Mixed reality surgical mentoring of combat casualty care related procedures in a perfused cadaver model: Initial results of a randomized feasibility study

Tadlock, Matthew D.; Olson, Erik J.; Gasques, Danilo; Champagne, Roland; Krzyżaniak, Michael; Belverud, Shawn; Ravindra, Vijay M.; Kerns, Jakob; Choi, Pamela M.; Deveraux, Jennifer; Johnson, Janet; Sharkey, Thomas J.; Yip, Michael C.; Weibel, Nadir; Davis, Konrad

doi:10.1016/j.surg.2022.06.034

Cited by 9 publications

(7 citation statements)

References 19 publications

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“…Some widely adopted simulation programs are available to teach and train in MIS, but no specific program is available concerning emergency surgery. Interesting preliminary studies are emerging in this field but not related to MIS and with difficult reproducibility [ 81 ].…”

Section: Resultsmentioning

confidence: 99%

Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper

et al. 2023

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Background Minimally invasive surgery (MIS), including laparoscopic and robotic approaches, is widely adopted in elective digestive surgery, but selectively used for surgical emergencies. The present position paper summarizes the available evidence concerning the learning curve to achieve proficiency in emergency MIS and provides five expert opinion statements, which may form the basis for developing standardized curricula and training programs in emergency MIS. Methods This position paper was conducted according to the World Society of Emergency Surgery methodology. A steering committee and an international expert panel were involved in the critical appraisal of the literature and the development of the consensus statements. Results Thirteen studies regarding the learning curve in emergency MIS were selected. All but one study considered laparoscopic appendectomy. Only one study reported on emergency robotic surgery. In most of the studies, proficiency was achieved after an average of 30 procedures (range: 20–107) depending on the initial surgeon’s experience. High heterogeneity was noted in the way the learning curve was assessed. The experts claim that further studies investigating learning curve processes in emergency MIS are needed. The emergency surgeon curriculum should include a progressive and adequate training based on simulation, supervised clinical practice (proctoring), and surgical fellowships. The results should be evaluated by adopting a credentialing system to ensure quality standards. Surgical proficiency should be maintained with a minimum caseload and constantly evaluated. Moreover, the training process should involve the entire surgical team to facilitate the surgeon’s proficiency. Conclusions Limited evidence exists concerning the learning process in laparoscopic and robotic emergency surgery. The proposed statements should be seen as a preliminary guide for the surgical community while stressing the need for further research.

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Section: Resultsmentioning

confidence: 99%

Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper

et al. 2023

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“…37 A MR feasibility RCT study in combat trainees showed promising results for different casualty scenarios as well. 38 Pediatric residents who took a pediatric advanced life support course employing AR glasses showed fewer errors and clinical deviations in defibrillation doses than those using pediatric advanced life support pocket reference cards despite no difference in other resuscitation endpoints. 39 However, when AR was employed for nurses training in adult cardiopulmonary resuscitation, it did not show significant differences in compression parameters.…”

Section: Enhancing Practical Skillsmentioning

confidence: 90%

“…Medics using AR had increased accuracy but required more time to perform the procedure than those in the lecture group 37 . A MR feasibility RCT study in combat trainees showed promising results for different casualty scenarios as well 38 …”

Section: Augmented Realitymentioning

confidence: 99%

Virtual Reality and Augmented Reality in Anesthesiology Education

Guruswamy,

Chhina,

Mitchell

et al. 2024

International Anesthesiology Clinics

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“…Another recent study related to remote assistance and telementoring using MR is presented in the work by Tadlock et al in 2022 [13], which explores the impact of this technology on combat casualty care-related procedures. The authors introduce a system composed of different devices, including HoloLens 2, HYC Vive Pro VR Headset, and additional cameras to record the environments of both novice participants and mentors.…”

Section: Related Workmentioning

confidence: 99%

Health-5G: A Mixed Reality-Based System for Remote Medical Assistance in Emergency Situations

García,

Moraleda,

Schez-Sobrino

et al. 2023

IEEE Access

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Mixed reality is the combination of virtual and augmented reality to interactively and believably merge physical and computer-generated environments. This paper discusses the design of Health-5G, a scalable mixed reality-based system that facilitates and supports emergency response by medical emergency teams. Health-5G is supported by a distributed architecture divided into four interrelated applications responsible for advanced computer-human interaction, effective real-time videoconference, medical device integration, and communication infrastructure, respectively. The mixed reality layer is provided by the headset Microsoft Hololens 2™. Health-5G is based on scenarios in which emergency personnel wear mixed reality glasses that can transmit audio, video, and data streams bidirectionally over a 5G network to medical specialists stationed in a hospital at any distance. Thanks to Health-5G, the specialist will be able to access the emergency team's point of view at any time and provide verbal and visual instructions, including gestures and positioning of graphical markers in 3D space. In this way, emergency personnel can provide the best possible care to the patient without having to wait for them to arrive at the hospital, saving a lot of time in scenarios where every second can make a difference. Health-5G also addresses the integration of medical devices and the collection of the patient's medical data in a scalable way through optical character recognition. A case study is discussed where Health-5G is used to attend a patient in the street suffering from syncope due to third-degree atrioventricular block. Latency and performance tests over a 5G network are also discussed. To the best of our knowledge, there is no comprehensive solution in the literature that provides all the capabilities offered by Health-5G in terms of functionality and advanced interaction mechanisms within the context of remote, immersive support in emergency situations.

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Mixed reality surgical mentoring of combat casualty care related procedures in a perfused cadaver model: Initial results of a randomized feasibility study

Cited by 9 publications

References 19 publications

Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper

Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper

Virtual Reality and Augmented Reality in Anesthesiology Education

Health-5G: A Mixed Reality-Based System for Remote Medical Assistance in Emergency Situations

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