Rating visualization in shoulder arthroscopy: A comparison of the visual analog scale versus a novel shoulder arthroscopy grading scaleRating visualization in shoulder arthroscopy: A comparison of the visual analog scale versus a novel shoulder arthroscopy grading scale

Lands, Vince W; Avery, Daniel; Malige, Ajith; Stoltzfus, Jill; Gibson, Brett W.; Carolan, G.

doi:10.4103/joas.joas_8_18

Cited by 4 publications

(5 citation statements)

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“…Indeed, the clarity of the visual field using a NS depend of each surgeon, but it's a valid scale. 18 Another limitation is the lack of a standard procedure for all surgeons. Randomisation by centre is used to minimize bias.…”

Section: Discussionmentioning

confidence: 99%

“…The clarity of the arthroscopic operating field will be evaluated, as in most similar studies in the literature, using a numerical scale (NS) from 0 to 10, which has good inter-and intraobserver reliability. 6,15,17,18 Moreover, the NS is more relevant than a centralized evaluation because it directly reflects the surgeon's perception at the end of the intervention of the arthroscopic image obtained in the context of the technical procedure performed.…”

Section: Methodsmentioning

confidence: 99%

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Comparison of the effects of two concentrations of adrenaline (0.33 mg/l versus 1 mg/l) in the irrigation serum for arthroscopic shoulder surgery: protocol of a randomized controlled trial

Harly,

Billaud,

Demezon

et al. 2024

Int J Clin Trials

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Background: Controlling bleeding during arthroscopic shoulder surgery helps improve the clarity of the arthroscopic visual field. Adrenaline is considered an effective and safe method to reduce bleeding. Two doses of adrenaline (0.33 mg/l and 1 mg/l) have been evaluated in the literature, but never against each other. Methods: This prospective, double-blind, randomized controlled trial will study the clarity of the visual field using a numerical scale (NS) during rotator cuff surgery on 180 patients across 5 centres. The secondary objectives include: the duration of the operation, volume of saline used, increase in baseline pressure, number of arthropump hyperpressures, mean systolic blood pressure and heart rate, as well as sudden variability. Results: Among the 154 patients in the Clinical Trial Group, 70/154 (45%) continued to have proteinuria, while 84/154 (55%) had no proteinuria (remission) compared to 41 (28%) in remission and 104 (72%) with continued proteinuria in the Usual Care group (p<0.001). Conclusions: This study aims to determine which of the two dosages previously studied in the literature (0.33 mg/l versus 1 mg/l) provides better clarity. Trial Registration Number: 2021-A02773-38.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Comparison of the effects of two concentrations of adrenaline (0.33 mg/l versus 1 mg/l) in the irrigation serum for arthroscopic shoulder surgery: protocol of a randomized controlled trial

Harly,

Billaud,

Demezon

et al. 2024

Int J Clin Trials

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show abstract

“…In group R, the HR recordings after anesthesia induction (T 1 ) and at (T 3-T 8 ) recordings were significantly lower than baseline values (T 0 ) (P < 0.05) with no significant difference of HR recordings after intubation (T 2 ), Table 2 Shoulder arthroscopy grading scale (Lands et al, 2019) Grade 1. Excellent-adequate visualization of anatomic structures with minimal need for additional intervention such as electrocautery or temporary altering pump pressure Grade 2.…”

Section: Regarding Hr Changes In the Study Groupsmentioning

confidence: 90%

“…The primary outcome of the current study was the assessment of hemodynamic parameters including (MAP, HR) in both groups which were recorded at arrival to the operating room (T 0 ), after anesthesia induction (T 1 ), after intubation (T 2 ), at 20 min intervals from induction time during the remaining of the procedure (T 3,4,5,6,7 ), 5 min after stopping studied drug infusion (T 8 ) after extubation (T 9 ), then after 30 min,1 h, and 2 h of arriving to PACU (T 10 , T 11 , T 12 ). The secondary measures included surgical field evaluation and surgeon satisfaction with the quality surgical field using shoulder arthroscopy grading scale (Table 2) (Lands et al, 2019) then a simple questionnaire for the surgeon satisfaction with the quality of the surgical field was done (1 = satisfactory, 0 = unsatisfactory).…”

Section: Anesthesia Techniquementioning

confidence: 99%

Dexmedetomidine versus remifentanil infusion for controlled hypotension in shoulder arthroscopy: a comparative study

Menshawi

Fahim

2020

Ain-Shams J Anesthesiol

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Study objective The correct performance of the shoulder arthroscopic technique requires appropriate visualization through a video camera which raises the need for providing satisfactory bloodless surgical field. The current study was conducted to evaluate the clinical efficacy of dexmedetomidine infusion compared to that of remifentanil for controlled hypotension in patients undergoing shoulder arthroscopy. Patients and methods Forty patients undergoing elective arthroscopic shoulder surgery under general anesthesia were enrolled in the current study. Patients were randomly distributed into one of two equal groups: dexmedetomidine group (D group) and remifentanil group (R group) according to the agent used for controlled hypotension. In group D, IV dexmedetomidine l μg/kg was infused over 10 min before anesthesia induction, followed by a continuous infusion of 0.3-0.6 μg/kg/h during the operation. In group R, 1 μg/kg remifentanil IV bolus was administered before induction of anesthesia and continued 0.25-0.50 μg/kg/min during the operation. In both groups, the drug infusion was titrated to achieve a mean arterial pressure (MAP) of 60-70 mmHg. Hemodynamic parameters, surgical field condition, recovery profile, and the incidence of perioperative adverse events were assessed. Results Controlled hypotension was achieved successfully in both study groups. There was no intergroup significant difference as regards the intraoperative MAP and heart rate (HR) recordings (P > 0.05) except for the significantly lower HR recorded after extubation,30 min and 1 h postoperative in group D when compared with group R (P < 0.05). The surgical field condition was satisfactory on surgeon assessment in both groups (P > 0.05). Extubation time, time to reach modified Aldrete score ≥ 9 and time to 1st postoperative analgesic requirement were significantly longer in the group D when compared with group R (P < 0.05). Postoperative Ramsay sedation score recordings were significantly higher in the group D when compared with group R (P < 0.05) except at 2 h postoperative recordings and all the VAS score recordings were significantly lower in group D when compared with group R (P < 0.05). There was no intergroup significant difference as regards the incidence of perioperative adverse events. Conclusion Both remifentanil and dexmedetomidine can induce adequate levels of hypotensive anesthesia and satisfactory surgical field visibility in patients undergoing shoulder arthroscopy under general anesthesia. Patients treated with dexmedetomidine had better quality and more extended postoperative analgesia but longer postoperative anesthesia recovery and higher postoperative sedation scores when compared with remifentanil.

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“…Finally, quality of the visual feedback is also important in ensuring the success of VR-based training in orthopaedic surgery. Surgical procedures in orthopaedics are typically hindered by an unfavourable visual field, due to many factors such as excessive bleeding or obstruction by anatomical structures [35]. Accordingly, these visual cues need to be translated accurately so that the trainee can anticipate them in the real surgery.…”

Section: Figure 6 Citation Distribution For Csfs Related To Hci/vr Featuresmentioning

confidence: 99%

Critical Success Factors for Virtual Reality Applications in Orthopaedic Surgical Training: A Systematic Literature Review

2021

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There is an increasing amount of pressure to improve the cost-effectiveness of orthopaedic training, both temporally and financially. Accordingly, virtual reality (VR) has been incorporated into a number of surgical training programs, providing trainees a safe yet realistic environment to practice their craft before going into the operating room. Identification of critical success factors (CSFs) for VR integration in the orthopaedic training program can be beneficial in guiding the focus of healthcare providers and VR designers during the VR platform development stage. The aim of this study is to identify VR-based training CSFs that encourage orthopaedic surgeons to use VR as a method for acquiring, maintaining, and improving skills. A total of 74 studies conducted between 2011 and 2021 were selected and examined. There were 73 CSFs listed as being essential for VR adoption in orthopaedic surgical training. The CSFs were divided into six general categories: HCI/VR Features, Learning Outcome, Usability, Control and Active Learning, Student and Limitation factors. Subsequently, recommendations were made to guide healthcare professionals, researchers, and designers for optimal adoption of VR in orthopaedic surgical training in the future.

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Rating visualization in shoulder arthroscopy: A comparison of the visual analog scale versus a novel shoulder arthroscopy grading scaleRating visualization in shoulder arthroscopy: A comparison of the visual analog scale versus a novel shoulder arthroscopy grading scale

Cited by 4 publications

References 1 publication

Comparison of the effects of two concentrations of adrenaline (0.33 mg/l versus 1 mg/l) in the irrigation serum for arthroscopic shoulder surgery: protocol of a randomized controlled trial

Comparison of the effects of two concentrations of adrenaline (0.33 mg/l versus 1 mg/l) in the irrigation serum for arthroscopic shoulder surgery: protocol of a randomized controlled trial

Dexmedetomidine versus remifentanil infusion for controlled hypotension in shoulder arthroscopy: a comparative study

Critical Success Factors for Virtual Reality Applications in Orthopaedic Surgical Training: A Systematic Literature Review

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