© Copyright 2026 American Medical Association. All rights reserved.
Virtual reality (VR) procedural dissociation is a specialized technique utilized to assist in the management of pain and anxiety for patients undergoing various medical, surgical, or radiological procedures. This innovative approach may serve as an alternative to traditional anesthesia for a range of interventions, including but not limited to burn treatments, interventional radiology, and procedures within orthopedic, gastroenterology, or dermatology fields. The process involves the use of immersive and interactive VR experiences, which are delivered through a head-mounted display that is positioned over the patient's eyes. This device effectively creates a barrier to the external environment, allowing the patient to engage with a virtual setting that can distract from painful or anxiety-inducing stimuli. The VR software is designed to present three-dimensional images, accompanied by music and conversational elements, all aimed at enhancing the patient's sense of presence within the virtual world for a limited duration. This technique is applicable to both pediatric and adult populations. Importantly, when the same healthcare provider who is performing the diagnostic or therapeutic procedure also administers the VR dissociation service, the presence of an independent, trained observer is mandated. This observer is responsible for monitoring the patient's level of dissociation or consciousness, as well as their physiological status, ensuring that the patient remains safe and comfortable throughout the experience.
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