a non-pharmacological intervention to reduce intraoperative anxiety and postoperative agitation in elderly patients undergoing elective hip arthroplasty under regional anesthesia. Half of the patients will experience an immersive, calming nature-based VR environment during the surgery, while the control group will receive standard care.",[60,61,62,63,64,65],"Hip Osteoarthritis","Hip Arthroplasty Replacement","Emergence Delirium, Anesthesia","Emergence Agitation","Hip Fracture Surgeries","Postoperative Anxiety","NOT_YET_RECRUITING","2026-07-14",{"date":69,"type":70},"2026-07-15","ACTUAL",{"date":72,"type":54},"2026-07-10",{"date":74,"type":54},"2026-09-15",{"name":5,"class":6}]