Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology

Abstract Background Intraspinal anesthesia poses significant teaching challenges and inadequate teaching resources, which ultimately limit students’ opportunities for practice. To address this issue, we aimed to develop a virtual platform for combined spinal-epidural anesthesia that merges virtual r...

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Main Authors: Ting Zheng, Huihong Xie, Fei Gao, Cansheng Gong, Wei Lin, Peng Ye, Yuqing Liu, Bingwei He, Xiaochun Zheng
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04758-4
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author Ting Zheng
Huihong Xie
Fei Gao
Cansheng Gong
Wei Lin
Peng Ye
Yuqing Liu
Bingwei He
Xiaochun Zheng
author_facet Ting Zheng
Huihong Xie
Fei Gao
Cansheng Gong
Wei Lin
Peng Ye
Yuqing Liu
Bingwei He
Xiaochun Zheng
author_sort Ting Zheng
collection DOAJ
description Abstract Background Intraspinal anesthesia poses significant teaching challenges and inadequate teaching resources, which ultimately limit students’ opportunities for practice. To address this issue, we aimed to develop a virtual platform for combined spinal-epidural anesthesia that merges virtual reality technology with haptic feedback technology, while assessing its educational impact and learning outcomes. Methods We utilized MIMICS, 3Ds MAX, and UNITY 3D software to perform 3D reconstruction based on lumbar CT/MRI data from a standard male volunteer. The haptic coefficients were configured on each layer by 20 experienced anesthesiologists in accordance with the Geomagic Touch X force feedback device. A total of 20 anesthesiology interns completed 30 virtual puncture training sessions. Two experienced anesthetists evaluated the efficacy of the platform and the level of mastery achieved using the Global Rating Scale (GRS) and a Checklist score, respectively. Finally, a questionnaire survey was conducted to gather feedback on the virtual platform. Results After the 10th session, the puncture time stabilized at 2.4 min. As the number of sessions increased, the Global Rating Scale (GRS) score stabilized by the 8th session, and the Checklist scores tended to stabilize by the 10th session. Results from questionnaires indicated that over half of the anesthesiology interns (70%) believed that the platform, which exhibited strong repeatability, improved their anatomical recognition and provided a strong sense of breakthrough in identifying the ligamentum flavum. The majority of them (80%) expressed satisfaction with the virtual platform. Conclusions The platform effectively facilitated the acquisition of basic and accurate puncture skills on a virtual patient.
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spelling doaj.art-a4037e9dcd0e4b3eaf4da15f6332fa802023-11-20T09:46:31ZengBMCBMC Medical Education1472-69202023-10-0123111110.1186/s12909-023-04758-4Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technologyTing Zheng0Huihong Xie1Fei Gao2Cansheng Gong3Wei Lin4Peng Ye5Yuqing Liu6Bingwei He7Xiaochun Zheng8Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial HospitalDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial HospitalDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial HospitalDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial HospitalCollege of Mechanical Engineering, Fuzhou UniversityDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial HospitalFujian Provincial Co-Constructed Laboratory of “Belt and Road”, Fujian Emergency Medical CenterFujian Provincial Co-Constructed Laboratory of “Belt and Road”, Fujian Emergency Medical CenterDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial HospitalAbstract Background Intraspinal anesthesia poses significant teaching challenges and inadequate teaching resources, which ultimately limit students’ opportunities for practice. To address this issue, we aimed to develop a virtual platform for combined spinal-epidural anesthesia that merges virtual reality technology with haptic feedback technology, while assessing its educational impact and learning outcomes. Methods We utilized MIMICS, 3Ds MAX, and UNITY 3D software to perform 3D reconstruction based on lumbar CT/MRI data from a standard male volunteer. The haptic coefficients were configured on each layer by 20 experienced anesthesiologists in accordance with the Geomagic Touch X force feedback device. A total of 20 anesthesiology interns completed 30 virtual puncture training sessions. Two experienced anesthetists evaluated the efficacy of the platform and the level of mastery achieved using the Global Rating Scale (GRS) and a Checklist score, respectively. Finally, a questionnaire survey was conducted to gather feedback on the virtual platform. Results After the 10th session, the puncture time stabilized at 2.4 min. As the number of sessions increased, the Global Rating Scale (GRS) score stabilized by the 8th session, and the Checklist scores tended to stabilize by the 10th session. Results from questionnaires indicated that over half of the anesthesiology interns (70%) believed that the platform, which exhibited strong repeatability, improved their anatomical recognition and provided a strong sense of breakthrough in identifying the ligamentum flavum. The majority of them (80%) expressed satisfaction with the virtual platform. Conclusions The platform effectively facilitated the acquisition of basic and accurate puncture skills on a virtual patient.https://doi.org/10.1186/s12909-023-04758-4Combined spinal-epidural anesthesiaVirtual reality technologyHaptic feedbackLearning curveQuestionnaire
spellingShingle Ting Zheng
Huihong Xie
Fei Gao
Cansheng Gong
Wei Lin
Peng Ye
Yuqing Liu
Bingwei He
Xiaochun Zheng
Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology
BMC Medical Education
Combined spinal-epidural anesthesia
Virtual reality technology
Haptic feedback
Learning curve
Questionnaire
title Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology
title_full Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology
title_fullStr Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology
title_full_unstemmed Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology
title_short Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology
title_sort research and application of a teaching platform for combined spinal epidural anesthesia based on virtual reality and haptic feedback technology
topic Combined spinal-epidural anesthesia
Virtual reality technology
Haptic feedback
Learning curve
Questionnaire
url https://doi.org/10.1186/s12909-023-04758-4
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