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Researchers examined the impact of a virtual reality (VR) distraction on pain and anxiety in children aged 4 to 11 years undergoing venipuncture or intravenous (IV) cannulation in a pediatric ED (123 patients) or outpatient lab (131 patients) in Australia. Children were randomized to use of a VR device with an “interactive underwater adventure” or standard care. Children rated pain immediately before and after the procedure. The primary outcome was the change from baseline pain.
In the ED, the VR group's pain was significantly decreased from baseline, whereas the control group had no change. In the lab setting, both groups experienced increased pain from the procedure (although the VR group's increase was less). Postprocedural anxiety, careg…