ArticleArthroplasty today2022
Perioperative Outcomes of Immersive Virtual Reality as Adjunct Anesthesia in Primary Total Hip and Knee Arthroplasty.
Article in Arthroplasty today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06244654 (Anxiolytic Effectiveness of Virtual Reality Glasses in Upper Extremity Surgery), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Anxiolytic Effectiveness of Virtual Reality Glasses in Upper Extremity Surgery
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Virtual Reality Is Safe and Can Reduce In-Hospital Anxiety and Pain: A Systematic Review With Meta-Analyses and Trial Sequence Analyses.European journal of pain (London, England) · 2025Pooled it
- A Body-Driven Mind: Effects of Conventional and Non-Immersive Virtual Reality-Based Physiotherapy on Cognitive Function in Older Orthopedic Patients.Clinical interventions in aging · 2026Trial
- Use of extended reality, virtual reality, augmented reality and mixed reality in clinical practice, education and research in knee arthroplasty: A scoping review.Journal of experimental orthopaedics · 2026Article
- Perioperative virtual reality and neuropsychiatric outcomes: a scoping review.Perioperative medicine (London, England) · 2026Review
- Virtual reality in perioperative medicine: An evidence-based systematic review and meta-analysis.Indian journal of anaesthesia · 2026Article
- Digital Doses: Virtual Reality Use for Perioperative Pain and Anxiety in Patients Undergoing Hand Surgery.Journal of hand surgery global online · 2025Article
- Immersive Virtual Reality for Postoperative Pain Among Older Adults: A Scoping Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Review
- Current Clinical and Educational Uses of Immersive Reality in Anesthesia: Narrative Review.Journal of medical Internet research · 2025Review
- Virtual Reality for Postoperative Pain Management: A Review of Current Evidence.Current pain and headache reports · 2024Review
- Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2024Review
- Virtual Reality as a Nonpharmacological Tool for Acute Pain Management: A Scoping Review.Innovations in clinical neuroscienceReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Immersive virtual reality (IVR) is utilized as an adjunct to anesthesia to distract patients from their intraoperative environment, thereby potentially reducing sedative and narcotic medication usage. This study evaluated intraoperative and acute postoperative results of patients undergoing primary total hip (THA) and total knee arthroplasty (TKA) with and without IVR. Methods: Utilizing IVR as an adjunct to spinal anesthesia, 18 primary THAs (n = 8) and TKAs (n = 10) were performed. These cases were 1:2 matched based on procedure type, age, sex, and body mass index to those performed without IVR. Intraoperative and postanesthesia care unit sedative/narcotic usage, vital signs, and pain scores were compared. Acute perioperative outcomes, including 24-hour oral morphine equivalent (OME), first ambulation distance, length of stay, and 30-day complications, were also analyzed. Pearson Chi-square and Wilcoxon-Mann-Whitney tests evaluated categorical and continuous variables, respectively. Results: When compared to non-IVR primary THAs and TKAs, those performed with IVR utilized significantly less intraoperative sedation (48 mg vs 708 mg of propofol; Conclusions: The use of spinal anesthesia with the IVR adjunct to perform primary THAs and TKAs appears to be well-tolerated and associated with less intraoperative sedative medication usage than spinal anesthesia alone.
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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.