scholarly journals Examining the Feasibility of Early Mobilization with Virtual Reality Gaming Using Head Mounted Display and Adaptive Software with Adolescents in the Pediatric Intensive Care Unit: Case Report (Preprint)

10.2196/28210 ◽  
2021 ◽  
Author(s):  
Byron Lai ◽  
Maegen Powell ◽  
Anne Grace Clement ◽  
Drew Davis ◽  
Erin Swanson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Virtual Reality ◽  
Intensive Care ◽  
Case Report ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Early Mobilization ◽  
Adaptive Software ◽  
Head Mounted Display

scholarly journals Early Mobilization with Virtual Reality Head Mounted Display and Adapted Software is Likely Safe and Feasible for Children in the Pediatric Intensive Care Unit: A Brief Case Report (Preprint)

2021 ◽  
Author(s):  
Byron Lai ◽  
Maegen Powell ◽  
Anne Grace Clement ◽  
Drew Davis ◽  
Erin Swanson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Virtual Reality ◽  
Intensive Care ◽  
Usual Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Early Mobilization ◽  
Adaptive Software ◽  
Serious Adverse Events ◽  
Head Mounted Display

BACKGROUND Early rehabilitative mobilization for children is safe and feasible. However, there is a lack of published rehabilitation strategies and treatments that can maximize engagement and outcomes among children in the pediatric intensive care unit (PICU). Virtual reality (VR) gaming using a head mounted display (HMD) and adaptive software can allow active and non-active gameplay at the bedside for people with limited arm mobility, making it a potentially inclusive and enjoyable treatment modality for children in the PICU. OBJECTIVE The purpose of this brief case study is to report on the preliminary feasibility of incorporating adaptive VR gaming using a HMD with two children who received early mobility treatment within the PICU. METHODS This study was a mini-ethnographic investigation of two children (15 years, m / 13 years, m) in the PICU who underwent VR gaming sessions as part of their early mobilization care, using an Oculus Rift HMD and adaptive software (WalkinVR) that promoted full gameplay in bed. The Rift was plugged into a gaming laptop that was setup on a table within the patient’s room prior to each session. The intervention was delivered by an adapted exercise professional and supervised by a physical therapist. Patients had access to a variety of active (e.g., boxing, rhythmic movement-to-music, and exploratory adventure) and non-active games (e.g., racing and narrative adventure). Gaming sessions were scheduled between usual care, when tolerable and requested by the participant. The interventionist and therapists took audio recorded and written notes after completing each gaming session. These data were analyzed and presented in a narrative format from the perspective of the research team. RESULTS Case 1 participated in four gaming sessions with an average of 18 minutes per session. Case 2 participated in two sessions, an average of 35 minutes per session. Both cases were capable of performing active gaming at a moderate level of exercise intensity, as indicated by their heart rate. However, their health and symptoms fluctuated on a daily basis, which prompted gameplay of adventure or non-active games. Gameplay appeared to improve participants affect and alertness and motivate them to be more engaged in early mobilization therapy. Gameplay without the WalkinVR software caused several usability issues. There were no serious adverse events, but both cases experienced symptomology from their conditions. CONCLUSIONS Study findings suggested that VR gaming with HMDs and adaptive software is likely a feasible supplement to usual care for children within the PICU, and these findings warrant further investigation. Recommendations for future studies aiming to incorporate VR gaming within early mobilization are presented herein.

scholarly journals Early Mobilization in the Pediatric Intensive Care Unit: A Systematic Review

2015 ◽  
Vol 04 (04) ◽  
pp. 212-217 ◽  
Author(s):  
Beth Wieczorek ◽  
Christopher Burke ◽  
Ahmad Al-Harbi ◽  
Sapna Kudchadkar
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Early Mobilization

Provider Beliefs Regarding Early Mobilization in the Pediatric Intensive Care Unit

2018 ◽  
Vol 38 ◽  
pp. 15-19 ◽  
Author(s):  
Christine L. Joyce ◽  
Cosme Taipe ◽  
Brittany Sobin ◽  
Marissa Spadaro ◽  
Batsheva Gutwirth ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Early Mobilization ◽  
Provider Beliefs

Dantrolene-Induced Hepatitis: A Rare Culprit in the PICU

2020 ◽  
Author(s):  
Divij Pasrija ◽  
Shilpi Gupta ◽  
Amanda Hassinger
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Malignant Hyperthermia ◽  
Operating Room ◽  
Pediatric Intensive Care Unit ◽  
Side Effect ◽  
Hepatitis A ◽  
Pediatric Intensive Care ◽  
Anesthetic Agents

AbstractDantrolene is used for reversal of malignant hyperthermia and for improvement in spasticity following stroke which are Food and Drug Administration-approved indications. It is an infrequently used medication in the pediatric intensive care unit and is usually continued from the operating room or sedation suite after suspicion for malignant hyperthermia, secondary to other medications and anesthetic agents. Hepatitis has been described as a side effect of the medication after prolonged use and at doses of more than 100 mg/d mainly in adults. We described in this case report a patient in which the drug was used for sympathetic overactivity in the PICU and development of asymptomatic hepatitis on day 3 after starting the medication at a dose much lower than previously described.

Early Mobilization in the Pediatric Intensive Care Unit

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 250A-250A
Author(s):  
Blair Colwell ◽  
Cydni Williams ◽  
Laura Ibsen
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Early Mobilization
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