Regional anesthesia

Design and validation of a virtual reality trainer for ultrasound‐guided regional anaesthesia

AnaesthesiaPublished Validation study

Authors' conclusion

This study achieved initial validation of our new virtual reality trainer and allows progression to a planned definitive trial that will compare the effectiveness of virtual reality training on real-life regional anaesthesia performance.

Study context

Population
Novice and experienced regional anaesthetists performing 40 needling attempts on four virtual nerve targets
Participants
21 vs 15
Comparison
Novice vs Experienced
  • Novicen = 21reference
  • Experiencedn = 15
Outcome
Construct validity: performance scores (needle angulation, withdrawals, time taken) between novice and experienced regional anaesthetists
Methodological detailssimulation, construct validity
  • Simulation
  • Construct validity

Performance

As reported in the abstract

Needling performance scores (construct validity)
  • Experienced vs Novice: P = 0.002
  • Experienced vs Novice: P = 0.002
  • Experienced vs Novice: P = 0.003
  • Experienced vs Novice: P = 0.002
  • Experienced vs Novice: P = 0.003

Secondary outcomes

Learning curves (log-log transformed)

Individual variability in performance over time

Immersion (Presence Questionnaire) vs other high-fidelity VR software

Comparable in realism, possibility to act and quality of interface subscales
all p > 0.06
Not comparable in possibility to examine and self-performance subscales
all p < 0.009

Cognitive workload (NASA-Task Load Index) vs real-life procedural medicine

Workloads similar to real-life procedures
P = 0.53

Original publication

Design and validation of a virtual reality trainer for ultrasound‐guided regional anaesthesia. Anaesthesia. Published 3 April 2023. doi:10.1111/anae.16015

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