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A2375
October 14, 2018
10/14/2018 3:30:00 PM - 10/14/2018 5:00:00 PM
Room North, Room 22
Effect of Virtual Reality Hypnosis on Postoperative Pain and Morphine Consumption after Surgery for Scoliosis: A Retrospective Evaluation in Children
Anne Sophie Guilbert, M.D., Chloé Chauvin, M.D., Charlie De Melo, M.D., Aurelie Giraud-Comtet, M.D., Girish P. Joshi, M.B.,B.S., Pierre A. Diemunsch, M.D.,Ph.D., Eric Noll, M.D.
Hopitaux Universitaires de Strasbourg, Strasbourg, France
Disclosures: A. Guilbert: None. C. Chauvin: Other Material Support; Self; Co founder Hypno VR. C. De Melo: None. A. Giraud-Comtet: None. G.P. Joshi: None. P.A. Diemunsch: None. E. Noll: None.
Background: Hypnosis and virtual reality appears to be effective tools for the management of preoperative anxiety as well as acute and chronic pain [1-3]. The aim of this retrospective study was to evaluate the effects of virtual reality hypnosis (VRH) support on postoperative pain and opioids consumption in children undergoing scoliosis surgery.
Methods: Children schedulded for scoliosis surgery included in the study after ethics committee approval (FC/2018-11), and parental signed informed consent. Since May 2017, all children undergoing scoliosis surgery at our institution received postoperative VRH support (HypnoVR®, helmet Samsung Galaxy S7 Gear VR®) in addition to the usual postoperative pain management. A VRH session was performed once a day for 20 min during the first 72h postoperative period. The children undergoing the same procedure without VRH support before May 2017 were included in the control group. Data collected included the maximun postoperative pain scores/day, the total opioid dose, the number of postoperative vomiting episodes, request for supplemental treatment for pain and/or anxiety, time to oral intake, time to urinary catheter removal, time to getting up and hospital length of stay (LOS).
Results: 21 children were included. Groups were similar with respect to demographic characteristics. The VRH group had significantly lower need for supplemental treatment for anxiety, total postoperative opioid consumption, and incidence of vomiting, time to urinary catheter removal and time to getting up (Fig 1, Table 1). There was no difference in the LOS (137.7h in the control group versus125.5 h in the HVR group).
Discussion: To our knowledge, this is the first study assessing the postoperative use of the VHR in children. These findings of this pilot study are encouraging. Future larger randomized controlled trials are necessary to confirm our findings.
References
1.
Pain 2009; 142:255-263.
2.
International Journal of Clinical and Experimental Hypnosis 2006; 54:130-42.
3.
BMC Pediatrics 2005; 5:1-10.
Table 1: Postoperative outcomes in the control and virtual reality hypnosis (VRH) groups. Values are mean ± SD
Figure 1: Maximum pain scores (VAS) in the control and virtual reality hypnosis groups
Figure 1
Figure 2

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