- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03677323
Evaluation of the Efficacy of VR on Pain and Anxiety When Performing an Ultrasound-controlled Ankle Block. (VRBLOC)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Currently, in preparation for forefoot surgery, the realization of the ankle block is accompanied by drug sedation.
The investigator's randomized study aims to compare the anxiety and pain experienced by patients who have benefited from drug sedation with those of patients who benefited from the virtual reality device at the time of the realization of the ankle block.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Montpellier, France, 34090
- Clinique Saint Jean
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient with medical insurance
- Major patient requiring a Hallux Valgus surgery
- Patient who received information about study and signes a consent to participate in the study
Exclusion Criteria:
- Minor patient
- Patient participating in another interventional study
- Patient refusing to sign the consent form
- Patient for whom it is impossible to give informed information
- Patient who had previously undergone forefoot surgery under locoregional anesthesia
- Patient with poor skin condition or infection at puncture sites
- Patient refusing locoregional anesthesia
- Patient under the protection of justice, under curatorship or under tutorship
- Patient undergoing anxiolytic or antidepressant treatment
- Photosensitive epileptic patient
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Virtual reality
The virtual reality device will consist of the virtual reality headset and headphones for full immersion.
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The patient will have the choice between different environments and the use of this device will remain under the control of the medical team. The patient will wear the virtual reality device at the time of the completion of the ankle block and will remove it once the nerve puncture is complete.
Other Names:
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Active Comparator: Drug sedation
The sedation group will benefit from drug sedation used in current practice, that is to say an association of Sufentanil, Droleptan and Propofol.
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Venous administration of 1.25 mg of Droleptan
Other Names:
Venous administration of 20 mg of Propofol
Other Names:
Venous administration of 5 μg of Sufentanyl.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Digital visual scale to assess pain of patients during the treatment
Time Frame: 5 min after the first nerve punction
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Numeric scale numbered from 0 to 10. 0: no pain 10 : worst possible pain
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5 min after the first nerve punction
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Digital visual scale to assess anxiety of patients during the treatment
Time Frame: 5 min after the first nerve punction
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Numeric scale numbered from 0 to 10. 0: no anxiety 10 : worst possible anxiety
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5 min after the first nerve punction
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Patient satisfaction questionnaire
Time Frame: 5 min after the last nerve punction
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Concerns all patients Numeric scale numbered from 0 to 10. 0: unsatisfied 10 : very satisfied
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5 min after the last nerve punction
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Patient comfort assessment questionnaire
Time Frame: 5 min after the last nerve punction
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Concerns all patients. This is a question to determine their comfort levels during the experiment. Numeric scale numbered from 1 to 5.
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5 min after the last nerve punction
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Thomas PILLANT, MD, Clinique Saint Jean, Montpellier
Publications and helpful links
General Publications
- Furman E, Jasinevicius TR, Bissada NF, Victoroff KZ, Skillicorn R, Buchner M. Virtual reality distraction for pain control during periodontal scaling and root planing procedures. J Am Dent Assoc. 2009 Dec;140(12):1508-16. doi: 10.14219/jada.archive.2009.0102.
- Mosso JL, Gorini A, De La Cerda G, Obrador T, Almazan A, Mosso D, Nieto JJ, Riva G. Virtual reality on mobile phones to reduce anxiety in outpatient surgery. Stud Health Technol Inform. 2009;142:195-200.
- Patterson DR, Jensen MP, Wiechman SA, Sharar SR. Virtual reality hypnosis for pain associated with recovery from physical trauma. Int J Clin Exp Hypn. 2010 Jul;58(3):288-300. doi: 10.1080/00207141003760595.
- Nilsson S, Finnstrom B, Kokinsky E, Enskar K. The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit. Eur J Oncol Nurs. 2009 Apr;13(2):102-9. doi: 10.1016/j.ejon.2009.01.003. Epub 2009 Feb 20.
- Konstantatos AH, Angliss M, Costello V, Cleland H, Stafrace S. Predicting the effectiveness of virtual reality relaxation on pain and anxiety when added to PCA morphine in patients having burns dressings changes. Burns. 2009 Jun;35(4):491-9. doi: 10.1016/j.burns.2008.08.017. Epub 2008 Dec 27.
- Wright JL, Hoffman HG, Sweet RM. Virtual reality as an adjunctive pain control during transurethral microwave thermotherapy. Urology. 2005 Dec;66(6):1320. doi: 10.1016/j.urology.2005.06.123.
- Burt DE. Virtual reality in anaesthesia. Br J Anaesth. 1995 Oct;75(4):472-80. doi: 10.1093/bja/75.4.472. No abstract available.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Musculoskeletal Diseases
- Foot Deformities
- Hallux Valgus
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Autonomic Agents
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Antiemetics
- Gastrointestinal Agents
- Analgesics, Opioid
- Narcotics
- Antipsychotic Agents
- Tranquilizing Agents
- Psychotropic Drugs
- Dopamine Agents
- Dopamine D2 Receptor Antagonists
- Dopamine Antagonists
- Hypnotics and Sedatives
- Adjuvants, Anesthesia
- Propofol
- Sufentanil
- Droperidol
Other Study ID Numbers
- LOCAL2017-TP02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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