Immersive Virtual Reality Used as Adjunct Anesthesia for Conversion Total Hip Arthroplasty in a 100-Year-Old Patient

Cameron K. Ledford; Michael J. VanWagner; Courtney E. Sherman; Klaus D. Torp

doi:10.1016/j.artd.2021.07.001

Immersive Virtual Reality Used as Adjunct Anesthesia for Conversion Total Hip Arthroplasty in a 100-Year-Old Patient

Cameron K. Ledford, Michael J. VanWagner, Courtney E. Sherman, Klaus D. Torp

Anesthesiology

Research output: Contribution to journal › Article › peer-review

Abstract

Immersive virtual reality (IVR) is an adjunctive form of anesthesia intended to distract patients from their intraoperative environment and reduce other side effects of sedating or narcotic agents. While this technology has been applied sparingly in various orthopedic procedural environments, its clinical utility has not been widely evaluated in major, nonelective surgical settings. The use of IVR in the geriatric hip fracture population represents a novel indication with potential benefit to reduced cognitive dysfunction and delirium. We report a case of a 100-year-old patient who received IVR adjunctive to neuraxial anesthesia during conversion total hip arthroplasty via posterolateral approach for treatment of failed peritrochanteric hip fracture fixation.

Original language	English (US)
Pages (from-to)	149-153
Number of pages	5
Journal	Arthroplasty Today
Volume	10
DOIs	https://doi.org/10.1016/j.artd.2021.07.001
State	Published - Aug 2021

Keywords

Centenarian
Hip fracture
Intertrochanteric fracture
Postoperative delirium
Spinal anesthesia
Total hip arthroplasty

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Access to Document

10.1016/j.artd.2021.07.001

Cite this

@article{bfddb9ae016c4f7cb19becfe1bb174fa,

title = "Immersive Virtual Reality Used as Adjunct Anesthesia for Conversion Total Hip Arthroplasty in a 100-Year-Old Patient",

abstract = "Immersive virtual reality (IVR) is an adjunctive form of anesthesia intended to distract patients from their intraoperative environment and reduce other side effects of sedating or narcotic agents. While this technology has been applied sparingly in various orthopedic procedural environments, its clinical utility has not been widely evaluated in major, nonelective surgical settings. The use of IVR in the geriatric hip fracture population represents a novel indication with potential benefit to reduced cognitive dysfunction and delirium. We report a case of a 100-year-old patient who received IVR adjunctive to neuraxial anesthesia during conversion total hip arthroplasty via posterolateral approach for treatment of failed peritrochanteric hip fracture fixation.",

keywords = "Centenarian, Hip fracture, Intertrochanteric fracture, Postoperative delirium, Spinal anesthesia, Total hip arthroplasty",

author = "Ledford, {Cameron K.} and VanWagner, {Michael J.} and Sherman, {Courtney E.} and Torp, {Klaus D.}",

note = "Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2021",

month = aug,

doi = "10.1016/j.artd.2021.07.001",

language = "English (US)",

volume = "10",

pages = "149--153",

journal = "Arthroplasty Today",

issn = "2352-3441",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Immersive Virtual Reality Used as Adjunct Anesthesia for Conversion Total Hip Arthroplasty in a 100-Year-Old Patient

AU - Ledford, Cameron K.

AU - VanWagner, Michael J.

AU - Sherman, Courtney E.

AU - Torp, Klaus D.

PY - 2021/8

Y1 - 2021/8

N2 - Immersive virtual reality (IVR) is an adjunctive form of anesthesia intended to distract patients from their intraoperative environment and reduce other side effects of sedating or narcotic agents. While this technology has been applied sparingly in various orthopedic procedural environments, its clinical utility has not been widely evaluated in major, nonelective surgical settings. The use of IVR in the geriatric hip fracture population represents a novel indication with potential benefit to reduced cognitive dysfunction and delirium. We report a case of a 100-year-old patient who received IVR adjunctive to neuraxial anesthesia during conversion total hip arthroplasty via posterolateral approach for treatment of failed peritrochanteric hip fracture fixation.

AB - Immersive virtual reality (IVR) is an adjunctive form of anesthesia intended to distract patients from their intraoperative environment and reduce other side effects of sedating or narcotic agents. While this technology has been applied sparingly in various orthopedic procedural environments, its clinical utility has not been widely evaluated in major, nonelective surgical settings. The use of IVR in the geriatric hip fracture population represents a novel indication with potential benefit to reduced cognitive dysfunction and delirium. We report a case of a 100-year-old patient who received IVR adjunctive to neuraxial anesthesia during conversion total hip arthroplasty via posterolateral approach for treatment of failed peritrochanteric hip fracture fixation.

KW - Centenarian

KW - Hip fracture

KW - Intertrochanteric fracture

KW - Postoperative delirium

KW - Spinal anesthesia

KW - Total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=85111996387&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85111996387&partnerID=8YFLogxK

U2 - 10.1016/j.artd.2021.07.001

DO - 10.1016/j.artd.2021.07.001

M3 - Article

AN - SCOPUS:85111996387

SN - 2352-3441

VL - 10

SP - 149

EP - 153

JO - Arthroplasty Today

JF - Arthroplasty Today

ER -

Immersive Virtual Reality Used as Adjunct Anesthesia for Conversion Total Hip Arthroplasty in a 100-Year-Old Patient

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this