Published 2025-06-01
Keywords
- virtual reality,
- pain,
- pain management,
- distraction
How to Cite
Copyright (c) 2025 Stephanie Smith, Sofia Addab, Kelly Thorstad, Reggie Hamdy, Argerie Tsimicalis

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Abstract
Medical procedures, like IV insertions and pin removals, may cause pain and anxiety in children. While preventable, high rates of procedural pain persist in hospitals. The use of distraction, such as virtual reality (VR), offers a non-pharmacological approach for pain and anxiety management during medical procedures. More specifically, VR is an immersive technology that brings the user into a three-dimensional world that looks and feels real. The illustration depicts how VR works to decrease pain perception through the analogy of a tug-of-war between pain signaling and VR. During a medical procedure, a child``'s attention may be focused on the IV poke, increasing pain perception. However, if the child is immersed in a VR game during their medical procedure, the VR pulls the brain's attention away from the IV poke towards an imaginary and pleasant world. As VR is immersive and interactive, it consumes more attention than pain, thereby decreasing pain perception, and winning the tugr-of-war. Despite the evidence for VR, there is a 20-year gap in the implementation of VR across child healthcare settings. Our team is currently investigating the barriers, facilitators, and contextual challenges for VR use in child healthcare, and in parallel developing tools to disseminate research evidence and facilitate intergation of VR into the standard of care. This illustration serves as reminder of how VR is thought to help with pain management. To learn more about VR, visit: https://www.mcgill.ca/virtualrealityforchildcare/
Downloads
References
- Addab, S., Hamdy, R., Le May, S., Thorstad, K., & Tsimicalis, A. (2022). The use of virtual reality during medical procedures in a pediatric orthopedic setting: A mixed‐methods pilot feasibility study. Paediatric and Neonatal Pain. https://doi.org/10.1002/pne2.12078
- Addab, S., Hamdy, R., Thorstad, K., Le May, S., & Tsimicalis, A. (2022). Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review. Journal of clinical nursing, 31(21-22), 3032–3059. https://doi.org/10.1111/jocn.16217