Agasthya Nisha, Penfil Scott, Slamon Nicholas
Pediatric Critical Care, Kansas University School of Medicine, Wichita, USA.
Pediatric Critical Care, Herman & Walter Samuelson Children's Hospital at Sinai, Baltimore, USA.
Cureus. 2020 Dec 13;12(12):e12059. doi: 10.7759/cureus.12059.
Background The objective of this study was to provide education to inexperienced trainees regarding preparation for airway intubation using virtual reality (VR) tutorial and comparison of performance with that of experienced trainees without VR training. We hypothesized that after the VR tutorial, junior fellows and residents will have comparable recall of the proper steps as experienced trainees. Methods This project was initiated in the pediatric intensive care unit from July 1, 2019, to July 30, 2019. Volunteer residents and pediatric critical care medicine fellows participated. The VR group completed a 19-minute immersive tutorial and then demonstrated learned skills with a traditional manikin. Non-VR group fellows listed steps to prepare for airway intubation from memory with scoring on a 24-point timed checklist. Results Seventeen subjects participated; two residents were excluded. The VR group had seven trainees (47%) and scored similarly to the other group based on checklist items (50.5% vs 50.8%, P=1). Conclusion VR technologies can be used for education in preparation for pediatric airway intubation. There was no difference in the performance accuracy between the two groups. Larger studies are essential to study benefits of VR in preparation and performance of airway intubation.
背景 本研究的目的是使用虚拟现实（VR）教程对缺乏经验的受训人员进行气道插管准备方面的培训，并将其表现与未接受VR培训的经验丰富的受训人员进行比较。我们假设在VR教程之后，初级研究员和住院医师对正确步骤的记忆将与经验丰富的受训人员相当。方法 该项目于2019年7月1日至2019年7月30日在儿科重症监护病房启动。志愿住院医师和儿科重症医学研究员参与其中。VR组完成了一个19分钟的沉浸式教程，然后使用传统人体模型展示所学技能。非VR组的研究员凭记忆列出气道插管准备步骤，并在一份24分的限时检查表上打分。结果 17名受试者参与；两名住院医师被排除。VR组有7名受训人员（47%），根据检查表项目得分与另一组相似（50.5%对50.8%，P = 1）。结论 VR技术可用于儿科气道插管准备方面的培训。两组在操作准确性上没有差异。更大规模的研究对于研究VR在气道插管准备和操作中的益处至关重要。
