Mixed reality simulation for peripheral intravenous catheter placement training

Abstract

Background Despite the advantages of simulation-based training, trainees are typically unable to view internal anatomical structures. This limitation can be overcome by using mixed reality (MR) wherein 3-D virtual anatomical images can be projected. This study was designed to evaluate the efficacy of an MR trainer for peripheral intravenous catheter (PIVC) placement. Methods Sixty-two participants used projected images of arm veins to place a PIVC in a mannequin arm. Participants were evaluated using a checklist on their ability to successfully place the PIVC. Participants completed a survey to elicit demographic information and perceptions of the trainer. A follow-up survey at two-weeks assessed clinical experiences with PIVC placement since using the MR trainer. Results First attempt catheter placement was successful in 48 (77.4%) cases. Only 11 (17.7%) and 3 (4.8%) of participants caused ‘extravasation’ and ‘hematoma’ formation on their first attempt, respectively. Fifty-nine participants (95.2%) agreed that ability to see internal structures was useful, and 58 (93.5%, respectively) agreed that the interactivity promoted learning and that MR should be included in training. Conclusions Results of this study showed that use of a novel MR trainer for PIVC placement appears to provide an environment conducive to successful learning. Most participants were successful at PIVC placement on their first attempt and an overwhelming number found it helpful in identifying landmarks and confirming correct needle angles for insertion. Given the increasing emphasis on simulation training, highly immersive MR tools appear to offer promise to close the gap between classroom instruction and clinical experience.

Nursing Students’ Experience of Using HoloPatient During the Coronavirus Disease 2019 Pandemic: A Qualitative Descriptive Study

“…Additionally, MR has been found to be effective in interprofessional education for nursing students ( Kang & Kang, 2022 ) and in training for operating room fire response ( Wunder et al, 2020 ). Furthermore, MR has been demonstrated to be valuable in improving communication skills for pediatric transport teams ( Peterson, Porter, & Calhoun, 2020 ) and peripheral intravenous catheter placement skills among healthcare providers, including nurses ( Rochlen, Putnam, Levine, & Tait, 2022 ).…”

Application effect of head-mounted mixed reality device combined with 3D printing model in neurosurgery ventricular and hematoma puncture training

“…[ 26 – 28 ] Some scholars apply MR to medical education. Rochlen et al [ 29 ] used MR for peripheral intravenous catheter placement training. Schoeb et al [ 30 ] designed a randomized single-blinded prospective trial using MR to teach ureter catheterization, while others are working on further developing and exploring relevant equipment and software [ 31 – 33 ].…”

A new inexpensive ultrasound-guided central venous catheterization simulation model

“…Numerous vascular training models have been designed for training. For example, one study used a mixed reality trainer, which can project a 3D virtual anatomical image of needle placement tracing, to promote interactivity, 95.2% of 62 participants agreed that visual ability was helpful in placement and 93.5% participants thought that mixed reality should be included in the training [ 27 ]. In another study, the researchers build a simulation model that can automatically reproduce the blood flow of vessels and help residents distinuish arteries and veins in ultrasonography [ 28 ].…”