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 fin...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | BJA Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772609624000029 |
| _version_ | 1827324645098913792 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Juan P. Espinosa-Leon |
| collection | DOAJ |
| description | 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. Clinical trial registration: NCT04754165. |
| first_indexed | 2024-03-07T13:59:03Z |
| format | Article |
| id | doaj.art-56e5d207bcb84168b58faa20a675a0ac |
| institution | Directory Open Access Journal |
| issn | 2772-6096 |
| language | English |
| last_indexed | 2024-03-07T13:59:03Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | BJA Open |
| spelling | doaj.art-56e5d207bcb84168b58faa20a675a0ac2024-03-07T05:30:42ZengElsevierBJA Open2772-60962024-03-019100258Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trialJuan P. Espinosa-Leon0Ryan Mathura1Guanqing Chen2Melisa Joseph3Trishna Sadhwani4Najla Beydoun5Edjay R. Hernandez6Tyler Riley7Valerie Goodspeed8Brian P. O'Gara9Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA; Corresponding author.Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA; University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA; The University of Central Florida College of Medicine, Orlando, FL, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USABeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USABackground: 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. Clinical trial registration: NCT04754165.http://www.sciencedirect.com/science/article/pii/S2772609624000029metabolic and bariatric surgeryopioid sparingpostoperative painsubjective recoveryvirtual reality |
| spellingShingle | 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 Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial BJA Open metabolic and bariatric surgery opioid sparing postoperative pain subjective recovery virtual reality |
| title | Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial |
| title_full | Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial |
| title_fullStr | Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial |
| title_full_unstemmed | Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial |
| title_short | Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial |
| title_sort | postoperative virtual reality for recovery after bariatric surgery study protocol for a randomised clinical trial |
| topic | metabolic and bariatric surgery opioid sparing postoperative pain subjective recovery virtual reality |
| url | http://www.sciencedirect.com/science/article/pii/S2772609624000029 |
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