术后虚拟现实技术促进减肥手术后的恢复：随机临床试验的研究方案

BJA open Pub Date : 2024-02-05 DOI:10.1016/j.bjao.2024.100258

Juan P. Espinosa-Leon , Ryan Mathura , Guanqing Chen , Melisa Joseph , Trishna Sadhwani , Najla Beydoun , Edjay R. Hernandez , Tyler Riley , Valerie Goodspeed , Brian P. O'Gara

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引用次数: 0

摘要

背景减肥手术的术后恢复强化方案（ERAS）可改善临床效果。然而，ERAS 方案对患者满意度的影响尚不清楚。虚拟现实技术已经作为标准镇痛方案的有效辅助手段得到了应用。本研究旨在了解，与单纯的 ERAS 护理相比，术后初期的沉浸式虚拟现实是否能改善减肥手术患者的主观恢复质量，并进一步减少阿片类药物的需求。进入麻醉后护理病房（PACU）后，参与者将接受沉浸式虚拟现实加 ERAS 方案或单独 ERAS 方案。主要结果是 PACU 出院时的恢复质量-15 (QoR-15) 评分。次要结果包括 PACU 阿片类药物需求量、PACU 住院时间、PACU 疼痛评分、术后第 1 天的 QoR-15 评分、住院时间、阿片类药物需求量以及出院前阿片类药物相关不良反应。结论这项研究的积极发现可将虚拟现实技术作为 PACU 护理期间的非药物辅助手段，从而改善减肥手术患者的主观恢复情况。

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Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial

Background

Enhanced Recovery After Surgery (ERAS) protocols for bariatric surgery improve clinical outcomes. However, the impact of ERAS protocols on patient satisfaction is unknown. Virtual reality has been implemented as an effective adjunct to standard analgesic regimens. This study seeks to find out if immersive virtual reality in the immediate postoperative period could improve the subjective quality of recovery and further reduce opioid requirements for bariatric surgery patients compared with ERAS care alone.

Methods

This is a single-centre, randomised clinical trial of patients recovering from laparoscopic bariatric surgery. Once in the post-anaesthesia care unit (PACU), participants will receive either an immersive virtual reality plus ERAS protocol or ERAS protocol alone. The primary outcome will be the Quality of Recovery-15 (QoR-15) score at PACU discharge. Secondary outcomes include PACU opioid requirements, length of PACU stay, PACU pain scores, QoR-15 score on postoperative day 1, hospital length of stay, opioid requirements, and opioid-related adverse effects until hospital discharge.

Conclusions

Positive findings from this study could introduce virtual reality as a non-pharmacological adjunct during PACU care that improves subjective recovery for patients undergoing bariatric surgery.