الفهرس 
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Abstract
S
UMMARY
lthough surgical anxiety may be managed by administering larger dosages of sedative drugs, these drugs can depress circulation and respiration, making non-drug alternatives particularly attractive. Since virtual reality offers positive stimuli that can mask adverse sound stimuli, influence biochemical production, improve emotional health through normalization of an unfamiliar environment, and provide a sense of hope, empowerment, and enhanced well-being.
Virtual reality can be used to minimize the potential adverse effects of anxiety-reducing medications.
The proposed study aimed to compare the effect of using non- pharmacological methods, i.e., virtual reality, on anxiety level and satisfaction with that of the sedating effect of midazolam.
In this study we compare Efficacy of virtual reality distraction technique for anxiety and sedation in knee arthroscopy under spinal anaesthesia. The study is conducted in Anesthesiology Department, Faculty of medicine, Ain shams University. The study period is 6 months. The sample size is 100 patients divided in two groups randomly (group I and group II). Each group has 50 patients.
A
Summary
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After preoperative assessment and intraoperative standard monitoring, the patient was monitored to detect and determine anxiety and sedation for both groups.
The results showed that the application of virtual reality as a complementary modality might help manage perioperative anxiety in a way that is safe, effective, time-efficient, and enjoyable similar to that of sedating effect of midazolam with an advantage of excluding the undesirable adverse effect of sedative drug.