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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
[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).
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.
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.
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.