Virtual Reality Simulation for Pediatric Airway Intubation Readiness Education

Agasthya, Nisha; Penfil, Scott; Slamon, Nicholas

doi:10.7759/cureus.12059

Cited by 8 publications

(31 citation statements)

References 20 publications

(20 reference statements)

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“…Agasthya et al evaluated the value of a 19-min immersive tutorial (interventional group) on intubating an infant manikin, in a controlled trial. The primary endpoint (the performance accuracy measured by a checklist) did not differ between groups [ 41 ]. Over 20 years ago, Colt et al established a VR bronchoscopy simulation for critical care medicine.…”

Section: Main Textmentioning

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: Main Textmentioning

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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“…However, the participants’ comments suggest that the larger issue was that the simulated equipment could not be moved around the room and positioned spontaneously to set up for the procedure, a functional limitation that could be addressed with relatively simple software and programming adjustments. This opportunity for improvement is supported by previous literature that has described the successful use of VR to simulate pediatric airway intubation [ 18 ].…”

Section: Discussionmentioning

confidence: 68%

Use of Virtual Reality for Pediatric Cardiac Critical Care Simulation

Ralston¹,

Willett²,

Namperumal³

et al. 2021

Cureus

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Simulation is a key component of training in the pediatric cardiac intensive care unit (CICU), a complex environment that lends itself to virtual reality (VR)-based simulations. However, VR has not been previously described for this purpose. Two simulations were developed to test the use of VR in simulating pediatric CICU clinical scenarios, one simulating junctional ectopic tachycardia and low cardiac output syndrome, and the other simulating acute respiratory failure in a patient with suspected coronavirus disease 2019. Six attending pediatric cardiac critical care physicians were recruited to participate in the simulations as a pilot test of VR's feasibility for educational and practice improvement efforts in this highly specialized clinical environment. All participants successfully navigated the VR environment and met the critical endpoints of the two clinical scenarios. Qualitative feedback was overall positive with some specific critiques regarding limited realism in some mechanical aspects of the simulation. This is the first described use of VR in pediatric cardiac critical care simulation.

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“…Only one study reported the age of participants of 26 to 47 years (Viciana‐Abad et al, 2004). The remaining studies did not indicate the age of participants (Agasthya et al, 2020; Dhanasree et al, 2018; McLean et al, 2016; Ralston et al, 2021). Number of participants within the included studies ranged from six to 45 (Agasthya et al, 2020;McLean et al, 2016; Ralston et al, 2021; Viciana‐Abad et al, 2004).…”

Section: Resultsmentioning

confidence: 99%

The range of uses of virtual reality for intensive care unit staff training: A narrative synthesis scoping review

Hill

Hamer

Breed

et al. 2023

Computer Assisted Learning

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Background: The use of virtual reality (VR) in medical education allows learners to make mistakes safely without risk to patients and to refine a range of clinical skills by repetition. However, there is still wide variability both between, and within countries regarding the amount of training delivered using VR, particularly in relation to intensive care medicine Objectives: To identify the range of uses, phase of development and effectiveness of VR for intensive care unit (ICU) staff training. Methods: The review followed the scoping review framework set out by Levac et al. (2010). A multi-database search was undertaken. All study types were included if they explored the use of VR for intensive care staff (ICU) staff training. Full paper screening, data extraction and assessment of bias was carried out by a single reviewer with verification by a second reviewer. A narrative synthesis was chosen to summarize the data.Results: The search strategy identified 647 records. Following the removal of duplicates, screening of titles, abstracts and full texts, five studies were included. VR for ICU training has primarily focused on skill acquisition for surgical procedures. The majority of studies in this area were classified to be at an early stage of assessing acceptability, tolerability and efficacy. There was very low-quality evidence that VR for ICU training is effective.Conclusions: Studies have explored the use of VR for a small number of surgical procedures and emergency patient scenarios. VR for ICU training demonstrates some potential, however further development and high-quality research is required.Research relating to virtual reality for ICU staff training is currently of weak methodological quality and as such, no recommendations to clinical practise can be made. Wherever possible when using VR for ICU staff training it should be utilized as part of a high-quality study.

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Virtual Reality Simulation for Pediatric Airway Intubation Readiness Education

Cited by 8 publications

References 20 publications

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

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

Use of Virtual Reality for Pediatric Cardiac Critical Care Simulation

The range of uses of virtual reality for intensive care unit staff training: A narrative synthesis scoping review

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