Virtual Reality for Intensive Care Unit Delirium

This trial explores whether virtual reality (VR) can help prevent delirium in patients in the surgical intensive care unit (ICU). Participants will receive either standard ICU care or standard care plus a daily 15-minute VR session featuring calming scenes, meditation, and music. The goal is to determine if these VR sessions can reduce the occurrence and duration of delirium and potentially shorten hospital stays. The study seeks adult surgical ICU patients at Cedars-Sinai who are not experiencing delirium at the start and have at least one risk factor, such as recent major surgery or a history of cognitive impairment. As an unphased trial, this study offers patients the chance to contribute to innovative research that could enhance ICU care.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that using virtual reality (VR) in medical settings is generally safe and well-tolerated. Studies have found that VR can effectively help prevent confusion in ICU patients without causing serious side effects. For example, a review of VR use in ICUs revealed that patients often felt calmer and experienced better mental health outcomes without any major negative incidents.

Researchers are excited about using virtual reality (VR) for ICU delirium because it offers a non-invasive, immersive experience that can engage patients' senses and potentially reduce their confusion and anxiety. Unlike standard treatments for ICU delirium, which often involve medications like antipsychotics or sedatives, VR is drug-free and minimizes the risk of medication side effects. Additionally, VR has the potential to transport patients to calming environments, which might help in stabilizing their mental state more quickly and comfortably than traditional methods.

Research has shown that virtual reality (VR) can reduce confusion and disorientation, known as delirium, in intensive care unit (ICU) patients. In this trial, some participants will receive standard ICU delirium prevention, while others will receive the study ICU delirium prevention along with VR treatment. Previous studies found that patients using VR experienced more delirium-free days over two weeks. They also slept better, which is important for preventing delirium. VR often includes calming scenes and guided meditation to help relax patients. This drug-free method shows promise in supporting ICU patients at risk of delirium.⁴⁶⁷⁸⁹