• Blanca Toledo Del Castillo, Jorge Alejandro Pérez Torres, Lidia Morente Sánchez, María Escobar Castellanos, Laura Escobar Fernández, María Isabel González Sánchez, and Rosa Rodríguez Fernández.
• Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España; Sección de Hospitalización Pediátrica, Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: btoledodc@hotmail.com.
• An Pediatr (Barc). 2019 Aug 1; 91 (2): 80-87.

IntroductionPotentially painful invasive procedures are often performed for diagnostic or therapeutic purposes in hospitalised paediatric patients. Approaches, such as virtual reality (VR), should be sought in order to minimise pain and anxiety during these procedures.Materials And MethodsHospitalised patients between 4 and 15-years-old requiring an invasive procedure were included. Pain and anxiety evaluation scales were given to children, relatives and health workers. A comparison was made with patients in whom VR was used (with or without concomitant use of a prilocaine/ lidocaine 2.5% analgesic cream) and patients in whom neither VR nor analgesic cream were used.ResultsThe study included 58 patients, 38 in the VR group and 20 in the control group. Pain scores, as performed by patients, relatives and health workers, significantly decreased in the VR group (control group median 4/5 vs. VR group median 1/5, P<.001). Patient-reported anxiety scales were also lower in the VR group (control group median 4/5 vs. VR group 1/5, P=.001). The number of punctures (R2: 0.5, β: 0.6; P=.01) and the lack of analgesic techniques (β: -0.9; P=.02) were associated with higher scores in patient-reported pain scales.CommentsThe use of VR can reduce pain and anxiety during invasive procedures in hospitalized children.Copyright © 2018 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

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