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Practice on an augmented reality/haptic simulator and library of virtual brains improves residents' ability to perform a ventriculostomy.

Identifieur interne : 002317 ( Ncbi/Merge ); précédent : 002316; suivant : 002318

Practice on an augmented reality/haptic simulator and library of virtual brains improves residents' ability to perform a ventriculostomy.

Auteurs : Rachel Yudkowsky [États-Unis] ; Cristian Luciano ; Pat Banerjee ; Alan Schwartz ; Ali Alaraj ; G Michael Lemole ; Fady Charbel ; Kelly Smith ; Silvio Rizzi ; Richard Byrne ; Bernard Bendok ; David Frim

Source :

RBID : pubmed:23117306

English descriptors

Abstract

Ventriculostomy is a neurosurgical procedure for providing therapeutic cerebrospinal fluid drainage. Complications may arise during repeated attempts at placing the catheter in the ventricle. We studied the impact of simulation-based practice with a library of virtual brains on neurosurgery residents' performance in simulated and live surgical ventriculostomies.

DOI: 10.1097/SIH.0b013e3182662c69
PubMed: 23117306

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pubmed:23117306

Le document en format XML

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<name sortKey="Yudkowsky, Rachel" sort="Yudkowsky, Rachel" uniqKey="Yudkowsky R" first="Rachel" last="Yudkowsky">Rachel Yudkowsky</name>
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<nlm:affiliation>Department of Medical Education, College of Medicine, University of Chicago, Chicago, IL 60612, USA. Rachely@uic.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Luciano, Cristian" sort="Luciano, Cristian" uniqKey="Luciano C" first="Cristian" last="Luciano">Cristian Luciano</name>
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<name sortKey="Banerjee, Pat" sort="Banerjee, Pat" uniqKey="Banerjee P" first="Pat" last="Banerjee">Pat Banerjee</name>
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<name sortKey="Schwartz, Alan" sort="Schwartz, Alan" uniqKey="Schwartz A" first="Alan" last="Schwartz">Alan Schwartz</name>
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<name sortKey="Alaraj, Ali" sort="Alaraj, Ali" uniqKey="Alaraj A" first="Ali" last="Alaraj">Ali Alaraj</name>
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<name sortKey="Lemole, G Michael" sort="Lemole, G Michael" uniqKey="Lemole G" first="G Michael" last="Lemole">G Michael Lemole</name>
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<name sortKey="Charbel, Fady" sort="Charbel, Fady" uniqKey="Charbel F" first="Fady" last="Charbel">Fady Charbel</name>
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<name sortKey="Smith, Kelly" sort="Smith, Kelly" uniqKey="Smith K" first="Kelly" last="Smith">Kelly Smith</name>
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<term>Medical Staff, Hospital (education)</term>
<term>Neurosurgery (education)</term>
<term>Surveys and Questionnaires</term>
<term>Touch Perception</term>
<term>User-Computer Interface</term>
<term>Ventriculostomy (education)</term>
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<div type="abstract" xml:lang="en">Ventriculostomy is a neurosurgical procedure for providing therapeutic cerebrospinal fluid drainage. Complications may arise during repeated attempts at placing the catheter in the ventricle. We studied the impact of simulation-based practice with a library of virtual brains on neurosurgery residents' performance in simulated and live surgical ventriculostomies.</div>
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<Month>02</Month>
<Day>05</Day>
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<DateCompleted>
<Year>2013</Year>
<Month>08</Month>
<Day>12</Day>
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<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<Issue>1</Issue>
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<ArticleTitle>Practice on an augmented reality/haptic simulator and library of virtual brains improves residents' ability to perform a ventriculostomy.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Ventriculostomy is a neurosurgical procedure for providing therapeutic cerebrospinal fluid drainage. Complications may arise during repeated attempts at placing the catheter in the ventricle. We studied the impact of simulation-based practice with a library of virtual brains on neurosurgery residents' performance in simulated and live surgical ventriculostomies.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Using computed tomographic scans of actual patients, we developed a library of 15 virtual brains for the ImmersiveTouch system, a head- and hand-tracked augmented reality and haptic simulator. The virtual brains represent a range of anatomies including normal, shifted, and compressed ventricles. Neurosurgery residents participated in individual simulator practice on the library of brains including visualizing the 3-dimensional location of the catheter within the brain immediately after each insertion. Performance of participants on novel brains in the simulator and during actual surgery before and after intervention was analyzed using generalized linear mixed models.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Simulator cannulation success rates increased after intervention, and live procedure outcomes showed improvement in the rate of successful cannulation on the first pass. However, the incidence of deeper, contralateral (simulator) and third-ventricle (live) placements increased after intervention. Residents reported that simulations were realistic and helpful in improving procedural skills such as aiming the probe, sensing the pressure change when entering the ventricle, and estimating how far the catheter should be advanced within the ventricle.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Simulator practice with a library of virtual brains representing a range of anatomies and difficulty levels may improve performance, potentially decreasing complications due to inexpert technique.</AbstractText>
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