Virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat

Piromchai, Patorn; Avery, Alex; Laopaiboon, Malinee; Kennedy, Gregor; O’Leary, Stephen

doi:10.1002/14651858.cd010198

Cited by 42 publications

(59 citation statements)

References 19 publications

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“…VR applications are used in many areas. In addition to pain and anxiety, VR has been used for the pharmacological stroke prevention and to teach patients about the results of atrial fibrillation (Balsam et al, ), stroke rehabilitation (Laver, George, Thomas, Deutsch, & Crotty, ), improving the skills for performing surgery (Piromchai, Avery, Laopaiboon, Kennedy, & O’Leary, ), nasogastric tube placement (Choi, ), nursing education (Farra, Smith, & Ulrich, ) and school children's pedestrian safety (Schwebel et al, ). VR can be used safely in the health care and education areas, and it is a useful application in reducing pain, fear and anxiety—particularly in children during invasive procedures and for increasing the success of procedure.…”

Section: Discussionmentioning

confidence: 99%

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Gerçeker

Ayar

Özdemir

et al. 2020

Journal of Clinical Nursing

102

108

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Aim and objectives Virtual reality (VR) can be used during painful procedures in children. The aim of this study was to evaluate the effects of two different VR methods on procedure‐related pain, fear and anxiety of children aged 5–12 years old during blood draw. Methods This randomised controlled study used parallel trial design guided by the CONSORT checklist, see Supporting Information. The sample of children (n = 136) was allocated to the VR‐Rollercoaster (n = 45), VR‐Ocean Rift (n = 45) and control group (n = 46) using blocked randomisation. The primary outcome was pain scores after the blood draw and fear and anxiety scores before and after the blood draw. Before the blood draw, fear and anxiety scores were assessed using self‐report and reports from the parents and the researcher using the Child Fear Scale and Children's Anxiety Meter. After the blood draw, level of pain experienced was assessed using the Wong–Baker Faces Pain Rating Scale and the fear and anxiety levels experienced by the children during the blood draw were re‐evaluated. Results Pain scores were found to be lower in the VR‐Rollercoaster group and the VR‐Ocean Rift group. A statistical difference was found between groups according to self‐, parent‐ and researcher‐reported fear and anxiety scores after blood draw. While being in VR‐Rollercoaster and VR‐Ocean Rift group reduced children's fear and anxiety, being in the control group increased fear levels by 20% and anxiety levels by 34.1%. Conclusions VR is an effective method in reducing procedure‐related pain, fear and anxiety in children aged 5–12 years old during blood draw. Relevance to clinical practice Evidence‐based guidelines and protocols should be created for nonpharmacological methods such as VR for procedural pain and anxiety in children.

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Section: Discussionmentioning

confidence: 99%

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Gerçeker

Ayar

Özdemir

et al. 2020

Journal of Clinical Nursing

102

108

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“…Skills only performed semi‐regularly deteriorate without reinforcement . Complex systems such as virtual reality improve skills initially, but would have been impossible to deliver for a large staff group …”

Section: Discussionmentioning

confidence: 99%

Translation of national guidelines into local practice

Warnakulasuriya

Harvey

McNarry

2019

The Clinical Teacher

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Summary Background Addressing themes raised by the Royal College of Anaesthetists National Audit Project 4, we introduced new training programmes to improve the knowledge and skills necessary for the management of airway crises. A further large‐scale multimodal training programme was introduced to implement guidelines published in 2015 by the Difficult Airway Society (DAS). Methods In 2014, questionnaires were used to assess the knowledge necessary to manage the unanticipated difficult airway before and after high‐fidelity simulation sessions. In 2016, surveys assessed knowledge of new DAS guidelines before and 5 months after the implementation of a large‐scale targeted teaching programme to educate staff. Results In 2014, 20 anaesthetic teams (75 delegates) attended high‐fidelity simulations and demonstrated a significant immediate improvement in knowledge. In 2016, 185 participants attended a targeted teaching programme. Although after the teaching programme an increased number of anaesthetists reported having accessed training, there was a persistent knowledge gap, with some details retained by as few as 15% of participants. Discussion Whereas the knowledge of these important guidelines was improved in the immediate aftermath of high‐fidelity simulation training, the knowledge retention was disappointing, raising questions as to why knowledge of highly important techniques used in crises was so poor. We ask whether training should be compulsory and how knowledge retention might be improved across all health care disciplines that rely on guidelines for the effective management of rarely occurring but safety‐critical events.

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“…Besides the temporal bone dissection simulators, the middle ear surgery simulator for myringotomy, virtual surgery for cochlear implantation and virtual reality based treatment education program for benign paroxysmal positional vertigo has been developed [3]. The recent advance of wearable devices including head mounted display technology will lead to breakthrough of medical / surgery educational system with virtual reality.…”

Section: Indications Of Endoscopic Ear Surgerymentioning

confidence: 99%

“…The development of information technology (IT) also affects medical education systems. Surgical training and medical education adapt virtual reality simulation to increase education outcome over the traditional teaching methods [3]. Recently, hearing aids have adapted the emerging technology of "internet of things" to create an environment where the hearing loss patients can hear more [4].…”

Section: Introductionmentioning

confidence: 99%