Chest compressions quality during sudden cardiac arrest scenario performed in virtual reality

Jaskiewicz, Filip; Kowalewski, Dawid; Starosta, Katarzyna; Cierniak, Marcin; Timler, Dariusz

doi:10.1097/md.0000000000023374

Cited by 21 publications

(35 citation statements)

References 26 publications

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“…Of the 114 papers, 69 (60.5%) concerned surgical VR simulators [ 36 , 37 , 42 , 46 , 47 , 51 , 53 , 55 - 57 , 59 , 66 , 67 , 73 - 75 , 79 , 81 - 84 , 86 , 88 , 90 - 94 , 96 , 98 - 100 , 103 , 105 , 107 - 138 ], 20 (17.5%) used virtual worlds or virtual environments [ 39 - 41 , 43 , 44 , 48 , 50 , 58 , 69 , 70 , 76 - 78 , 101 , 139 - 145 ], 15 (13.2%) used 3D anatomical models, 4 (3.5%) used virtual dissection tables [ 9 , 62 , 97 , 127 , 146 ], 4 (3.5%) used mobile VR [ 14 , 63 , 65 , 147 ], 1 (0.9%) examined the use of a virtual palpation simulator, and 1 (0.9%) used a virtual ultrasound simulator ( Figure 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Among the 20 studies involving virtual worlds, 15 (75%) were developed in-house, whereas the remaining 5 (25%) used virtual worlds that are commercial products, including products such as MicroSim [ 58 ], Body Interact [ 141 ], Otago virtual hospital [ 50 ], a beta version of CPR VR learning software [ 70 ], and Medical Realities VR [ 87 ].…”

Section: Resultsmentioning

confidence: 99%

“…The next most common input device was a mouse (21/114, 18.4%) [ 8 , 38 - 41 , 43 - 45 , 50 , 54 , 58 , 61 , 62 , 64 , 68 , 71 , 76 - 78 , 80 , 92 , 101 , 139 - 142 , 144 , 151 , 157 - 164 ], followed by touch screen (8/114, 7%) [ 9 , 14 , 63 , 65 , 97 , 127 , 146 , 147 , 165 , 166 ] and handheld game controllers (5/114, 4.4%) [ 35 , 57 , 87 , 153 , 155 ]. Of the 114 studies, 4 (3.5%) [ 46 , 143 , 144 , 167 ] used headset devices such as Oculus Rift VR System, Google Cardboard version 1, and RITECH II, whereas 2 (1.8%) used joysticks [ 69 , 168 ] and 3 (2.6%) [ 70 , 95 , 169 ] used VR gloves. The study by Kockro et al [ 72 ] used stereoscopic glasses as the input device (Figure S1 in Multimedia Appendix 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…The delivery devices used include the use of screens in most of the studies (100/114, 87.7%) [ 8 , 9 , 14 , 35 - 47 , 49 - 51 , 53 - 56 , 58 , 59 , 61 - 69 , 71 , 73 - 79 , 81 , 83 - 86 , 88 - 91 , 93 - 95 , 97 - 104 , 106 - 117 , 119 - 129 , 131 - 138 , 140 - 144 , 146 , 147 , 151 , 156 - 159 , 161 - 166 , 168 , 170 , 171 ], headset (13/114, 11.4%) [ 48 , 57 , 70 , 80 , 82 , 87 , 92 , 95 , 96 , 105 , 118 , 145 , 153 , 155 , 167 , 172 ], and 3D projector with stereoscopic glasses (1/114, 0.9%) [ 72 ] (Figure S2 in Multimedia Appendix 3 ).…”

Section: Resultsmentioning

confidence: 99%

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Virtual Reality in Medical Students’ Education: Scoping Review

Jiang¹,

Vimalesvaran²,

Wang³

et al. 2022

JMIR Med Educ

100

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Background Virtual reality (VR) produces a virtual manifestation of the real world and has been shown to be useful as a digital education modality. As VR encompasses different modalities, tools, and applications, there is a need to explore how VR has been used in medical education. Objective The objective of this scoping review is to map existing research on the use of VR in undergraduate medical education and to identify areas of future research. Methods We performed a search of 4 bibliographic databases in December 2020. Data were extracted using a standardized data extraction form. The study was conducted according to the Joanna Briggs Institute methodology for scoping reviews and reported in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Results Of the 114 included studies, 69 (60.5%) reported the use of commercially available surgical VR simulators. Other VR modalities included 3D models (15/114, 13.2%) and virtual worlds (20/114, 17.5%), which were mainly used for anatomy education. Most of the VR modalities included were semi-immersive (68/114, 59.6%) and were of high interactivity (79/114, 69.3%). There is limited evidence on the use of more novel VR modalities, such as mobile VR and virtual dissection tables (8/114, 7%), as well as the use of VR for nonsurgical and nonpsychomotor skills training (20/114, 17.5%) or in a group setting (16/114, 14%). Only 2.6% (3/114) of the studies reported the use of conceptual frameworks or theories in the design of VR. Conclusions Despite the extensive research available on VR in medical education, there continue to be important gaps in the evidence. Future studies should explore the use of VR for the development of nonpsychomotor skills and in areas other than surgery and anatomy. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2020-046986

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Virtual Reality in Medical Students’ Education: Scoping Review

Jiang¹,

Vimalesvaran²,

Wang³

et al. 2022

JMIR Med Educ

100

View full text Add to dashboard Cite

show abstract

“…36 37 CPR training using the VR technique is a feasible and effective training method, which is highly valued by medical students. 38 VR training can be conducted at home at a low cost at any time and takes a very short time to complete. VR training could overcome important barriers for layperson CPR training.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Efficacy of virtual reality techniques in cardiopulmonary resuscitation training: protocol for a meta-analysis of randomised controlled trials and trial sequential analysis

Zheng

Deng

et al. 2022

BMJ Open

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IntroductionCardiopulmonary resuscitation (CPR) is the most critical procedure in the rescue of patients with sudden cardiac death (SCD). The success rate of CPR remains far below expectations, which made CPR education identified as the top priority for SCD. CPR training using the virtual reality (VR) technique is a feasible training method, with a wider population and lower cost, but its efficacy remains controversial. Thus, we will perform a protocol for a systematic review and meta-analysis to identify the efficacy of the VR technique on CPR quality.Methods and analysisWe will search PubMed, Web of Science, Cochrane Library, Ovid Medline, Embase, China National Knowledge Infrastructure, Chinese BioMedical Literature, Wanfang and VIP databases from inception to November 2021, to identify randomised controlled trials and the first period in randomised cross-over trials assessing the efficacy of VR techniques versus non-VR techniques for adult participants accepting adult CPR training. No language restrictions will be considered. Data synthesis will be performed using RevMan V.5.4 and Stata/MP V.16.0. Outcome measures will be present as relative risk with 95% CIs for dichotomous data and mean difference with 95% CIs for continuous data. The primary outcome will be the CPR quality defined as chest compression rate and depth. Secondary outcomes will be the overall performance of CPR. Heterogeneity will be assessed by the χ2 test and I2 statistic. Data will be synthesised by either fixed-effects or random-effects models according to the I2 value. Trial sequential analysis and modified Jadad Scale will be used to control the risks of random errors and evaluate the evidence quality. Egger’s regression test and funnel plots will be used to assess the publication bias.Ethics and disseminationEthical approval was not required for this systematic review protocol. The findings will be disseminated through peer-reviewed publications.PROSPERO registration numberCRD42021281059.

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Evaluating the effectiveness of virtual reality for safety-relevant training: a systematic review

Stefan,

Mortimer,

Horan

2023

Virtual Reality

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The commercial release of affordable, low-cost, and consumer-ready virtual reality (VR) devices has increased the accessibility for researchers to investigate the benefits of VR technology including those aimed at education and training. VR technology provides several opportunities that may provide benefits over traditional training methods, this is particularly relevant for safety training due to its ability to safely simulate dangerous scenarios that would otherwise be difficult to access. When implementing a new technology, it is important to evaluate and validate its effectiveness. This paper presents a systematic review of VR safety-relevant training studies that perform an evaluation of their effectiveness. This comprehensive review includes 136 studies published between 2016 and August 2021. Results presented in this paper include application domains, study objectives, study designs, and evaluation measures. Results show that the majority of studies were applicable to health services with the majority focusing on effectiveness evaluation using true- or quasi-experimental design. This study then categorizes each reported evaluation measure into one of the four levels in Kirkpatrick’s model for training evaluation, results showed that the majority of studies evaluated learning (72.06%) and reaction (66.18%) levels with very few studies evaluating behavior and results levels. This study concludes by providing insights and recommendations to help future researchers make informed decisions when designing an effectiveness evaluation study for VR safety-relevant training applications.

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Chest compressions quality during sudden cardiac arrest scenario performed in virtual reality

Cited by 21 publications

References 26 publications

Virtual Reality in Medical Students’ Education: Scoping Review

Virtual Reality in Medical Students’ Education: Scoping Review

Efficacy of virtual reality techniques in cardiopulmonary resuscitation training: protocol for a meta-analysis of randomised controlled trials and trial sequential analysis

Evaluating the effectiveness of virtual reality for safety-relevant training: a systematic review

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