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18-01-2025 | Colonoscopy | Case Report Free for a limited time

Real Results from Virtual Sedation: Application to Colonoscopy

Authors: Giovanni Tomasello, Stefano Burgio, Alessandro Pitruzzella, Francesco Carini, Riccardo Chiodo, Domenico Bartolomeo, Danilo Canzio, Angelica Ancona, Augusto Lauro, Vito D’Andrea

Published in: Digestive Diseases and Sciences

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Excerpt

The aim of sedation during endoscopic procedures is to maintain the patient's comfort and sleepiness while avoiding very deep sedation, which could lead to respiratory depression and the loss of the cough and gag reflexes. In our institution, propofol is frequently used to profoundly sedate patients undergoing endoscopic procedures including colonoscopies and gastroscopies. A narrow therapeutic window exists for propofol, characterized by quick transitions from mild sleepiness to deep global anesthesia. The pharmacological response to propofol varies greatly from person to person. For example, obese patients with a STOP-BANG anesthesia risk score of 5 or higher may be particularly susceptible to the effects of propofol, since this medication may relax the soft tissues of the upper airways and lead to rapid oxygen desaturation and hypoxia, particularly in obese patients with a significantly lower functional residual capacity. Virtual sedation may be an excellent technique to limit the usage of hypnotics and anxiolytic treatment and their negative effects, as well as to prevent anxiety and unpleasant feelings during medical procedures. Currently, virtual sedation is promoted as a functional medical tool of particular utility in patient categories characterized by unexpected reactions such as pediatric patients [1]. …
Literature
1.
go back to reference Sanna G, Camporesi A, Diotto V, et al. Virtual sedation as a substitute to pharmacological sedation during PICC placement in pediatric patients: a feasibility study. J Vasc Access 2024; 25: 313–317.CrossRefPubMed Sanna G, Camporesi A, Diotto V, et al. Virtual sedation as a substitute to pharmacological sedation during PICC placement in pediatric patients: a feasibility study. J Vasc Access 2024; 25: 313–317.CrossRefPubMed
2.
go back to reference Faruki A, Nguyen T, Proeschel S, et al. Virtual reality as an adjunct to anesthesia in the operating room. Trials 2019; 27: 782.CrossRef Faruki A, Nguyen T, Proeschel S, et al. Virtual reality as an adjunct to anesthesia in the operating room. Trials 2019; 27: 782.CrossRef
3.
go back to reference Pandya PG, Kim TE, Howard SK, et al. Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study. Korean J Anesthesiol 2017; 70: 439–445.CrossRefPubMedPubMedCentral Pandya PG, Kim TE, Howard SK, et al. Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study. Korean J Anesthesiol 2017; 70: 439–445.CrossRefPubMedPubMedCentral
4.
go back to reference Bruno RR, Lin Y, Wolff G, et al. Virtual reality-assisted conscious sedation during transcatheter aortic valve implantation: a randomised pilot study. EuroIntervention 2020; 16: e1014–e1020.CrossRefPubMed Bruno RR, Lin Y, Wolff G, et al. Virtual reality-assisted conscious sedation during transcatheter aortic valve implantation: a randomised pilot study. EuroIntervention 2020; 16: e1014–e1020.CrossRefPubMed
5.
go back to reference Roxburgh T, Li A, Guenancia C, et al. Virtual reality for sedation during atrial fibrillation ablation in clinical practice: observational study. J Med Internet Res 2021; 23: e26349.CrossRefPubMedPubMedCentral Roxburgh T, Li A, Guenancia C, et al. Virtual reality for sedation during atrial fibrillation ablation in clinical practice: observational study. J Med Internet Res 2021; 23: e26349.CrossRefPubMedPubMedCentral
6.
go back to reference Moon JY, Shin J, Chung J, et al. Virtual reality distraction during endoscopic urologic surgery under spinal anesthesia: a randomized controlled trial. J Clin Med 2018; 8: 2.CrossRefPubMedPubMedCentral Moon JY, Shin J, Chung J, et al. Virtual reality distraction during endoscopic urologic surgery under spinal anesthesia: a randomized controlled trial. J Clin Med 2018; 8: 2.CrossRefPubMedPubMedCentral
7.
go back to reference Huang MY, Scharf S, Chan PY. Effects of immersive virtual reality therapy on intravenous patient-controlled sedation during orthopaedic surgery under regional anesthesia: a randomized controlled trial. PLoS ONE 2020; 15: e0229320.CrossRefPubMedPubMedCentral Huang MY, Scharf S, Chan PY. Effects of immersive virtual reality therapy on intravenous patient-controlled sedation during orthopaedic surgery under regional anesthesia: a randomized controlled trial. PLoS ONE 2020; 15: e0229320.CrossRefPubMedPubMedCentral
8.
go back to reference Yun M, Kim J, Ryu S, et al. The correlation between the STOP-BANG score and oxygen saturation during spinal anesthesia with dexmedetomidine sedation. Anesth Pain Med 2021; 16: 305–311.CrossRef Yun M, Kim J, Ryu S, et al. The correlation between the STOP-BANG score and oxygen saturation during spinal anesthesia with dexmedetomidine sedation. Anesth Pain Med 2021; 16: 305–311.CrossRef
10.
go back to reference Veldhuijzen G, Klaassen NJM, Van Wezel RJA, et al. Virtual reality distraction for patients to relieve pain and discomfort during colonoscopy. Endosc Int Open 2020; 8: E959–E966.CrossRefPubMedPubMedCentral Veldhuijzen G, Klaassen NJM, Van Wezel RJA, et al. Virtual reality distraction for patients to relieve pain and discomfort during colonoscopy. Endosc Int Open 2020; 8: E959–E966.CrossRefPubMedPubMedCentral
11.
go back to reference Friedman M, Rand K, Patel T, et al. A pilot study of virtual reality as an alternative to pharmacological sedation during colonoscopy. Endosc Int Open 2021; 9: E343–E347.CrossRefPubMedPubMedCentral Friedman M, Rand K, Patel T, et al. A pilot study of virtual reality as an alternative to pharmacological sedation during colonoscopy. Endosc Int Open 2021; 9: E343–E347.CrossRefPubMedPubMedCentral
12.
go back to reference Spinzi G, Belloni G, Martegani A, et al. Virtual colonoscopy. Minerva Gastroenterol Dietol 2002; 48: 7–11.PubMed Spinzi G, Belloni G, Martegani A, et al. Virtual colonoscopy. Minerva Gastroenterol Dietol 2002; 48: 7–11.PubMed
13.
go back to reference Cornelis FH, Monard E, Moulin MA, et al. Sedation and analgesia in interventional radiology: where do we stand, where are we heading and why does it matter? Diagn Interv Imaging 2019; 100: 753–762.CrossRefPubMed Cornelis FH, Monard E, Moulin MA, et al. Sedation and analgesia in interventional radiology: where do we stand, where are we heading and why does it matter? Diagn Interv Imaging 2019; 100: 753–762.CrossRefPubMed
14.
go back to reference Vanhaudenhuyse A, Laureys S, Faymonville M-E. Neurophysiology of hypnosis. Neurophysiol Clin 2014; 44: 343–353.CrossRefPubMed Vanhaudenhuyse A, Laureys S, Faymonville M-E. Neurophysiology of hypnosis. Neurophysiol Clin 2014; 44: 343–353.CrossRefPubMed
15.
go back to reference Rosay H. Auto-hypnosis before and during vascular access placement for better patient comfort. J Vasc Access 2017; 18: e50–e51.CrossRefPubMed Rosay H. Auto-hypnosis before and during vascular access placement for better patient comfort. J Vasc Access 2017; 18: e50–e51.CrossRefPubMed
Metadata
Title
Real Results from Virtual Sedation: Application to Colonoscopy
Authors
Giovanni Tomasello
Stefano Burgio
Alessandro Pitruzzella
Francesco Carini
Riccardo Chiodo
Domenico Bartolomeo
Danilo Canzio
Angelica Ancona
Augusto Lauro
Vito D’Andrea
Publication date
18-01-2025
Publisher
Springer US
Published in
Digestive Diseases and Sciences
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-024-08689-y