Pleural effusion and pneumothorax are common conditions encountered in pulmonology departments and may require chest drainage. However, the chest drainage procedure can cause anxiety in patients, leading to discomfort during the procedure. The use of virtual reality (VR) for anxiety reduction has shown promising results in various medical contexts.

Inclusion Criteria:

• Age ≥ 18 years;
• Patient requiring Sledinger thoracic drainage for pneumothorax or pleural effusion in the pulmonology department of Nice University Hospital;
• Patient affiliated with social security;
• Signature of informed consent.

Exclusion Criteria:

• Immediate emergency situations;
• Anxiolytic, antidepressant, or psychotropic treatment already in place;
• Cognitive, behavioral, or psychiatric disorders;
• Language barrier;
• History of chest drainage or chest surgery;
• Hearing disorders without hearing aids;
• Vision disorders without corrective lenses (lack of binocular vision, blindness);
• Psychotic patients or patients diagnosed with psychiatric disorders;
• History of epilepsy;
• Current migraine;
• Patients for whom three-dimensional films are contraindicated (pacemaker or defibrillator);
• No social security coverage;
• Patients under guardianship/curatorship.