The effect of virtual reality bronchoscopy simulator training on performance of bronchoscopic-guided intubation in patients

Wong, David T.; Mehta, Arpan R.; Singh, Kawal Preet; Leong, Siaw May; Ooi, Alister; Niazi, Ahtsham U.; You-Ten, Eric; Okrainec, Allan; Patel, Rajesh; Singh, Mandeep; Wong, Jean

doi:10.1097/eja.0000000000000890

Cited by 32 publications

(39 citation statements)

References 33 publications

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“…VR can be fully immersive using a head‐mounted device (HMD) or nonimmersive using 2D monitors or stereoscopic glasses. Applications in medical VR include simulation surgery for tendon transplants, abdominal surgery, and virtual endoscopy among others 10–12 . Other medical applications include interpersonal communication training, anatomy instruction, exposure therapy, and pain management 13–17 .…”

Section: Introductionmentioning

confidence: 99%

Comparisons of orthodontic residents’ performance and attitudes using 2D, 3D, and virtual reality surgical simulation methods

Sytek

Inglehart

Ramaswamy

et al. 2021

Journal of Dental Education

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Purpose Advances in virtual reality technology for surgical simulation methods may improve diagnosis and treatment planning of complex orthognathic surgery cases. The objectives were to assess orthodontic residents’ performance and attitudes when treatment planning orthognathic surgery cases using two‐dimensional (2D) digital, three‐dimensional (3D) digital, and virtual reality (VR) surgical simulations. Methods The study had a mixed methods study design involving 20 graduate orthodontic residents. Their previous experiences, confidence, and competence with orthodontic diagnosis and surgical treatment planning were assessed with a baseline survey. Each resident completed 2D, 3D, and VR treatment planning and simulation tasks in a randomized order and recorded their diagnosis, objectives, treatment plan, and special surgical concerns for each case using a treatment planning worksheet. The worksheets were scored and quantitative data were analyzed. Attitudinal responses to the simulation experience were captured with a post‐survey and interview. Results The number of total prescribed surgical movements was greater for 3D and VR simulation methods (p = 0.001). There were no differences in the overall total written treatment plan analysis score among the three surgical simulation tasks. Participants took longer to complete the VR and 3D tasks (p < 0.001) and asked more questions regarding manipulation (p < 0.001) and software features (p < 0.002) for higher fidelity tools. Analysis of qualitative feedback showed positive attitudes toward higher fidelity tools with regard to visualization, manipulation, and enjoyment of the task. Conclusions The results demonstrate that simulation methods of increased fidelity (3D and VR) are appropriate alternatives to 2D conventional orthognathic surgical simulation methods when combined with traditional records. Qualitative feedback confirms residents’ readiness to adopt VR simulation. However, comprehensive training is needed to increase familiarity and comfort with using the new technology.

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Section: Introductionmentioning

confidence: 99%

Comparisons of orthodontic residents’ performance and attitudes using 2D, 3D, and virtual reality surgical simulation methods

Sytek

Inglehart

Ramaswamy

et al. 2021

Journal of Dental Education

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“…Several methods for teaching fiberoptic intubation skills are available. Virtual reality simulators can provide objective assessment of clinical performance in a safe way for learners [14]. A recently developed virtual reality simulator, the ORSIM ® bronchoscopy simulator (Airway Simulation Ltd., Auckland, New Zealand), aims to address the difficulties of advanced airway training by incorporating virtual patients [15].…”

Section: Discussionmentioning

confidence: 99%

Pecha Kucha with Part-Task Training Improves Airway Management in Fresh Frozen Cadavers: A Case-Control Observational Study

Saraçoğlu¹,

Yılmaz²,

Turan³

et al. 2020

Med Princ Pract

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“…The exception to this may be bronchoscopic-guided intubation where SBT improvements in psychomotor skills may alter performance in subsequent clinical experiences [ 88 , 89 ]. The magnitude of this improvement with bronchoscopic-guided intubations is unclear, although Wong and colleagues [ 90 ] recently demonstrated that short-term skill retention from a 60-minute SBT session significantly reduced intubation time in the clinical setting for relatively novice learners.…”

Section: What Is the Role Of Simulation?mentioning

confidence: 99%

The Anesthesiologist’s Role in Teaching Airway Management to Nonanesthesiologists

Grissom

Samet

2020

Advances in Anesthesia

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The effect of virtual reality bronchoscopy simulator training on performance of bronchoscopic-guided intubation in patients

Cited by 32 publications

References 33 publications

Comparisons of orthodontic residents’ performance and attitudes using 2D, 3D, and virtual reality surgical simulation methods

Comparisons of orthodontic residents’ performance and attitudes using 2D, 3D, and virtual reality surgical simulation methods

Pecha Kucha with Part-Task Training Improves Airway Management in Fresh Frozen Cadavers: A Case-Control Observational Study

The Anesthesiologist’s Role in Teaching Airway Management to Nonanesthesiologists

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