Virtual Reality: The Future of Invasive Procedure Training?
Virtual Reality: The Future of Invasive Procedure Training?
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虚拟现实：侵入性手术培训的未来？
DOI：
10.1053/j.jvca.2023.06.032
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发表时间：
2023
影响因子：
2.8
通讯作者：
R. Matyal
中科院分区：
文献类型：
--
作者：
Shiri Savir;A. Khan;R. Yunus;T. Rehman;Shiri Saeed;M. Sohail;A. Sharkey;J. Mitchell;R. Matyal
侵入性手术与不良事件相关，对患者有害且治疗费用昂贵。受训人员需要在时间压力下的动态环境中执行复杂的无菌侵入性手术，同时以最高的护理标准维护患者的安全。为了掌握实施侵入性手术，需要技术方面的自动化，以及适应患者条件、解剖变异性和环境压力的能力。虚拟现实（VR）模拟培训是一种沉浸式技术，具有巨大的医疗培训潜力，有可能提高临床熟练程度并改善患者安全。虚拟现实可以将近乎真实的环境投射到头戴式显示器上，允许用户模拟各种场景并与之交互。虚拟现实已广泛应用于各种卫生保健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物理触摸和音频和视觉刺激的触觉反馈。在这篇文章中，作者介绍了VR模拟训练在侵入性手术中的历史回顾、现状和潜在应用。他们专门探索了一种用于中心静脉通路的VR训练模块，作为侵入性手术训练的原型，以描述这种不断发展的技术的优点和局限性。
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.