扩展现实平台在手术过程中监测患者健康状况的性能和可用性评估。

Performance and Usability Evaluation of an Extended Reality Platform to Monitor Patient's Health during Surgical Procedures.

机构信息

Interdepartmental Research Center in Health Management and Innovation in Healthcare (CIRMIS), University of Naples Federico II, 80138 Naples, Italy.

Augmented Reality for Health Monitoring Laboratory (ARHeMLAB), Department of Information Technology and Electrical Engineering, University of Naples Federico II, 80138 Naples, Italy.

出版信息

Sensors (Basel). 2022 May 21;22(10):3908. doi: 10.3390/s22103908.

Abstract

An extended-reality (XR) platform for real-time monitoring of patients' health during surgical procedures is proposed. The proposed system provides real-time access to a comprehensive set of patients' information, which are made promptly available to the surgical team in the operating room (OR). In particular, the XR platform supports the medical staff by automatically acquiring the patient's vitals from the operating room instrumentation and displaying them in real-time directly on an XR headset. Furthermore, information regarding the patient clinical record is also shown upon request. Finally, the XR-based monitoring platform also allows displaying in XR the video stream coming directly from the endoscope. The innovative aspect of the proposed XR-based monitoring platform lies in the comprehensiveness of the available information, in its modularity and flexibility (in terms of adaption to different sources of data), ease of use, and most importantly, in a reliable communication, which are critical requirements for the healthcare field. To validate the proposed system, experimental tests were conducted using instrumentation typically available in the operating room (i.e., a respiratory ventilator, a patient monitor for intensive care, and an endoscope). The overall results showed (i) an accuracy of the data communication greater than 99 %, along with (ii) an average time response below ms, and (iii) satisfying feedback from the SUS questionnaires filled out by the physicians after intensive use.

摘要

提出了一种用于手术过程中实时监测患者健康状况的扩展现实(XR)平台。该系统提供了对患者全面信息的实时访问,这些信息会被立即提供给手术室中的手术团队。具体来说,XR 平台通过自动从手术室仪器获取患者的生命体征,并直接在 XR 耳机上实时显示,为医务人员提供支持。此外,还可以根据需要显示有关患者临床记录的信息。最后,基于 XR 的监测平台还允许在 XR 中显示直接来自内窥镜的视频流。所提出的基于 XR 的监测平台的创新之处在于可用信息的全面性、其模块化和灵活性(在适应不同数据源方面)、易用性,以及最重要的是可靠的通信,这些都是医疗保健领域的关键要求。为了验证所提出的系统,使用手术室中通常可用的仪器(即呼吸通气机、重症监护患者监测仪和内窥镜)进行了实验测试。总体结果表明:(i)数据通信的准确性大于 99%,(ii)平均响应时间低于 ms,以及(iii)医生在密集使用后填写的 SUS 问卷给出了满意的反馈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88f9/9143436/e855c5f02421/sensors-22-03908-g001.jpg

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