Status:

COMPLETED

Evaluation of the Effectiveness of Virtual Reality as an Adjunct to Standard Care in Managing Perioperative Anxiety and Pain in Patients Undergoing Lower Limb Orthopedic Surgery Under Spinal Anesthesia

Lead Sponsor:

University of Sfax

Conditions:

Perioperative Anxiety

Perioperative Pain Management

Eligibility:

All Genders

19-64 years

Phase:

NA

Brief Summary

The goal of this clinical trial is to evaluate whether virtual reality (VR) can effectively reduce perioperative anxiety and pain in patients undergoing lower limb orthopedic surgery under spinal anes...

Detailed Description

This randomized controlled clinical trial investigates the effect of immersive virtual reality (VR) on the management of perioperative anxiety and pain in patients undergoing elective lower limb ortho...

Eligibility Criteria

Inclusion

  • \- Inclusion Criteria :
  • Age between 19 and 64 years
  • American Society of Anesthesiologists (ASA) physical status classification I or II (Annex 1)
  • Scheduled for lower limb orthopedic surgery under spinal anesthesia
  • Provided informed consent to participate in the study
  • Non-Inclusion Criteria :
  • Patient refusal to participate in the study
  • Contraindications to virtual reality (VR) (Patients with cognitive or psychiatric disorders, Claustrophobia, Uncontrolled epilepsy, Visual and/or auditory impairments preventing the use of VR)
  • Contraindications to midazolam: known hypersensitivity to benzodiazepines or any excipient of the product
  • Patients currently taking anxiolytic medications
  • Contraindications to regional anesthesia (spinal anesthesia), (Coagulation disorders, Shock or uncompensated hypovolemia, Unstable arterial hypertension, Decompensated heart failure, Severe aortic or mitral stenosis, Intracranial hypertension, Infection near the puncture site, Progressive neurological disorders, Allergy to local anesthetics, Technical difficulties in performing spinal anesthesia)

Exclusion

  • Failure of spinal anesthesia requiring conversion to general anesthesia
  • Occurrence of an anesthetic or surgical complication
  • Occurrence of an adverse effect related to virtual reality, such as (Dizziness, Ocular or muscular contractions triggered by light stimulation, Signs of discomfort : eye strain, blurred vision, disorientation, imbalance, anxiety attack, headache, nausea, vomiting)

Key Trial Info

Start Date :

September 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 30 2025

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT07134764

Start Date

September 1 2024

End Date

July 30 2025

Last Update

August 21 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Habib Bourguiba University Hospital

Sfax, Tunisia, 3000