Virtual and Augmented Reality in Cardiovascular Care

Jung, Christian; Wolff, Georg; Wernly, Bernhard; Bruno, Raphael Romano; Franz, Marcus; Schulze, P. Christian; Silva, Jennifer N. Avari; Silva, Jonathan R.; Bhatt, Deepak L.; Kelm, Malte

doi:10.1016/j.jcmg.2021.08.017

Cited by 43 publications

(34 citation statements)

References 51 publications

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“…Both, virtual reality (VR) and augmented reality (AR) are technological breakthroughs which facilitate entertainment and communication worldwide [1]. VR immerses its user completely into a three-dimensional, virtual world, while AR maintains the connection to the "real world" and fuses virtual elements with reality [2]. VR/ AR applications have also gained momentum in critical care medicine.…”

Section: Introductionmentioning

confidence: 99%

Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective

Bruno

Wolff²,

Wernly³

et al. 2022

Crit Care

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Virtual reality (VR) and augmented reality (AR) are aspiring, new technologies with increasing use in critical care medicine. While VR fully immerses the user into a virtual three-dimensional space, AR adds overlaid virtual elements into a real-world environment. VR and AR offer great potential to improve critical care medicine for patients, relatives and health care providers. VR may help to ameliorate anxiety, stress, fear, and pain for the patient. It may assist patients in mobilisation and rehabilitation and can improve communication between all those involved in the patient’s care. AR can be an effective tool to support continuous education of intensive care medicine providers, and may complement traditional learning methods to acquire key practical competences such as central venous line placement, cardiopulmonary resuscitation, extracorporeal membrane oxygenation device management or endotracheal intubation. Currently, technical, human, and ethical challenges remain. The adaptation and integration of VR/AR modalities into useful clinical applications that can be used routinely on the ICU is challenging. Users may experience unwanted side effects (so-called “cybersickness”) during VR/AR sessions, which may limit its applicability. Furthermore, critically ill patients are one of the most vulnerable patient groups and warrant special ethical considerations if new technologies are to be introduced into their daily care. To date, most studies involving AR/VR in critical care medicine provide only a low level of evidence due to their research design. Here we summarise background information, current developments, and key considerations that should be taken into account for future scientific investigations in this field. Graphical abstract

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Section: Introductionmentioning

confidence: 99%

Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective

Bruno

Wolff²,

Wernly³

et al. 2022

Crit Care

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show abstract

“…In VR, the user wears special glasses to immerse them entirely into an artificial three-dimensional world (VR) or to integrate different imaging modalities superimposing virtual elements into a real-world environment (AR). For VR, various applications are helpful in intensive care medicine for healthcare providers, patients, and their relatives: education, training and relaxation [ 1 ]. Accumulating evidence suggests that VR will find its role in the intensive care unit (ICU), although large studies are currently lacking [ 2 , 3 ].…”

Section: A Tool For the Intensive Care Unit Emerging From The Enterta...mentioning

confidence: 99%

Virtual reality in intensive care

et al. 2022

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“…Medical extended reality technologies have rapidly evolved and have been adopted for a wide variety of use cases, spanning teaching, training, education, and most recently intraprocedural use for simple and complex medical procedures. 5 , 6 , 7 , 8 For example, the CommandEP™ mixed reality (MxR) system (Sentiar, Inc., St. Louis, MO) deployed on a Microsoft HoloLens (Microsoft Inc., Redmond, WA) headset worn during cardiac electrophysiological procedures provides the physician with a 3D digital visualization of patient cardiac anatomy with real-time catheter locations, as well as the ability to control these data in a hands-free manner. 5 , 9 Early clinical studies have shown improvements in catheter navigation accuracy and improvements in procedural workflow.…”

Section: Introductionmentioning

confidence: 99%