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Mobilization in Neurocritical Care: Challenges and Opportunities.

Curr Neurol Neurosci Rep

December 2024

Department of Neurology, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Purpose Of Review: Mobilization in the Neurological Intensive Care Unit (NICU) significantly improves outcomes and functional recovery while preventing immobility-related complications. The heterogeneity of neurologic conditions necessitates tailored, interdisciplinary mobilization strategies. This article reviews recent research on enhancing the feasibility and effectiveness of mobilization interventions in NICU settings.

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Background: In an aging surgical patient population, preventing complications such as oversedation has taken increasing priority in perioperative care. Intraoperative use of virtual reality (VR) may decrease sedative requirements. We hypothesize that the use of immersive VR during total knee arthroplasty (TKA) will lead to decreased propofol requirements, improved patient-reported satisfaction, and reduced postoperative opioid requirements compared to active and usual care controls.

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Using Compressed Virtual Reality Exposure Therapy for an Adult Critical Illness Survivor: A Case Report.

Crit Care Nurse

December 2024

Caitlin L. Cox is a clinical research coordinator at the Orlando Health Heart & Vascular Institute, Orlando, and a PhD student in the University of Central Florida College of Nursing.

Article Synopsis
  • Nearly 25% of adult survivors of critical illness experience PTSD symptoms after ICU discharge, often triggered by sensory stimuli, with delirium being a significant risk factor for PTSD.
  • A case study involved a survivor who faced PTSD symptoms and fears of illness that led her to self-isolate, which prompted her to participate in a clinical trial for Compressed Virtual Reality Exposure Therapy (C-VRET).
  • Post-therapy results showed significant reductions in PTSD and depression scores, increases in physical activity, and improvements in resiliency, indicating C-VRET's potential effectiveness for PTSD in critical illness survivors.
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Purpose: We aimed to develop a simulation program for physicians and nurses involved in virtual reality (VR) and augmented reality (AR) treatment and care from the perspective of these professionals and older adults with dementia who developed delirium, and to test the effectiveness of the program.

Methods: effectiveness of the program was analyzed through free-response statements from 67 nurses (84.8%) and 12 doctors (15.

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