Evidence map›Paper›PMID 34269867›Full record

Trial reportPediatric surgery international2021

Small surgeries, big smiles: using virtual reality to reduce the need for sedation or general anesthesia during minor surgical procedures.

Jordan S Taylor, Julia M Chandler, Maria Menendez, Modupeola Diyaolu, John R Austin, Michelle L Gibson, Katherine I Portelli, Thomas J Caruso, Samuel Rodriguez, Stephanie D Chao

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric surgery international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05267704 (Evaluating the Feasibility of Virtual Reality for Procedural Sedation in Pediatric Renal Biopsy Patients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.7field-weighted citation impact, top 5% 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.

NCT05267704 nacompletednot on this mapstarted 2022, after this paper: background citation

Evaluating the Feasibility of Virtual Reality for Procedural Sedation in Pediatric Renal Biopsy Patients

TypeinterventionalSponsorUniversity of California, San FranciscoRan2022 to 2024Enrolled32ConditionsPain, Procedural, Procedural Anxiety, Sedation ComplicationArmsOculus Go Virtual Reality Headset
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Jordan S Taylor *Department of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA.
Julia M Chandler *Department of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA.
Maria MenendezDepartment of Anesthesia, Stanford University, Stanford, CA, USA.
Modupeola DiyaoluDepartment of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA.
John R AustinDepartment of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA.
Michelle L GibsonDepartment of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA.
Katherine I PortelliDepartment of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA.
Thomas J CarusoDepartment of Anesthesia, Stanford University, Stanford, CA, USA.
Samuel Rodriguez *Department of Anesthesia, Stanford University, Stanford, CA, USA.
Stephanie D Chao *Department of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA. sdchao1@stanford.edu.ORCID http://orcid.org/0000-0003-0139-8551
Stanford University · USStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChildren often require anesthesia for simple diagnostic and therapeutic procedures. The aim of this study was to evaluate the feasibility of using virtual reality (VR) to reduce sedation in children undergoing minor surgical procedures.

methodIn this prospective, non-randomized clinical trial, pediatric patients at a free-standing children's hospital undergoing hormone implant placement, removal, or exchange were recruited to use VR and local anesthesia instead of procedural sedation or general anesthesia (GA). Patients were enrolled between November 2017 and March 2020, and were compared to historic controls who underwent similar procedures without VR between April 2016 and February 2020. Primary outcome measure was successful procedure completion without sedation or GA. Secondary measures included assessments of pain, fear and anxiety, patient compliance, procedural and recovery times.

resultsTwenty-eight patients underwent 29 procedures with VR. Hormone implants (72%), removals (7%), or exchanges (21%) were completed without GA, sedation or IV placement. Procedure lengths and pain scores were similar between VR patients and historic controls, but recovery times were significantly shorter in VR patients (18 vs 65 min, p < 0.001). Participant satisfaction scores were high, with 95% recommending VR to others.

conclusionsVR is a feasible alternative to sedation or GA for select pediatric patients undergoing minor surgical procedures.

Indexed as

Virtual RealityAnesthesia, GeneralAnxietyChildHumansMinor Surgical ProceduresProspective StudiesAnesthesiaDistractionPediatricsSedationSurgeryVirtual reality

Identifiers

PMID34269867
OpenAlexW3182107333

What OpenQuestion holds

Textmetadata
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.