Savir Shiri, Khan Adnan A, Yunus Rayaan A, Rehman Taha A, Saeed Shirin, Sohail Mahnoor, Sharkey Aidan, Mitchell John, Matyal Robina
Department of Anesthesia, Critical Care and Pain Medicine Department, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Department of Medicine, CMH Lahore Medical and Dental College, Lahore, Pakistan.
J Cardiothorac Vasc Anesth. 2023 Oct;37(10):2090-2097. doi: 10.1053/j.jvca.2023.06.032. Epub 2023 Jun 22.
Invasive procedures are associated with adverse events that are both hazardous to patients and expensive to treat. A trainee is expected to perform complex sterile invasive procedures in a dynamic environment under time pressure while maintaining patient safety at the highest standard of care. For mastery in performing an invasive procedure, the automatism of the technical aspects is required, as well as the ability to adapt to patient conditions, anatomic variability, and environmental stressors. Virtual reality (VR) simulation training is an immersive technology with immense potential for medical training, potentially enhancing clinical proficiency and improving patient safety. Virtual reality can project near-realistic environments onto a head-mounted display, allowing users to simulate and interact with various scenarios. Virtual reality has been used extensively for task training in various healthcare-related disciplines and other fields, such as the military. These scenarios often incorporate haptic feedback for the simulation of physical touch and audio and visual stimuli. In this manuscript, the authors have presented a historical review, the current status, and the potential application of VR simulation training for invasive procedures. They specifically explore a VR training module for central venous access as a prototype for invasive procedure training to describe the advantages and limitations of this evolving technology.
侵入性操作会引发不良事件，这些事件对患者有害且治疗费用高昂。实习生需要在时间紧迫的动态环境中执行复杂的无菌侵入性操作，同时将患者安全维持在最高护理标准。要熟练掌握侵入性操作，不仅需要技术方面的自动化，还需要具备适应患者状况、解剖变异和环境压力源的能力。虚拟现实（VR）模拟训练是一种具有巨大医学训练潜力的沉浸式技术，有可能提高临床熟练度并改善患者安全。虚拟现实可以将近乎真实的环境投射到头戴式显示器上，让用户模拟各种场景并与之互动。虚拟现实已广泛用于各种医疗相关学科和其他领域（如军事）的任务训练。这些场景通常包含用于模拟身体触觉以及音频和视觉刺激的触觉反馈。在本手稿中，作者介绍了VR模拟训练用于侵入性操作的历史回顾、现状和潜在应用。他们特别探讨了一个用于中心静脉通路的VR训练模块，作为侵入性操作训练的原型，以描述这种不断发展的技术的优点和局限性。
