Evidence map›Paper›PMID 34042589›Full record

Observational studyJournal of medical Internet research2021

Virtual Reality for Sedation During Atrial Fibrillation Ablation in Clinical Practice: Observational Study.

Thomas Roxburgh, Anthony Li, Charles Guenancia, Patrice Pernollet, Claire Bouleti, Benjamin Alos, Matthieu Gras, Thomas Kerforne, Denis Frasca, François Le Gal and 3 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06515873 (Evaluating the Acceptability of Virtual Reality Headsets During Surgery Under Spinal Anesthesia in Elderly Patients. Seniors' Intraoperative Management Under Locoregional Anesthesia Integrating Virtual Reality), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06515873 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluating the Acceptability of Virtual Reality Headsets During Surgery Under Spinal Anesthesia in Elderly Patients. Seniors' Intraoperative Management Under Locoregional Anesthesia Integrating Virtual Reality (SILVR)

TypeinterventionalSponsorCiusss de L'Est de l'Île de MontréalRan2024 to 2025Enrolled55ConditionsVirtual Reality, Spinal AnesthesiaArmsVirtual Reality Headset
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  6. Extended reality in cardiovascular care: a systematic review.European heart journal. Digital health · 2025
    Review
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  8. Article
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  10. Review
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  13. Article
  14. 360° Virtual reality to improve patient education and reduce anxiety towards atrial fibrillation ablation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Thomas RoxburghDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0002-9440-6487
Anthony LiCardiology Clinical Academic Group, St George's, University of London, London, United Kingdom.ORCID 0000-0001-5516-1117
Charles GuenanciaCardiology Department, University Hospital of Dijon, Dijon, France.ORCID 0000-0002-3554-7714
Patrice PernolletDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0002-2815-2933
Claire BouletiDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0001-6922-0093
Benjamin AlosDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0002-6434-2873
Matthieu GrasDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0003-4475-7868
Thomas KerforneDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0002-0611-4100
Denis FrascaDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0003-1230-715X
François Le GalDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0002-2235-872X
Luc ChristiaensDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0001-7245-7542
Bruno DegandDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0003-4878-2075
Rodrigue GarciaDepartment of Anesthesia and Critical Care, University Hospital of Poitiers, Poitiers, France.ORCID 0000-0001-9350-2437
Université de Poitiers · FRMaison des Sciences sociales et des Humanités de Dijon · FRSt George's, University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConnected devices are dramatically changing many aspects in health care. One such device, the virtual reality (VR) headset, has recently been shown to improve analgesia in a small sample of patients undergoing transcatheter aortic valve implantation.

objectiveWe aimed to investigate the feasibility and effectiveness of VR in patients undergoing atrial fibrillation (AF) ablation under conscious sedation.

methodsAll patients who underwent an AF ablation with VR from March to May 2020 were included. Patients were compared to a consecutive cohort of patients who underwent AF ablation in the 3 months prior to the study. Primary efficacy was assessed by using a visual analog scale, summarizing the overall pain experienced during the ablation.

resultsThe AF cryoablation procedure with VR was performed for 48 patients (mean age 63.0, SD 10.9 years; n=16, 33.3% females). No patient refused to use the device, although 14.6% (n=7) terminated the VR session prematurely. Preparation of the VR headset took on average 78 (SD 13) seconds. Compared to the control group, the mean perceived pain, assessed with the visual analog scale, was lower in the VR group (3.5 [SD 1.5] vs 4.3 [SD 1.6]; P=.004), and comfort was higher in the VR group (7.5 [SD 1.6] vs 6.8 [SD 1.7]; P=.03). On the other hand, morphine consumption was not different between the groups. Lastly, complications, as well as procedure and fluoroscopy duration, were not different between the two groups.

conclusionsWe found that VR was associated with a reduction in the perception of pain in patients undergoing AF ablation under conscious sedation. Our findings demonstrate that VR can be easily incorporated into the standard ablation workflow.

Indexed as

Atrial FibrillationCatheter AblationVirtual RealityFemaleHumansMaleMiddle AgedPainPain ManagementTreatment Outcomeatrial fibrillationconnected devicespain managementvirtual reality

Identifiers

PMID34042589
PMCPMC8193475
OpenAlexW3164162050

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.