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More than 90% of hand surgery is performed under local anesthesia and can be a source of anxiety, especially in an emergency context. The management of this intraoperative anxiety is essential for the comfort. The use of a virtual reality headset has shown its effectiveness in reducing anxiety in dental surgery or hand surgery under local anesthesia with the WALANT technique. On the other hand, virtual reality and the use of 3D can cause discomfort and side effects such as nausea and dizziness. It is known that audiovisual distraction also effectively reduces pain and anxiety in patients with fewer side effects.
The investigators have therefore chosen to use the RELAX® glasses. There are no publications examining the effectiveness of positive distraction as a non-pharmacological agent to improve the patient experience during emergency management in the operating room in the context of hand surgery under locoregional anesthesia. The investigatos would like to study its action on the anxiety, pain and global satisfaction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group with RELAX® glasses | Experimental |
| |
| Group without RELAX® glasses | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RELAX® glasses | Behavioral | Glasses which are a solution of audiovisual sedation by positive distraction for hospital medical use. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in visual analogue scale anxiety scores after emergency hand surgery | The visual analogue anxiety scale from 0 to 10, with 0 meaning no anxiety and 10 very high anxiety. | In the 5 minutes after the end of emergency hand surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Overall satisfaction between the group using RELAX glasses and the group following the usual course (without RELAX glasses) measured by a visual analogue scale | The visual analogue satisfaction scale ranges from 0 to 10, with 0 meaning unsatisfaction and 10 indicating very high satisfaction. | Immediate postoperative |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier de Valenciennes | Valenciennes | 59300 | France |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Variation in pain between entering and leaving the operating theatre between the 2 arms using a visual analogue scale |
The visual analogue pain scale ranges from 0 to 10, with 0 meaning non pain and 10 meaning very high pain |
| In the 5 minutes after the end of emergency hand surgery |
| Rate of patients receiving at least one additional analgesic | Immediate after locoregional anaesthesia |
| Rate of patients receiving at least one additional anxiolytic | Immediate after locoregional anaesthesia |
| Pre-existing anxiety, only in patients receiving RELAX glasses, measured with the STAI-YB score | Only in patients receiving RELAX glasses : If the STAI-YB score is higher than 65, the patient is considered to have pre-existing anxiety. | 7-days after emergency hand surgery |