Rowlands Benjamin, Suresh Shruti, Kwak Sung Yeon, Brown Jessica, Narayanan Shreiya, Jacobs Chris
Anaesthesiology, Walsall Manor Hospital, Walsall, GBR.
Critical Care Medicine, Great Western Hospitals NHS Foundation Trust, Swindon, GBR.
Cureus. 2025 Apr 29;17(4):e83172. doi: 10.7759/cureus.83172. eCollection 2025 Apr.
The ability to manage tracheostomy emergencies is vital within the intensive care unit (ICU); however, due to clinical pressures, access to teaching and training is often limited. Simulation training using portable virtual reality (VR) headsets may provide increased access to this training without significant time away from clinical duties. This study aims to evaluate whether the management of a tracheostomy emergency can be effectively delivered through VR simulation within a clinical environment. The study used Trachosim® software produced by Goggleminds®.
This study recruited 28 clinical professionals working within the ICU and utilised a single-group post-test observation design. All participants were asked to complete a validated survey, the Immersive Technology Evaluation Measure (ITEM), using an online questionnaire to assess different aspects of the utility of the educational intervention. The study used descriptive statistics to assess overall data and used the Mann-Whitney U test to compare doctors to allied health professionals.
The simulation showed high levels of immersion, strong intrinsic motivation, and a high quality of debrief. The cognitive load was deemed moderate, and the system usability was above the acceptable threshold. There were no statistically significant differences between doctors and allied health professionals.
This study showed that Trachosim® has good potential for increasing and improving training around tracheostomy emergencies within the ICU. The results suggest that VR is an appropriate teaching intervention to increase simulation training accessibility within a clinical environment. Further work should be done to compare VR intervention to alternative teaching modalities, as well as long-term outcomes such as knowledge and skill retention and improved patient outcomes.
在重症监护病房（ICU）中，处理气管切开术紧急情况的能力至关重要；然而，由于临床压力，获得教学和培训的机会往往有限。使用便携式虚拟现实（VR）头显进行模拟培训可能会增加获得此类培训的机会，而无需大幅脱离临床工作。本研究旨在评估在临床环境中，通过VR模拟能否有效地进行气管切开术紧急情况的处理。该研究使用了由Goggleminds®公司生产的Trachosim®软件。
本研究招募了28名在ICU工作的临床专业人员，并采用单组后测观察设计。所有参与者都被要求使用在线问卷完成一份经过验证的调查，即沉浸式技术评估量表（ITEM），以评估教育干预效用的不同方面。该研究使用描述性统计来评估总体数据，并使用曼-惠特尼U检验来比较医生和专职医疗人员。
模拟显示出高度的沉浸感、强烈的内在动机和高质量的总结汇报。认知负荷被认为适中，系统可用性高于可接受阈值。医生和专职医疗人员之间没有统计学上的显著差异。
本研究表明，Trachosim®在增加和改善ICU内气管切开术紧急情况的培训方面具有良好潜力。结果表明，VR是一种合适的教学干预手段，可提高临床环境中模拟培训的可及性。应进一步开展工作，将VR干预与其他教学方式进行比较，以及评估其长期效果，如知识和技能的保留以及改善患者预后等。
