Virtual Reality for ICU Delirium Prevention in Surgical ICU Patients

What this Trial Is About

Researchers are evaluating whether daily exposure to immersive virtual reality (VR) can reduce the occurrence of delirium in high-risk, non-intubated adult patients in the surgical intensive care unit (ICU). This study focuses on patients who are CAM-ICU negative at enrollment and have at least one known risk factor for delirium, such as advanced age, cognitive impairment history, sepsis, or recent major surgery. The goal is to explore a non-drug approach to help prevent delirium in the ICU setting. Participants will be randomly assigned to receive either standard ICU care alone or standard care plus daily 15-minute VR sessions for up to five days. These VR sessions feature calming natural scenes, guided meditation, and music, delivered through a head-mounted device. The study assesses the feasibility of using this VR intervention alongside usual delirium prevention measures. During the study, participants will be monitored daily for delirium using the CAM-ICU assessment, with evaluations in the morning and evening throughout their ICU stay, for up to 24 months after enrollment. Researchers will also track the duration of delirium, length of ICU and hospital stays, patient acceptance of VR sessions, and any adverse events such as nausea or dizziness. Participation involves regular assessments and safety monitoring until hospital discharge or completion of VR sessions.

Virtual Reality for ICU Delirium Prevention