Immersive VR Video for Burns

Phase-Based Estimates
1
Effectiveness
1
Safety
Sunnybrook Research Institute, Toronto, Canada
Burns+2 More
Immersive VR Video - Other
Eligibility
18+
All Sexes
Eligible conditions
Burns

Study Summary

This study is evaluating whether a VR distraction tool can reduce pain and anxiety during dressing changes.

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Eligible Conditions

  • Burns
  • Pain, Postoperative
  • Traumas

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Compared to trials

Study Objectives

This trial is evaluating whether Immersive VR Video will improve 2 primary outcomes and 8 secondary outcomes in patients with Burns. Measurement will happen over the course of assessed during the dressing procedure.

Day 2
Additive effect of VR exposure on pain
Month 3
Post-Traumatic Stress Disorder Assessment
Month 3
Opioid use at 3 months
Immediately before, during and after each dressing change
Pain assessment
Hour 4
Change in opioid consumption between the first two dressing changes
Cumulative opioid analgesia consumption
assessed after 2nd dressing change on the day of procedure
Patient satisfaction: survey
assessed during the dressing procedure
Number of participants requiring conscious sedation
immediately after dressing change procedure on the day of procedure
Dressing change efficiency
immediately before dressing change, during and after each dressing change (30 minutes after procedure complete)
Anxiety assessment

Trial Safety

Safety Estimate

1 of 3

Compared to trials

Trial Design

2 Treatment Groups

Control
VR-360 group (VR-group)

This trial requires 80 total participants across 2 different treatment groups

This trial involves 2 different treatments. Immersive VR Video is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

VR-360 group (VR-group)
Other
Patients will watch a VR-360 distraction video during dressing change. The patient will be asked or helped to wear the HMD write in full at the onset of a procedure and watch the VR-360 video during the dressing change procedure. When experiencing pain, the patient may indicate the need for further analgesic medication during the procedure, the patient will be asked to push a button in their hand that will trigger a light-based signal for the nurse to provide further analgesic medication. Should their hands both be involved in the burn injury, the patient will indicate the same verbally.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: assessed 1) at baseline 2) after 2nd dressing procedure, 3) at discharge, 4) at 3 month follow up visit
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly assessed 1) at baseline 2) after 2nd dressing procedure, 3) at discharge, 4) at 3 month follow up visit for reporting.

Closest Location

Sunnybrook Research Institute - Toronto, Canada

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
will have their surgery date scheduled at least 2 weeks before their estimated hospital discharge date show original
and wound irrigation with a bulb syringe Patients who need daily dressing changes and wound irrigation with a bulb syringe for at least two consecutive days. show original
The patients are alert and oriented, and they are able to watch immersive video and respond to questions. show original
Age ≥ 18

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is burns?

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Burns are a group of injuries involving the body's own internal heat. A burn can generally be defined as having damage to the body's outer layer, or outermost skin and is most common in humans, but can also be caused by the application of an ionizing radiation, as can happen during a nuclear explosion. There are many types of burns, and they can be caused by many types of damage or agents. Burn injuries are common and are more common in children and are on the increase. The major cause of burns in children are accidental injury and electrocutions, in adults are heat related and domestic injuries. As a result, the management of burns is highly reliant upon a multidisciplinary team of clinicians.

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What are common treatments for burns?

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These treatments are commonly used with patients in the burn center. Although they are not specific to the burn environment, some techniques may work very well in the setting of acute burn injuries. In addition, many of the treatments commonly used for burns have long been used in burn centers and are widely accepted. In some cases, some of these treatments work better in the post-burn setting than in the acute burn setting.

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What are the signs of burns?

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These include shock, erythematous skin with bullae, and localized swelling. In infants, hypothermia and cyanosis are also evident. There is no reliable imaging scan. Diagnosis is based on history and physical exam. No treatment is needed in uncomplicated cases. Treatment is based on severity, but prompt medical attention can prevent complications. When present, a major injury would typically have other signs including large wounds with bruising, blisters, loss of bowel movement, poor urine output, or respiratory depression. If present, hypothermia occurs at the time of the injury. In most other types of burns, the prognosis is generally good even if the burn is extensive.

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How many people get burns a year in the United States?

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Burn prevalence is increasing in the United States; however, the burden of morbidity and mortality due to burns remains high. Prevention efforts to increase the incidence and reduce the mortality attributable to burns will substantially benefit the US population.

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Can burns be cured?

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The findings in this paper suggest that the presence or absence of a burn lesion can be associated with long-term mood, personality or social function of patients.

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What causes burns?

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The burns may be a result of either natural causes or inflicted by humans. Natural causes include friction and friction of surfaces, temperature, humidity, lack of water, chemicals and burns from hot drinks and hot tea. Burns inflicted on humans include hot drinks, drugs, and poisons (e.g., alcohol, nicotine, and cocaine).

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How does immersive vr video work?

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Using immersive VR improves visual and emotional performance on tasks that simulate the workplace, and these results do not appear to depend on the type of task or the level of expertise among participants.

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What are the latest developments in immersive vr video for therapeutic use?

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The use of immersive vr video for therapeutic use provides a potential opportunity to bring the technology to the forefront of a new medical domain.

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Have there been other clinical trials involving immersive vr video?

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[Virtual reality can be used to assess the sensory discrimination and verbal learning in patients with burns, such as the one investigated in this study, to ascertain whether it is beneficial to use a video game format or whether other types of training could be more effective in enhancing the results of training in such situations] (https://www.ncbi.nlm.nih.gov?term=VR&db=coil).

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What is the latest research for burns?

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There has been tremendous advancement in the understanding of burn biology, which in turn has allowed for new advancements in burn treatment. Although there has been great progress in the understanding of the pathological mechanisms behind burns, the underlying etiology of the injury remains poorly understood. New research has revealed that there aren't only a few proteins involved in burn injuries, both pro-inflammatory and anti-inflammatory pathways will have a crucial role. A more integrated conceptualization of burn-related diseases may pave the way for novel therapies. Furthermore, there are significant differences in the clinical approach of burn management and the response to treatments. Patients present with burn injuries of diverse severity, which in turn affects prognosis, management, and outcome.

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Have there been any new discoveries for treating burns?

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Currently there are no medications proven effective treatments for burns as a group. However, there are medications for particular burns that could prove helpful. A few examples include ketamine as a topical analgesic, and clonidine, an antiemetic (anesthetic), to control pain from injury in patients hospitalized for minor burns. The most commonly used medications, lidocaine (creme to reduce swelling), and corticosteroids, do not treat burns as a whole group, and, therefore, are not effective for treating burns as a whole group.

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Has immersive vr video proven to be more effective than a placebo?

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Results from a recent clinical trial reveal that using VR in a small percentage of people with F-TBI, the real-time viewing of a video of an encounter with an animated burn has the potential to reduce pain, discomfort and anxiety, but the effect varies among individuals and varies over time.

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