Intraoperative Virtual Reality for Older Patients Undergoing Total Knee Arthroplasty
Beth Israel Deaconess Medical Center
Summary
The objective of this study is to investigate whether the use of virtual reality (VR) during total knee arthroplasty (TKA) can facilitate reductions in intraoperative sedative requirements while maintaining high levels of patient satisfaction as compared to both a music and sham VR + usual care control.
Description
The investigators will conduct a three-armed randomized controlled trial with the following aims: Specific Aim 1: Evaluate whether the use of VR during TKA can facilitate a reduction in intraoperative propofol dose required for patient comfort as compared to music and sham VR + usual care controls. Hypotheses: Patients in both the VR and music groups will demonstrate reductions in propofol dose compared to sham VR + usual care controls. A reduction in propofol dose between the VR and music group will be smaller in magnitude. Specific Aim 2: Assess the effect of VR during TKA on patient repo…
Eligibility
- Age range
- 60+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Patients age 60 or older undergoing primary total knee replacement surgery at BIDMC and receiving spinal/regional anesthesia * English or Spanish speaking patients Exclusion Criteria: * Complex or revision surgeries * Patients scheduled for "same day" TKA * Open wounds or active infection of the face or eye area * History of seizures or other symptom linked to an epileptic condition * Patients who plan to wear hearing aids during the procedure * Patients with a pacemaker or other implanted medical device * Droplet or airborne precautions (as determined by local infecti…
Interventions
- OtherVirtual Reality Immersive Relaxation
The VR software developed allows patients to select from scenery such as mountains, the beach or from a selection of short videos, which are intended to promote relaxation.
- OtherImmersive Audio Experience
A study team member will play from a library of music or other audible content (audiobook, podcast) that was preselected by the patient.
- OtherSham Virtual Reality Experience
Subjects will wear VR headsets and headphones but will not view any content or listen to any audible content.
Location
- Beth Israel Deaconess Medical CenterBoston, Massachusetts