An integrated approach to endoscopic instrument tracking for augmented reality applications in surgical simulation training

Author(s):  
Constantinos Loukas ◽  
Vasileios Lahanas ◽  
Evangelos Georgiou

BMJ ◽  
2022 ◽  
pp. o50
Author(s):  
David L Rawaf ◽  
Elliot Street ◽  
Jordan Van Flute


2015 ◽  
Vol 12 (2) ◽  
pp. 231-240 ◽  
Author(s):  
Vincenzo Ferrari ◽  
Rosanna Maria Viglialoro ◽  
Paola Nicoli ◽  
Fabrizio Cutolo ◽  
Sara Condino ◽  
...  


2020 ◽  
Vol 5 (1) ◽  
pp. e000393 ◽  
Author(s):  
Tuan N Hoang ◽  
Anthony J LaPorta ◽  
John D Malone ◽  
Roland Champagne ◽  
Kit Lavell ◽  
...  

BackgroundSurgical trauma care requires excellent multidisciplinary team skills and communication to ensure the highest patient survival rate. This study investigated the effects of Hyper-realistic immersive surgical team training to improve individual and team performance. A Hyper-realistic surgical training environment is defined as having a high degree of fidelity in the replication of battlefield conditions in a training environment, so participants willingly suspend disbelief that they become totally immersed and eventually stress inoculated in a way that can be measured physiologically.MethodsSix multispecialty member US Navy Fleet Surgical/US Army Forward Surgical Teams (total n=99 evaluations) underwent a 6-day surgical training simulation using movie industry special effects and role players wearing the Human Worn Surgical Simulator (Cut Suit). The teams were immersed in trauma care scenarios requiring multiple complex interventions and decision making in a realistic, fast-paced, intensive combat trauma environment.ResultsHyper-realistic immersive simulation training enhanced performance between multidisciplinary healthcare team members. Key efficacy quantitative measurements for the same simulation presented on day 1 compared with day 6 showed a reduction in resuscitation time from 24 minutes to 14 minutes and critical error decrease from 5 to 1. Written test scores improved an average of 21% (Medical Doctors 11%, Registered Nurses 25%, and Corpsman/Medics 26%). Longitudinal psychometric survey results showed statistically significant increases in unit readiness (17%), combat readiness (12%), leadership quality (7%), vertical cohesion (7%), unit cohesion (5%), and team communication (3%). An analysis of salivary cortisol and amylase physiologic biomarkers indicated an adaptive response to the realistic environment and a reduction in overall team stress during performance evaluations.ConclusionsHyper-realistic immersive simulation training scenarios can be a basis for improved military and civilian trauma training.Level of evidenceLevel III.



2016 ◽  
Vol 40 (11) ◽  
pp. 2643-2649 ◽  
Author(s):  
Gavin Tansley ◽  
Jonathan G. Bailey ◽  
Yuqi Gu ◽  
Michelle Murray ◽  
Patricia Livingston ◽  
...  




2018 ◽  
Vol 5 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Jessica Preshaw ◽  
Dimitrios Siassakos ◽  
Mark James ◽  
Timothy Draycott ◽  
Sanjay Vyas ◽  
...  

BackgroundSurgical procedures are complex and susceptible to human error. Individual surgical skill correlates with improved patient outcomes demonstrating that surgical proficiency is vitally important for patient safety. Evidence demonstrates that simulation training improves laparoscopic surgical skills; however, projects to implement and integrate laparoscopic simulation into core surgical curricula have had varied success. One barrier to successful implementation has been the lack of awareness and prioritisation of simulation initiatives by key stakeholders.ObjectiveTo determine the knowledge and perceptions of patients and hospital managers on laparoscopic surgery and simulation training in patient safety and healthcare.MethodA qualitative study was conducted in the Southwest of England. 40 semistructured interviews were undertaken with patients attending general gynaecology clinics and general surgical and gynaecology hospital managers.ResultsSix key themes identified included: positive expectations of laparoscopic surgery; perceptions of problems and financial implications of laparoscopic surgery; lack of awareness of difficulties with surgical training; desire for laparoscopic simulation training and competency testing for patient benefit; conflicting priorities of laparoscopic simulation in healthcare; and drawbacks of surgical simulation training. Patients and managers were largely unaware of the risks of laparoscopic surgery and challenges for training. Managers highlighted conflicting financial priorities when purchasing educational equipment. Patients stated that they would have greater confidence in a surgeon who had undertaken mandatory surgical simulation training and perceived purchasing simulation equipment to be a high priority in the National Health Services. Most patients and hospital managers believed trainees should pass an examination on a simulator prior to live operating.ConclusionsCompetency-based mandatory laparoscopic simulation was strongly supported by the majority of stakeholders to augment the initial learning curve of surgeons.



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