Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual Ones
Aims: Virtual reality hypnosis (VRH) has been used successfully in various clinical settings to decrease anxiety and the sensation of pain. We aimed to investigate the feasibility and safety of VRH in patients undergoing electrophysiology and pacing procedures under conscious sedation. Methods: Duri...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/13/3913 |
| _version_ | 1797408795985444864 |
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| author | Iklo Coulibaly Laura Sofia Cardelli Claire Duflos Lionel Moulis Bara Mandoorah Jean Nicoleau Leslie Placide François Massin Jean-Luc Pasquié Mathieu Granier |
| author_facet | Iklo Coulibaly Laura Sofia Cardelli Claire Duflos Lionel Moulis Bara Mandoorah Jean Nicoleau Leslie Placide François Massin Jean-Luc Pasquié Mathieu Granier |
| author_sort | Iklo Coulibaly |
| collection | DOAJ |
| description | Aims: Virtual reality hypnosis (VRH) has been used successfully in various clinical settings to decrease anxiety and the sensation of pain. We aimed to investigate the feasibility and safety of VRH in patients undergoing electrophysiology and pacing procedures under conscious sedation. Methods: During a two-month period, VRH support was proposed and accepted by 25 patients undergoing electrophysiological procedures. Data were compared with a control group (<i>n</i> = 61) enrolled during the following three-month period. Both groups underwent the measurement of the duration of intervention, the consumption of analgesics and hypnotics, and their pain and comfort using a validated visual analogue scale (VAS 0−10). Results: The baseline characteristics were comparable in both groups, including age. There were no differences in procedure duration (46 (±29) vs. 56 (±32) min, <i>p</i> = 0.18) or in hypnotic/antalgic consumption (midazolam 1.95 (±1.44) vs. 2.00 (±1.22) mg, <i>p</i> = 0.83; sufentanyl 3.78 (±2.87) vs. 3.58 (±2.48) μg, <i>p</i> = 0.9) between the control and VRH groups. In a multivariate analysis, the use of VRH was independently associated with lower comfort during the procedure assessed by postoperative visual analogue scale (OR 15.00 [95% CI 4.77−47.16], <i>p</i> < 0.01). There was no influence of VRH use on pain or drug consumption. Conclusions: In our experience, compared with VRH, human care is preferable during procedures in electrophysiology lab to improve the comfort of the patient. VRH has no influence on pain or drug consumption. |
| first_indexed | 2024-03-09T04:03:46Z |
| format | Article |
| id | doaj.art-93dca2471ffe41f6bf0f91dfb0e37fda |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T04:03:46Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-93dca2471ffe41f6bf0f91dfb0e37fda2023-12-03T14:09:15ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011113391310.3390/jcm11133913Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual OnesIklo Coulibaly0Laura Sofia Cardelli1Claire Duflos2Lionel Moulis3Bara Mandoorah4Jean Nicoleau5Leslie Placide6François Massin7Jean-Luc Pasquié8Mathieu Granier9Cardiology Department, CHU Montpellier, 34090 Montpellier, FranceCardiology Department, Ospedale Maggiore, 40133 Bologna, ItalyClinical Research and Epidemiology Unit, CHU Montpellier, 34090 Montpellier, FranceClinical Research and Epidemiology Unit, CHU Montpellier, 34090 Montpellier, FranceCardiology Department, CHU Montpellier, 34090 Montpellier, FranceCardiology Department, CHU Montpellier, 34090 Montpellier, FranceCardiology Department, CHU Montpellier, 34090 Montpellier, FranceCardiology Department, CHU Montpellier, 34090 Montpellier, FranceCardiology Department, CHU Montpellier, 34090 Montpellier, FranceCardiology Department, CHU Montpellier, 34090 Montpellier, FranceAims: Virtual reality hypnosis (VRH) has been used successfully in various clinical settings to decrease anxiety and the sensation of pain. We aimed to investigate the feasibility and safety of VRH in patients undergoing electrophysiology and pacing procedures under conscious sedation. Methods: During a two-month period, VRH support was proposed and accepted by 25 patients undergoing electrophysiological procedures. Data were compared with a control group (<i>n</i> = 61) enrolled during the following three-month period. Both groups underwent the measurement of the duration of intervention, the consumption of analgesics and hypnotics, and their pain and comfort using a validated visual analogue scale (VAS 0−10). Results: The baseline characteristics were comparable in both groups, including age. There were no differences in procedure duration (46 (±29) vs. 56 (±32) min, <i>p</i> = 0.18) or in hypnotic/antalgic consumption (midazolam 1.95 (±1.44) vs. 2.00 (±1.22) mg, <i>p</i> = 0.83; sufentanyl 3.78 (±2.87) vs. 3.58 (±2.48) μg, <i>p</i> = 0.9) between the control and VRH groups. In a multivariate analysis, the use of VRH was independently associated with lower comfort during the procedure assessed by postoperative visual analogue scale (OR 15.00 [95% CI 4.77−47.16], <i>p</i> < 0.01). There was no influence of VRH use on pain or drug consumption. Conclusions: In our experience, compared with VRH, human care is preferable during procedures in electrophysiology lab to improve the comfort of the patient. VRH has no influence on pain or drug consumption.https://www.mdpi.com/2077-0383/11/13/3913virtual reality hypnosisvirtual realityhypnosiselectrophysiologyinterventional cardiac electrophysiology |
| spellingShingle | Iklo Coulibaly Laura Sofia Cardelli Claire Duflos Lionel Moulis Bara Mandoorah Jean Nicoleau Leslie Placide François Massin Jean-Luc Pasquié Mathieu Granier Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual Ones Journal of Clinical Medicine virtual reality hypnosis virtual reality hypnosis electrophysiology interventional cardiac electrophysiology |
| title | Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual Ones |
| title_full | Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual Ones |
| title_fullStr | Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual Ones |
| title_full_unstemmed | Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual Ones |
| title_short | Virtual Reality Hypnosis in the Electrophysiology Lab: When Human Treatments Are Better than Virtual Ones |
| title_sort | virtual reality hypnosis in the electrophysiology lab when human treatments are better than virtual ones |
| topic | virtual reality hypnosis virtual reality hypnosis electrophysiology interventional cardiac electrophysiology |
| url | https://www.mdpi.com/2077-0383/11/13/3913 |
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