Testing haptic sensations for spinal anesthesia.
Identifieur interne : 000F01 ( PubMed/Corpus ); précédent : 000F00; suivant : 000F02Testing haptic sensations for spinal anesthesia.
Auteurs : Zsuzsanna M. Kulcsár ; Erik Lövquist ; Anthony P. Fitzgerald ; Annette Aboulafia ; George D. ShortenSource :
- Regional anesthesia and pain medicine [ 1532-8651 ]
English descriptors
- KwdEn :
- MESH :
- geographic : Ireland.
- instrumentation : Anesthesia, Spinal.
- Clinical Competence, Computer Simulation, Equipment Design, Feasibility Studies, Humans, Injections, Spinal, Materials Testing, Needles, Perception, Touch.
Abstract
Having identified key determinants of teaching and learning spinal anesthesia, it was necessary to characterize and render the haptic sensations (feeling of touch) associated with needle insertion in the lower back. The approach used is to match recreated sensations (eg, "pop" through skin or dura mater) with experts' perceptions of the equivalent clinical events.
DOI: 10.1097/AAP.0b013e318203062d
PubMed: 21455083
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pubmed:21455083Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Testing haptic sensations for spinal anesthesia.</title><author><name sortKey="Kulcsar, Zsuzsanna M" sort="Kulcsar, Zsuzsanna M" uniqKey="Kulcsar Z" first="Zsuzsanna M" last="Kulcsár">Zsuzsanna M. Kulcsár</name><affiliation><nlm:affiliation>Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton, Cork, Ireland. zsuzsanna.kulcsar@gmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Lovquist, Erik" sort="Lovquist, Erik" uniqKey="Lovquist E" first="Erik" last="Lövquist">Erik Lövquist</name></author><author><name sortKey="Fitzgerald, Anthony P" sort="Fitzgerald, Anthony P" uniqKey="Fitzgerald A" first="Anthony P" last="Fitzgerald">Anthony P. Fitzgerald</name></author><author><name sortKey="Aboulafia, Annette" sort="Aboulafia, Annette" uniqKey="Aboulafia A" first="Annette" last="Aboulafia">Annette Aboulafia</name></author><author><name sortKey="Shorten, George D" sort="Shorten, George D" uniqKey="Shorten G" first="George D" last="Shorten">George D. Shorten</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2011 Jan-Feb</MedlineDate></PubDate></date><idno type="doi">10.1097/AAP.0b013e318203062d</idno><idno type="RBID">pubmed:21455083</idno><idno type="pmid">21455083</idno><idno type="wicri:Area/PubMed/Corpus">000F01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Testing haptic sensations for spinal anesthesia.</title><author><name sortKey="Kulcsar, Zsuzsanna M" sort="Kulcsar, Zsuzsanna M" uniqKey="Kulcsar Z" first="Zsuzsanna M" last="Kulcsár">Zsuzsanna M. Kulcsár</name><affiliation><nlm:affiliation>Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton, Cork, Ireland. zsuzsanna.kulcsar@gmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Lovquist, Erik" sort="Lovquist, Erik" uniqKey="Lovquist E" first="Erik" last="Lövquist">Erik Lövquist</name></author><author><name sortKey="Fitzgerald, Anthony P" sort="Fitzgerald, Anthony P" uniqKey="Fitzgerald A" first="Anthony P" last="Fitzgerald">Anthony P. Fitzgerald</name></author><author><name sortKey="Aboulafia, Annette" sort="Aboulafia, Annette" uniqKey="Aboulafia A" first="Annette" last="Aboulafia">Annette Aboulafia</name></author><author><name sortKey="Shorten, George D" sort="Shorten, George D" uniqKey="Shorten G" first="George D" last="Shorten">George D. Shorten</name></author></analytic><series><title level="j">Regional anesthesia and pain medicine</title><idno type="eISSN">1532-8651</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anesthesia, Spinal (instrumentation)</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Equipment Design</term><term>Feasibility Studies</term><term>Humans</term><term>Injections, Spinal</term><term>Ireland</term><term>Materials Testing</term><term>Needles</term><term>Perception</term><term>Touch</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ireland</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Anesthesia, Spinal</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Clinical Competence</term><term>Computer Simulation</term><term>Equipment Design</term><term>Feasibility Studies</term><term>Humans</term><term>Injections, Spinal</term><term>Materials Testing</term><term>Needles</term><term>Perception</term><term>Touch</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Having identified key determinants of teaching and learning spinal anesthesia, it was necessary to characterize and render the haptic sensations (feeling of touch) associated with needle insertion in the lower back. The approach used is to match recreated sensations (eg, "pop" through skin or dura mater) with experts' perceptions of the equivalent clinical events.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21455083</PMID><DateCreated><Year>2011</Year><Month>04</Month><Day>01</Day></DateCreated><DateCompleted><Year>2011</Year><Month>07</Month><Day>13</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1532-8651</ISSN><JournalIssue CitedMedium="Internet"><Volume>36</Volume><Issue>1</Issue><PubDate><MedlineDate>2011 Jan-Feb</MedlineDate></PubDate></JournalIssue><Title>Regional anesthesia and pain medicine</Title><ISOAbbreviation>Reg Anesth Pain Med</ISOAbbreviation></Journal><ArticleTitle>Testing haptic sensations for spinal anesthesia.</ArticleTitle><Pagination><MedlinePgn>12-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/AAP.0b013e318203062d</ELocationID><Abstract><AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">Having identified key determinants of teaching and learning spinal anesthesia, it was necessary to characterize and render the haptic sensations (feeling of touch) associated with needle insertion in the lower back. The approach used is to match recreated sensations (eg, "pop" through skin or dura mater) with experts' perceptions of the equivalent clinical events.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The study was performed using a haptic device (Phantom Desktop) that simulated the tactile elements of predefined clinical events. Twenty-four experts (anesthetists) were invited to assess rendered versions of 3 basic sensations, which typically occur during the performance of spinal anesthesia with a 25-gauge pencil point needle: (1) touching different surfaces (skin, bone), (2) the "pop" sensations (skin, dura mater), and (3) the sensations associated with advancement of the spinal needle through particular tissues (subcutaneous tissue, ligaments, intrathecal space). The perceptions of each participant were recorded. The relationships between each rendered sensation and the corresponding participant's perception was modeled using standard random effects techniques.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Experts seem to possess a specific haptic perception regarding most sensations. The coefficient of variation was less than 0.50 for all sensations with the exception of intrathecal space. However, there is considerable within-rater variation when experts are presented with the same haptic rendering on more than one occasion for bone surface, skin pop, dura pop, and subcutaneous tissue.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The importance of this finding is that it demonstrates the feasibility of an "expert perception"-based approach to the design of medical simulators.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kulcsár</LastName><ForeName>Zsuzsanna M</ForeName><Initials>ZM</Initials><AffiliationInfo><Affiliation>Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton, Cork, Ireland. zsuzsanna.kulcsar@gmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lövquist</LastName><ForeName>Erik</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Fitzgerald</LastName><ForeName>Anthony P</ForeName><Initials>AP</Initials></Author><Author ValidYN="Y"><LastName>Aboulafia</LastName><ForeName>Annette</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Shorten</LastName><ForeName>George D</ForeName><Initials>GD</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Reg Anesth Pain Med</MedlineTA><NlmUniqueID>9804508</NlmUniqueID><ISSNLinking>1098-7339</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D000775">Anesthesia, Spinal</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005240">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007278">Injections, Spinal</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007494">Ireland</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008422">Materials Testing</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009339">Needles</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010465">Perception</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D014110">Touch</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>7</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1097/AAP.0b013e318203062d</ArticleId><ArticleId IdType="pii">00115550-201101000-00004</ArticleId><ArticleId IdType="pubmed">21455083</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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