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An Edinburgh children’s hospital has become one of the first in Scotland to use a virtual reality headset to help children prepare for surgery.Patients at the Royal Hospital for Children and Young People (RHCYP) will now be able to prepare for surgery through an immersive virtual reality (VR) experience.
Thanks to funding from the Hearts & Minds charity, the home of the Clowndoctors, and NHS Lothian charity, the RHCYP will launch its first VR film alongside five headsets this week as part of an innovative pilot.
A number of patients and staff members were involved in the development of the VR pilot including Isla Burns, 14, who advised on the script with Hearts & Minds and recorded the introduction.
The schoolgirl takes centre stage in the project after undergoing ten operations and surgical procedures since she was two-years-old and is keen to reassure and help other children and young people.
Isla from Edinburgh had surgery at the RHCYP to lengthen her left leg which had developed to be 8cm shorter than her right. She underwent an initial 8-hour surgery where her leg was broken and then encased in a brace which screwed 26 metal pins into her leg.
Every day, her mum Annabelle had to turn the pins to move Isla’s bones further apart, encouraging a ‘ghost bone’ to grow in between.
Isla said:“When I was a little younger and virtual reality wasn’t used in hospitals yet, it was hard to visualise what would happen before my operations by chatting it through.
“This virtual reality film will help young people by allowing them to see what the wards look like and get an idea of how the whole process works. It is a great visual tool that will help so many kids prepare for their operations and feel less anxious about what is to come.”
After the operation, Isla’s leg grew 7cm in just seven weeks. She has since had had a further 9 surgeries and spent a full year learning to walk again under the guidance of physiotherapists at the RHCYP.
Under Isla’s guidance, the VR film features the Clowndoctors who are about to undergo surgery at the RHCYP. Alongside the help of NHS Lothian staff, the Clowndoctors showcase a virtual walk through of the pre-operation journey; from the surgical ward, into the anaesthetic room and then into theatre.
Isla used her own experiences to help the Clowndoctors outline every step of the process and put the minds of younger patients at ease.
The film, which was produced by filmmakers Neon8 who initiated the project with Hearts & Minds, uses cutting-edge technology which enables patients to have a gentle immersive viewing experience while remaining seated or reclined.
The VR pilot is being rolled out within the hospital and will be managed by Play Specialists who generally prepare children for surgery.
Allister Short, Director of Women’s and Children’s Services at NHS Lothian, said:“I would like to especially thank Isla and her family alongside our staff and charity partners who helped to craft this extraordinary VR film.
“When a child is about to have surgery, it is often an emotionally unsettling time for the entire family. It’s hoped that the VR headsets will help to alleviate patient’s anxieties before a procedure takes place.
“I look forward to seeing the positive impact this ground-breaking technology will have on patients and staff.”
Rachel Colles, Co-Artistic Lead, Hearts & Minds, said: “I first tried a VR headset when running a research project for children exploring virtual reality theatre with Neon8. It was fantastic to see the children’s responses and excitement with this medium and it occurred to us that we could use this in our work as Clowndoctors.
“This collaboration with NHS Lothian alongside our fabulous Clowndoctor colleagues has allowed us to create what I hope will be a beneficial and enjoyable way to support children preparing for surgery at the RHCYP.”
Jane Greenacre, Head of Programmes, NHS Lothian Charity, said:“We are delighted to have funded five VR headsets which aim to reduce children’s worries before they undergo surgery.
“The VR headsets will enable children and their parents to complete a virtual walk through of what will happen at each step of their pre-operation journey.
“This is a great example of how NHS Lothian Charity works with NHS Lothian colleagues and third sector partners to support ideas that improve the experience of patients and their families across the Lothians.”
Thousands of children in Zambia now have better access to safe surgery with the opening of six new paediatric Operating Rooms courtesy of global health charity Kids Operating Room (KidsOR).
KidsOR, a Scottish global charity with bases in Edinburgh, Dundee and Nairobi, works to ensure that all children around the world have access to safe surgery. The charity also funds training of paediatric surgeons and anaesthesia providers, and estimates that more than 43,000 children have accessed life-changing or life-saving care via one of the 35 Operating Rooms they have installed since 2018.
The six new Operating Rooms in Zambia are located at University Teaching Hospital (UTH), in Lusaka, and in Arthur Davison Children’s Hospital (ADCH), in Ndola, with each hospital hosting three separate Operating Rooms.
The Scottish Government provided £45,000 of funding to assist with the refurbishment, re-equipping and retraining of staff at the paediatric surgical facilities at UTH.
David Cunningham, CEO of KidsOR, said: “I am proud that KidsOR has installed and equipped six Operating Rooms across the two hospitals. This is our largest project in a single country at the one time, and will ensure that surgeons have the right equipment to save thousands of children’s lives for years to come.
“With around 45 per cent of Zambia’s population being children, this is a country that will particularly benefit from these facilities.”
KidsOR collated data on surgical cases in the past 24 months at UTH so that it could track the difference made once the Operating Room was installed.
The charity identified that in the past two years, almost one in five of the operations that went ahead did so without the necessary surgical equipment and 40 per cent went ahead missing the necessary anaesthetic equipment.
These issues will be rectified as soon as surgeons start using the newly installed Operating Rooms to treat children.
Mr Cunningham added: “This latest project forms an important part of the KidsOR ‘Africa to 2030’ plan which will see us create 120 centres of excellence across Sub-Sahara Africa, each with world-class, state-of-the-art dedicated Operating Rooms for children.
“We aim to ensure that every child can access safe surgery when they need it.”
Dr Bruce Bvulani, Consultant Paediatric Surgeon at University Teaching Hospital, said: “The renovations and re-equipping of the theatre suite is not only timely but also momentous.
“These new Operating Rooms will put a smile not only on the faces of the children but the surgeons as they use their new wares in a refurbished centre. On behalf of the children of Zambia, we are truly grateful to KidsOR, and we promise to make full use of the equipment for the betterment of the children.”
Senior Medical Superintendent and Consultant Paediatrician at Arthur Davison Children’s Hospital, Dr Mwansa J Kaunda, also extended his gratitude. He added: “There will be an increased capacity and ability to care for more paediatric patients considering the hospital serves the northern part of the country. This means expanded services and more treatment options at the hospital, hence improved quality of health for children.
“What’s more, the new equipment and set up of theatre will improve efficiency in procedures, reduce the risk of post-operative wound infections. I am so excited as I never imagined that our Operating Room could look so nice. The last time it got a touch up was in 1978 and we have recently had to carry out operations using a phone torch light rather than proper operating lamp.”
International Development Minister Jenny Gilruth said: “The Scottish Government’s investment in this project will help benefit thousands of children who require life-changing and life-saving care.
“As well as contributing to the new paediatric Operating Rooms, our support will also enhance the skills and knowledge of the surgical teams that carry out these vital procedures. We are proud to work with KidsOR on a project that will change the lives of children and their families and strengthen the capacity and resilience of the health care system in Zambia.”
Africa has the greatest unmet surgical need in the world. Half of Africa’s population (1.3 billion) are children. It is also estimated that 85 per cent of children in Africa will require some kind of surgical care by the age of 15.
Two of the six Operating Rooms in Zambia have been achieved courtesy of KidsOR’s partnership with cleft-focused organisation Smile Train.
A hospital Operating Room for children in the capital of Nigeria, which was newly installed in August 2019 thanks to a Scottish-based charity, has managed to increase the number of paediatric operations carried out by more than two-thirds in just a year.
From July 2018 to July the following year, 229 operations on children at the National Hospital in Abuja were carried out. Then, thanks to Kids Operating Room, a new Operating Room was installed in August 2019. This new Operating Room has enabled the surgical team in Abuja to undertake 381 operations from September 2019 to September last year – a staggering rise of more than 66 per cent.
Commenting on the difference that the new Operating Room has made, Dr Olubunmi Majekodunmi, the hospital’s Chief Paediatric Surgeon, said: “Having a KidsOR Operating Room has made surgeries far more effective. We have paediatric-sized instruments and do not have to struggle with larger ones meant for adult surgeries.
“As for the children, they move into an Operating Room filled with beautiful wallpapers and exciting toys and are so engaged that they do not even realise when they are put under anaesthesia. But, most importantly, our backlog of patients which used to involve a waiting list of a year or sometimes more, has been cleared.
“The relief on the faces of parents when they realise that their kids can have surgeries within a few days – enough time for pre-operative preparation – is priceless. Thank you KidsOR for such a tremendous gift!”
Rosemary Mugwe, Africa Director at KidsOR, said: “The Surgical Team at National Hospital were carrying out fantastic work before KidsOR came on board; however, they lacked specialist paediatric equipment to provide safe, quality surgery.
“We were happy to provide the tools – metaphorically and literally – to give them even greater capacity to help the children of Abuja. And we are delighted to learn of the large increase in the number of operations being carried out meaning that children do not have to wait for life saving or life changing surgery.”
The charity’s research also revealed that the percentage of wound infections decreased from 1.3 per cent to 0.29 per cent during the year after the new Operating Room was installed. This figure represents the percentage of surgical cases in which the patient developed a surgical infection and is another quality of surgery measure.
KidsOR is a Scottish global health charity with bases in Edinburgh, Dundee and Nairobi with an ambition to provide all children around the world with access to safe surgery.
The charity also funds training of surgeons and anaesthesia providers and works with National Ministries of Health to develop sustainable healthcare services.
