Parametrically adjustable intubation mannequin with real-time visual feedback.
Identifieur interne : 000C69 ( PubMed/Corpus ); précédent : 000C68; suivant : 000C70Parametrically adjustable intubation mannequin with real-time visual feedback.
Auteurs : Nathan Delson ; Conan Sloan ; Thomas Mcgee ; Suraj Kedarisetty ; Wen-Wai Yim ; Randolph H. HastingsSource :
- Simulation in healthcare : journal of the Society for Simulation in Healthcare [ 1559-713X ] ; 2012.
English descriptors
- KwdEn :
- Airway Management (methods), Cervical Vertebrae (anatomy & histology), Computer Systems, Education, Medical, Feasibility Studies, Feedback, Psychological, Feedback, Sensory, Humans, Intubation (methods), Laryngoscopy (education), Learning, Manikins, Models, Educational, Quality Improvement, Students, Medical, Task Performance and Analysis, Teaching (methods), United States.
- MESH :
- geographic : United States.
- anatomy & histology : Cervical Vertebrae.
- education : Laryngoscopy.
- methods : Airway Management, Intubation, Teaching.
- Computer Systems, Education, Medical, Feasibility Studies, Feedback, Psychological, Feedback, Sensory, Humans, Learning, Manikins, Models, Educational, Quality Improvement, Students, Medical, Task Performance and Analysis.
Abstract
Training for direct laryngoscopy relies heavily on practice with patients. The necessity for human practice might be supplanted to some extent by an intubation mannequin with accurate airway anatomy, a realistic "feel" during laryngoscopy, the capacity to model many patient configurations, and a means to provide feedback to trainees and instructors. The goals of this project were (1) to build and evaluate an airway simulator with realistic dimensions and haptic sensation that could undergo a range of adjustments in several features that affect laryngoscopy difficulty and (2) to develop a system for displaying information on laryngoscopy force and motion in real time.
DOI: 10.1097/SIH.0b013e3182415b4d
PubMed: 22333883
Links to Exploration step
pubmed:22333883Le document en format XML
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<author><name sortKey="Delson, Nathan" sort="Delson, Nathan" uniqKey="Delson N" first="Nathan" last="Delson">Nathan Delson</name>
<affiliation><nlm:affiliation>Department of Mechanical and Aerospace Engineering, University of California San Diego, CA, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sloan, Conan" sort="Sloan, Conan" uniqKey="Sloan C" first="Conan" last="Sloan">Conan Sloan</name>
</author>
<author><name sortKey="Mcgee, Thomas" sort="Mcgee, Thomas" uniqKey="Mcgee T" first="Thomas" last="Mcgee">Thomas Mcgee</name>
</author>
<author><name sortKey="Kedarisetty, Suraj" sort="Kedarisetty, Suraj" uniqKey="Kedarisetty S" first="Suraj" last="Kedarisetty">Suraj Kedarisetty</name>
</author>
<author><name sortKey="Yim, Wen Wai" sort="Yim, Wen Wai" uniqKey="Yim W" first="Wen-Wai" last="Yim">Wen-Wai Yim</name>
</author>
<author><name sortKey="Hastings, Randolph H" sort="Hastings, Randolph H" uniqKey="Hastings R" first="Randolph H" last="Hastings">Randolph H. Hastings</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Parametrically adjustable intubation mannequin with real-time visual feedback.</title>
<author><name sortKey="Delson, Nathan" sort="Delson, Nathan" uniqKey="Delson N" first="Nathan" last="Delson">Nathan Delson</name>
<affiliation><nlm:affiliation>Department of Mechanical and Aerospace Engineering, University of California San Diego, CA, USA.</nlm:affiliation>
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<author><name sortKey="Sloan, Conan" sort="Sloan, Conan" uniqKey="Sloan C" first="Conan" last="Sloan">Conan Sloan</name>
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<author><name sortKey="Mcgee, Thomas" sort="Mcgee, Thomas" uniqKey="Mcgee T" first="Thomas" last="Mcgee">Thomas Mcgee</name>
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<author><name sortKey="Kedarisetty, Suraj" sort="Kedarisetty, Suraj" uniqKey="Kedarisetty S" first="Suraj" last="Kedarisetty">Suraj Kedarisetty</name>
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<author><name sortKey="Yim, Wen Wai" sort="Yim, Wen Wai" uniqKey="Yim W" first="Wen-Wai" last="Yim">Wen-Wai Yim</name>
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<author><name sortKey="Hastings, Randolph H" sort="Hastings, Randolph H" uniqKey="Hastings R" first="Randolph H" last="Hastings">Randolph H. Hastings</name>
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<series><title level="j">Simulation in healthcare : journal of the Society for Simulation in Healthcare</title>
<idno type="eISSN">1559-713X</idno>
<imprint><date when="2012" type="published">2012</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Airway Management (methods)</term>
<term>Cervical Vertebrae (anatomy & histology)</term>
<term>Computer Systems</term>
<term>Education, Medical</term>
<term>Feasibility Studies</term>
<term>Feedback, Psychological</term>
<term>Feedback, Sensory</term>
<term>Humans</term>
<term>Intubation (methods)</term>
<term>Laryngoscopy (education)</term>
<term>Learning</term>
<term>Manikins</term>
<term>Models, Educational</term>
<term>Quality Improvement</term>
<term>Students, Medical</term>
<term>Task Performance and Analysis</term>
<term>Teaching (methods)</term>
<term>United States</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Cervical Vertebrae</term>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Laryngoscopy</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Airway Management</term>
<term>Intubation</term>
<term>Teaching</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Computer Systems</term>
<term>Education, Medical</term>
<term>Feasibility Studies</term>
<term>Feedback, Psychological</term>
<term>Feedback, Sensory</term>
<term>Humans</term>
<term>Learning</term>
<term>Manikins</term>
<term>Models, Educational</term>
<term>Quality Improvement</term>
<term>Students, Medical</term>
<term>Task Performance and Analysis</term>
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<front><div type="abstract" xml:lang="en">Training for direct laryngoscopy relies heavily on practice with patients. The necessity for human practice might be supplanted to some extent by an intubation mannequin with accurate airway anatomy, a realistic "feel" during laryngoscopy, the capacity to model many patient configurations, and a means to provide feedback to trainees and instructors. The goals of this project were (1) to build and evaluate an airway simulator with realistic dimensions and haptic sensation that could undergo a range of adjustments in several features that affect laryngoscopy difficulty and (2) to develop a system for displaying information on laryngoscopy force and motion in real time.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22333883</PMID>
<DateCreated><Year>2012</Year>
<Month>06</Month>
<Day>06</Day>
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<DateCompleted><Year>2012</Year>
<Month>11</Month>
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<Issue>3</Issue>
<PubDate><Year>2012</Year>
<Month>Jun</Month>
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<Title>Simulation in healthcare : journal of the Society for Simulation in Healthcare</Title>
<ISOAbbreviation>Simul Healthc</ISOAbbreviation>
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<ArticleTitle>Parametrically adjustable intubation mannequin with real-time visual feedback.</ArticleTitle>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Training for direct laryngoscopy relies heavily on practice with patients. The necessity for human practice might be supplanted to some extent by an intubation mannequin with accurate airway anatomy, a realistic "feel" during laryngoscopy, the capacity to model many patient configurations, and a means to provide feedback to trainees and instructors. The goals of this project were (1) to build and evaluate an airway simulator with realistic dimensions and haptic sensation that could undergo a range of adjustments in several features that affect laryngoscopy difficulty and (2) to develop a system for displaying information on laryngoscopy force and motion in real time.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The prototype was an existing 2-dimensional (2D) airway model that closely approximated cephalometric measurements of head, neck, and airway anatomy from the dental and surgical literature. The 2D model was extended in a third dimension by adding layers along the coronal axis. An off-the-shelf airway model provided the tongue, pharynx, larynx, and trachea. Adjustability was built into the face, jaw, mouth, teeth, and spine components. A feedback system was constructed with a force- and motion-sensing laryngoscope and motion sensors incorporated in the mannequin head, jaw, and larynx. Anatomic accuracy was assessed by measuring model dimensions. Realism was evaluated by measuring laryngoscopy force and motion compared with laryngoscopy in patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The extruded 2.5-dimensional model maintained a close conformity to the anatomic measurements present in the original 2D model. The model could be adjusted through multiple settings for face length, jaw length and tension, mouth opening, and dental condition. The laryngoscopy trajectory had a similar shape to laryngoscopy trajectories in patients, but force was greater, on the order of 50 N, compared with roughly 30 N in patients. The movement of the laryngoscope through the mannequin airway could be displayed in real time during the procedure, establishing a means for feedback.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The model incorporates novel features that could aid in developing mastery of the laryngoscopy procedure. Further work is needed to investigate how adjustability and feedback impact the value of laryngoscopy practice on mannequins.</AbstractText>
</Abstract>
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<ForeName>Nathan</ForeName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002574">Cervical Vertebrae</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007440">Intubation</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007828">Laryngoscopy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D058996">Quality Improvement</DescriptorName>
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