Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial
BackgroundSeptic shock is a low-frequency but high-stakes condition in children requiring prompt resuscitation, which makes it an important target for simulation-based education. ObjectiveIn this study, we aimed to design and implement an augmented reality app (Pe...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-10-01
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| Series: | JMIR Medical Education |
| Online Access: | https://mededu.jmir.org/2021/4/e29899 |
| _version_ | 1797735686300762112 |
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| author | Regina L Toto Ethan S Vorel Khoon-Yen E Tay Grace L Good Jesse M Berdinka Adam Peled Marion Leary Todd P Chang Anna K Weiss Frances B Balamuth |
| author_facet | Regina L Toto Ethan S Vorel Khoon-Yen E Tay Grace L Good Jesse M Berdinka Adam Peled Marion Leary Todd P Chang Anna K Weiss Frances B Balamuth |
| author_sort | Regina L Toto |
| collection | DOAJ |
| description |
BackgroundSeptic shock is a low-frequency but high-stakes condition in children requiring prompt resuscitation, which makes it an important target for simulation-based education.
ObjectiveIn this study, we aimed to design and implement an augmented reality app (PediSepsisAR) for septic shock simulation, test the feasibility of measuring the timing and volume of fluid administration during septic shock simulation with and without PediSepsisAR, and describe PediSepsisAR as an educational tool. We hypothesized that we could feasibly measure our desired data during the simulation in 90% of the participants in each group. With regard to using PediSepsisAR as an educational tool, we hypothesized that the PediSepsisAR group would report that it enhanced their awareness of simulated patient blood flow and would more rapidly verbalize recognition of abnormal patient status and desired management steps.
MethodsWe performed a randomized controlled feasibility trial with a convenience sample of pediatric care providers at a large tertiary care pediatric center. Participants completed a prestudy questionnaire and were randomized to either the PediSepsisAR or control (traditional simulation) arms. We measured the participants’ time to administer 20, 40, and 60 cc/kg of intravenous fluids during a septic shock simulation using each modality. In addition, facilitators timed how long participants took to verbalize they had recognized tachycardia, hypotension, or septic shock and desired to initiate the sepsis pathway and administer antibiotics. Participants in the PediSepsisAR arm completed a poststudy questionnaire. We analyzed data using descriptive statistics and a Wilcoxon rank-sum test to compare the median time with event variables between groups.
ResultsWe enrolled 50 participants (n=25 in each arm). The timing and volume of fluid administration were captured in all the participants in each group. There was no statistically significant difference regarding time to administration of intravenous fluids between the two groups. Similarly, there was no statistically significant difference between the groups regarding time to verbalized recognition of patient status or desired management steps. Most participants in the PediSepsisAR group reported that PediSepsisAR enhanced their awareness of the patient’s perfusion.
ConclusionsWe developed an augmented reality app for use in pediatric septic shock simulations and demonstrated the feasibility of measuring the volume and timing of fluid administration during simulation using this modality. In addition, our findings suggest that PediSepsisAR may enhance participants’ awareness of abnormal perfusion. |
| first_indexed | 2024-03-12T13:02:31Z |
| format | Article |
| id | doaj.art-acbb4a87377b45538da329134e265d09 |
| institution | Directory Open Access Journal |
| issn | 2369-3762 |
| language | English |
| last_indexed | 2024-03-12T13:02:31Z |
| publishDate | 2021-10-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Medical Education |
| spelling | doaj.art-acbb4a87377b45538da329134e265d092023-08-28T19:29:11ZengJMIR PublicationsJMIR Medical Education2369-37622021-10-0174e2989910.2196/29899Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility TrialRegina L Totohttps://orcid.org/0000-0002-1436-2390Ethan S Vorelhttps://orcid.org/0000-0002-8813-3136Khoon-Yen E Tayhttps://orcid.org/0000-0001-6313-6480Grace L Goodhttps://orcid.org/0000-0003-1263-8848Jesse M Berdinkahttps://orcid.org/0000-0002-7443-1001Adam Peledhttps://orcid.org/0000-0002-3962-5716Marion Learyhttps://orcid.org/0000-0002-4815-4223Todd P Changhttps://orcid.org/0000-0002-4508-2551Anna K Weisshttps://orcid.org/0000-0002-6631-3515Frances B Balamuthhttps://orcid.org/0000-0003-3709-7160 BackgroundSeptic shock is a low-frequency but high-stakes condition in children requiring prompt resuscitation, which makes it an important target for simulation-based education. ObjectiveIn this study, we aimed to design and implement an augmented reality app (PediSepsisAR) for septic shock simulation, test the feasibility of measuring the timing and volume of fluid administration during septic shock simulation with and without PediSepsisAR, and describe PediSepsisAR as an educational tool. We hypothesized that we could feasibly measure our desired data during the simulation in 90% of the participants in each group. With regard to using PediSepsisAR as an educational tool, we hypothesized that the PediSepsisAR group would report that it enhanced their awareness of simulated patient blood flow and would more rapidly verbalize recognition of abnormal patient status and desired management steps. MethodsWe performed a randomized controlled feasibility trial with a convenience sample of pediatric care providers at a large tertiary care pediatric center. Participants completed a prestudy questionnaire and were randomized to either the PediSepsisAR or control (traditional simulation) arms. We measured the participants’ time to administer 20, 40, and 60 cc/kg of intravenous fluids during a septic shock simulation using each modality. In addition, facilitators timed how long participants took to verbalize they had recognized tachycardia, hypotension, or septic shock and desired to initiate the sepsis pathway and administer antibiotics. Participants in the PediSepsisAR arm completed a poststudy questionnaire. We analyzed data using descriptive statistics and a Wilcoxon rank-sum test to compare the median time with event variables between groups. ResultsWe enrolled 50 participants (n=25 in each arm). The timing and volume of fluid administration were captured in all the participants in each group. There was no statistically significant difference regarding time to administration of intravenous fluids between the two groups. Similarly, there was no statistically significant difference between the groups regarding time to verbalized recognition of patient status or desired management steps. Most participants in the PediSepsisAR group reported that PediSepsisAR enhanced their awareness of the patient’s perfusion. ConclusionsWe developed an augmented reality app for use in pediatric septic shock simulations and demonstrated the feasibility of measuring the volume and timing of fluid administration during simulation using this modality. In addition, our findings suggest that PediSepsisAR may enhance participants’ awareness of abnormal perfusion.https://mededu.jmir.org/2021/4/e29899 |
| spellingShingle | Regina L Toto Ethan S Vorel Khoon-Yen E Tay Grace L Good Jesse M Berdinka Adam Peled Marion Leary Todd P Chang Anna K Weiss Frances B Balamuth Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial JMIR Medical Education |
| title | Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial |
| title_full | Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial |
| title_fullStr | Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial |
| title_full_unstemmed | Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial |
| title_short | Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial |
| title_sort | augmented reality in pediatric septic shock simulation randomized controlled feasibility trial |
| url | https://mededu.jmir.org/2021/4/e29899 |
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