Evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies

Abstract Telementoring platforms can help transfer surgical expertise remotely. However, most telementoring platforms are not designed to assist in austere, pre-hospital settings. This paper evaluates the system for telementoring with augmented reality (STAR), a portable and self-contained telemento...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Edgar Rojas-Muñoz, Chengyuan Lin, Natalia Sanchez-Tamayo, Maria Eugenia Cabrera, Daniel Andersen, Voicu Popescu, Juan Antonio Barragan, Ben Zarzaur, Patrick Murphy, Kathryn Anderson, Thomas Douglas, Clare Griffis, Jessica McKee, Andrew W. Kirkpatrick, Juan P. Wachs
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2020
Materias:
Acceso en línea:https://doaj.org/article/146cab5b076f45adbbd80e907a649d84
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:146cab5b076f45adbbd80e907a649d84
record_format dspace
spelling oai:doaj.org-article:146cab5b076f45adbbd80e907a649d842021-12-02T16:51:31ZEvaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies10.1038/s41746-020-0284-92398-6352https://doaj.org/article/146cab5b076f45adbbd80e907a649d842020-05-01T00:00:00Zhttps://doi.org/10.1038/s41746-020-0284-9https://doaj.org/toc/2398-6352Abstract Telementoring platforms can help transfer surgical expertise remotely. However, most telementoring platforms are not designed to assist in austere, pre-hospital settings. This paper evaluates the system for telementoring with augmented reality (STAR), a portable and self-contained telementoring platform based on an augmented reality head-mounted display (ARHMD). The system is designed to assist in austere scenarios: a stabilized first-person view of the operating field is sent to a remote expert, who creates surgical instructions that a local first responder wearing the ARHMD can visualize as three-dimensional models projected onto the patient’s body. Our hypothesis evaluated whether remote guidance with STAR could lead to performing a surgical procedure better, as opposed to remote audio-only guidance. Remote expert surgeons guided first responders through training cricothyroidotomies in a simulated austere scenario, and on-site surgeons evaluated the participants using standardized evaluation tools. The evaluation comprehended completion time and technique performance of specific cricothyroidotomy steps. The analyses were also performed considering the participants’ years of experience as first responders, and their experience performing cricothyroidotomies. A linear mixed model analysis showed that using STAR was associated with higher procedural and non-procedural scores, and overall better performance. Additionally, a binary logistic regression analysis showed that using STAR was associated to safer and more successful executions of cricothyroidotomies. This work demonstrates that remote mentors can use STAR to provide first responders with guidance and surgical knowledge, and represents a first step towards the adoption of ARHMDs to convey clinical expertise remotely in austere scenarios.Edgar Rojas-MuñozChengyuan LinNatalia Sanchez-TamayoMaria Eugenia CabreraDaniel AndersenVoicu PopescuJuan Antonio BarraganBen ZarzaurPatrick MurphyKathryn AndersonThomas DouglasClare GriffisJessica McKeeAndrew W. KirkpatrickJuan P. WachsNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 3, Iss 1, Pp 1-9 (2020)
institution DOAJ
collection DOAJ
language EN
topic Computer applications to medicine. Medical informatics
R858-859.7
spellingShingle Computer applications to medicine. Medical informatics
R858-859.7
Edgar Rojas-Muñoz
Chengyuan Lin
Natalia Sanchez-Tamayo
Maria Eugenia Cabrera
Daniel Andersen
Voicu Popescu
Juan Antonio Barragan
Ben Zarzaur
Patrick Murphy
Kathryn Anderson
Thomas Douglas
Clare Griffis
Jessica McKee
Andrew W. Kirkpatrick
Juan P. Wachs
Evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies
description Abstract Telementoring platforms can help transfer surgical expertise remotely. However, most telementoring platforms are not designed to assist in austere, pre-hospital settings. This paper evaluates the system for telementoring with augmented reality (STAR), a portable and self-contained telementoring platform based on an augmented reality head-mounted display (ARHMD). The system is designed to assist in austere scenarios: a stabilized first-person view of the operating field is sent to a remote expert, who creates surgical instructions that a local first responder wearing the ARHMD can visualize as three-dimensional models projected onto the patient’s body. Our hypothesis evaluated whether remote guidance with STAR could lead to performing a surgical procedure better, as opposed to remote audio-only guidance. Remote expert surgeons guided first responders through training cricothyroidotomies in a simulated austere scenario, and on-site surgeons evaluated the participants using standardized evaluation tools. The evaluation comprehended completion time and technique performance of specific cricothyroidotomy steps. The analyses were also performed considering the participants’ years of experience as first responders, and their experience performing cricothyroidotomies. A linear mixed model analysis showed that using STAR was associated with higher procedural and non-procedural scores, and overall better performance. Additionally, a binary logistic regression analysis showed that using STAR was associated to safer and more successful executions of cricothyroidotomies. This work demonstrates that remote mentors can use STAR to provide first responders with guidance and surgical knowledge, and represents a first step towards the adoption of ARHMDs to convey clinical expertise remotely in austere scenarios.
format article
author Edgar Rojas-Muñoz
Chengyuan Lin
Natalia Sanchez-Tamayo
Maria Eugenia Cabrera
Daniel Andersen
Voicu Popescu
Juan Antonio Barragan
Ben Zarzaur
Patrick Murphy
Kathryn Anderson
Thomas Douglas
Clare Griffis
Jessica McKee
Andrew W. Kirkpatrick
Juan P. Wachs
author_facet Edgar Rojas-Muñoz
Chengyuan Lin
Natalia Sanchez-Tamayo
Maria Eugenia Cabrera
Daniel Andersen
Voicu Popescu
Juan Antonio Barragan
Ben Zarzaur
Patrick Murphy
Kathryn Anderson
Thomas Douglas
Clare Griffis
Jessica McKee
Andrew W. Kirkpatrick
Juan P. Wachs
author_sort Edgar Rojas-Muñoz
title Evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies
title_short Evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies
title_full Evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies
title_fullStr Evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies
title_full_unstemmed Evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies
title_sort evaluation of an augmented reality platform for austere surgical telementoring: a randomized controlled crossover study in cricothyroidotomies
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/146cab5b076f45adbbd80e907a649d84
work_keys_str_mv AT edgarrojasmunoz evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT chengyuanlin evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT nataliasancheztamayo evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT mariaeugeniacabrera evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT danielandersen evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT voicupopescu evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT juanantoniobarragan evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT benzarzaur evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT patrickmurphy evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT kathrynanderson evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT thomasdouglas evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT claregriffis evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT jessicamckee evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT andrewwkirkpatrick evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
AT juanpwachs evaluationofanaugmentedrealityplatformforausteresurgicaltelementoringarandomizedcontrolledcrossoverstudyincricothyroidotomies
_version_ 1718382903656710144