We hypothosize that audio-visual immersion by using high-quality video glasses with surround sound headphones can reduce pain and anxiety scores. Furthermore, we anticipate that patient satisfaction in these patients will increase.
ID
Bron
Verkorte titel
Aandoening
wrist fracture, distal radius fracture, audiovisual, immersion, pain, anxiety, satisfaction, emergency department
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Pain perception is measured using the VAS. The VAS-P is an 11 point scale ranging up from 0 to 10. With 0 indicating “no pain” and 10 indicating “the worst pain possible”. Pain perception is measured at two intervals. The first measurement will be just before putting on the glasses, last one immediately after the procedure. During the last measurement the patients will be asked to grade the maximum pain score of the local anaesthetic placement an of the procedure (fracture reduction) that took place.
Doel van het onderzoek
We hypothosize that audio-visual immersion by using high-quality video glasses with surround sound headphones can reduce pain and anxiety scores. Furthermore, we anticipate that patient satisfaction in these patients will increase.
Onderzoeksopzet
right before and right after the intervention
Onderzoeksproduct en/of interventie
The intervention group will be provided with the audiovisual headset device as soon as the patient is placed in the room where the procedure will take place. The device will be worn during the placement of the local anaesthetic and continued to be worn during the short surgical procedure. At all times the device can be removed if the patient feels uncomfortable or if the treating physician deems it necessary.
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
- Dislocated wrist fracture with an indication for repositioning in the ED under local anaesthesia with lidocaine
- Age >18 years old
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
• Individuals not being able to understand Dutch language at primary school level
• Individuals not being able to read or write Dutch
• Individuals who are unable to sign informed consent owing to mental/psychiatric disorder or formally stated to be incompetent to decide
• Individuals not willing or able to sign informed consent for the proposed study
• Individuals with a history of loss of central or peripheral field of vision on either eye
• Individuals with a history of either conductive, sensorineural or mixed hearing loss
• Individuals wearing hearing devices on either ear
• Individuals with a known history of anxiety disorder
• Individuals with an alcohol, drug dependency problem or intoxication
• Individuals using chronic opioid pain medication
• Individuals with a fracture or dislocated joint that requires immediate surgery in the operating theatre or a fracture which is > 24 hours old
• Individuals with a known allergy or other contra-indication for the use of lidocaine
• Individuals with a multi-trauma (excluding superficial wounds and minor contusions)
• Second reduction attempt (after cast immobilization) of same fracture
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL7473 |
| NTR-old | NTR7715 |
| CCMO | NL67837.018.18 |
| OMON | NL-OMON49868 |