Skill Assessment of an Epidural Anesthesia Using the PeriSIM Simulator

Abstract

Currently, the training in the lumbar epidural anesthesia procedure, a very common procedure, is mainly performed on patients under the supervision of experts. The reason for this situation is that the simulators that exist on the market are not realistic enough to efficiently learn this particularly haptic-sense-based gesture. To avoid this ethical issue and provide an efficient, repeatable, and affordable way of safely learning this gesture, the Ampère laboratory designed PeriSIM: a haptic training computerbased simulator. In this article, the trainees' skill assessment is tackled. This work presents various machine learning approaches to the evaluation of trainees and introduces a complete skill assessment algorithm to use in conjunction with the PeriSIM simulator. This work also aims to determine the important variables of an lumbar epidural anesthesia procedure for objective assessment purpose.

A comprehensive study to learn the impact of augmented reality and haptic interaction in ultrasound-guided percutaneous liver biopsy training and education

“…However, this problem could be overcome by incorporating gesture simulators that could be capable of replicating clinical use cases and extracting data from the gestures performed by trainees. These simulators could be developed in VR (Alaker et al 2016), AR or haptic devices (Sénac et al 2021).…”

Review on Needle Insertion Haptic Simulation

“…Indeed, it is important to note that the metrics are likely to change according to each application. This is for example the case for epidural anesthesia [78] or ventricular puncture [79] where the main metric of gesture mastery focuses on the interpretation of haptic sensations called "overshoot" [80][81][82]. Another example is prostate or uterine biopsy, where the main metric is the reached position [83,84].…”

“…These simulators aim to reproduce clinical contexts to allow the learner to train for a specific task. They can be purely virtual [86], augmented reality [87,88] or haptic [78,89]. The main advantage of using simulators comes from their ability to extract data from learners' gestures.…”