An Investigation of Trainees' Performance in Augmented Reality Simulation for Invasive Procedure Training

Shu-Chen Liao47 enrolled

Overview

The primary aim of this study is to measure the efficacy of augmented reality technology in ultrasound-guided medical intervention.

BACKGROUND: A significant challenge facing novice physicians is mastering ultrasound(US)-guided procedures, such as central venous catheter (CVC) placement. CVC placements are typically performed on critically ill patients and demand precision and speed. Physicians are often required to switch focus between the ultrasound screen and the patient, memorize multiple images, coordinate hand-eye movements, and interpret 2D images in a 3D context simultaneously. These complexities pose challenges in spatial orientation and impose a considerable cognitive load, affecting both learning and performance. Within the pedagogical landscape, medical educators are exploring the potential merits of Augmented Reality (AR) via head-mounted displays to enhance immersive learning experiences in clinical settings. This study aimed to determine whether AR could ease challenges related to spatial orientation and cognitive overload during this procedure and ultimately enhance skill acquisition for trainees. Intervention: Prior to the commencement of the trial, all participants verified their previous training in ultrasound-guided CVC placement. They also provided their written informed consent. The participants are set to be split into two groups as part of a crossover design: the first group will initially be subjected to the traditional ultrasound-guided CVC placement, whereas the second group will begin with the AR-assisted CVC placement STUDY IMPLICATIONS: Leveraging AR technology in skill acquisition may reduce trainees' cognitive burden and improve trainee efficiency during ultrasound-guided CVC placement procedures..

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Healthy

Interventions

AR-USDEVICE

The ultrasound imagery is projected onto the glasses, and participants use the AR-US throughout the entire CVC placement procedure

Eligibility

Sex: ALLMin age: 20 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion criteria 1. Age greater than or equal to 20 years 2. Final-year medical students (UGY) 3. Post-year graduate physicians (PGY) 4. Physicians who have previously received training in ultrasound-guided CVC placement or who have experience with such procedures. Exclusion Criteria: Participants who experience discomfort during the process, are pregnant, have high blood pressure, have experienced recent dizziness, have inner ear diseases, suffer from claustrophobia, have undergone recent surgery, have visual impairment, have heart disease, have epilepsy, or refuse to participate.

Locations (1)

Keelung Chang Gung Memorial Hospita

Keelung, Guishan Dist., Taiwan

Outcomes

Primary Outcomes

Performance of CVC Placement

first pass rate in percent, success/failure rate in percent, number of attempts, number of artery punctures, the number of operator head turns in counts, venous access time (from start to venous access in seconds), lag time (from access ultrasound probe to venous access in seconds), catheterization time (from start to complete catheterization in seconds), total time in seconds.

Time frame: up to 30 minutes

Secondary Outcomes

Cognitive load of CVC placement

Cognitive load of CVC placement measured in NASA Task Load Index. The score of the NASA task load index ranges from 0 to 20. A higher score indicates a higher cognitive load.

Time frame: up to 30 minutes

Data from ClinicalTrials.gov

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