Development of the airway Management Training System WKA-5: Improvement of mechanical designs for high-fidelity patient simulation

Noh, Yohan; Tokumoto, Mitsuhiro; Matsuoka, Yoh; Terunaga, Chihara; Ishii, Hiroyuki; Takanishi, Atsuo; Takayama, Toshiyuki; Shoji, Satoru

doi:10.1109/robio.2012.6491137

Cited by 12 publications

(8 citation statements)

References 11 publications

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“…According to the Difficult Airway Society 2015 guidelines for the management of unanticipated difficult intubation in adults, supraglottic airway device (SAD) or flexible fiberscope may be more suitable than laryngoscopy [10]. Furthermore, Kyoto-Kagaku MW11 difficult airway management simulator was developed at Waseda University in 2006 to serve as an active training device and as an advanced evaluation tool for surgical instruments and medical procedures [32,33]. The simulator was built based on the concepts of a Japanese anesthesia textbook (Tracheal Intubation Visual Manual of Clinical Basic Techniques) [34].…”

Section: Limitationsmentioning

confidence: 99%

Does seniority always correlate with simulated intubation performance? Comparing endotracheal intubation performance across medical students, residents, and physicians using a high-fidelity simulator

Yau

Chang

et al. 2021

PLoS ONE

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Background Endotracheal intubation is crucial in emergency medical care and anaesthesia. Our study employed a high-fidelity simulator to explore differences in intubation success rate and other skills between junior and senior physicians. Methods We examined the performance of 50 subjects, including undergraduate students (UGY), postgraduate trainees (PGY), residents (R), and attending physicians (VS). Each participant performed 12 intubations (i.e. 3 devices x 4 scenarios) on a high-fidelity simulator. Main outcome measures included success rate, time for intubation, force applied on incisor and tongue, and Cormack Lehane grades. Results There was no primary effect of seniority on any outcome measure except success rate and Cormack Lehane grades. However, VS demonstrated shorter duration than medical students using Glidescope and direct laryngoscopy, whereas VS and R applied significantly more force on the incisor in the normal airway and rigid neck scenario respectively. Discussion Seniority does not always correlate with skill perfection in detailed processes. Our study suggests that the use of video laryngoscopy enhances the intubation success rate and speed, but the benefit only accrues to senior learners, whereby they applied more force on the incisor at a single peak under difficult scenarios. These findings are discussed in terms of psychological and cognitive perspectives. Conclusion Speed and safety are essential for high quality critical medical procedures. A tool should be designed and implemented to educate junior physicians with an emphasis on practice and efficiency, which should also contribute to updating senior physicians’ knowledge and competence by providing instant feedback on their performance. This type of fine-grained feedback could serve as a complement to traditional training and provide a sustainable learning model for medical education.

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Section: Limitationsmentioning

confidence: 99%

Does seniority always correlate with simulated intubation performance? Comparing endotracheal intubation performance across medical students, residents, and physicians using a high-fidelity simulator

Yau

Chang

et al. 2021

PLoS ONE

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“…Increased oral transit times with viscosity and increased bridging in proximity of the model epiglottis. (Noh et al, 2012b) Dry swallow. Visual assessment by practitioners.…”

Section: Dmentioning

confidence: 99%

“…The original prototype device was actuated by 16 servo motors through wire assemblies later replaced with motors. At the time of writing, the latest reported iteration of this mechanical device is the WKA-5 (Noh et al, 2012b). This device has actively controlled degrees of freedom with torque sensors on each joint that can reproduce human muscle stiffness and respond to the external force of users.…”

Section: Bolus Transit Times Between Two Markers In a Vertical Planementioning

confidence: 99%

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A review of the approaches to predict the ease of swallowing and post-swallow residues

Marconati¹,

Engmann²,

Burbidge³

et al. 2019

Trends in Food Science & Technology

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“…This series of robots could fully simulate the human motor nervous system to help the students master the examination skills and understand various diseases. At the same time, the laboratory also developed a training robot that can simulate the opening and closing process of the mandible of patients and provide human airway examination training [18,19]. Saverio Farsoni from the University of Ferrara designed an ultrasound training system to provide high-quality training scenarios to improve the effectiveness of ultrasound education [20].…”

Section: Introductionmentioning

confidence: 99%

Development of a novel massage platform for medical training

Sun

et al. 2020

THC

Self Cite

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BACKGROUND: Traditional Chinese medicine (TCM) massage has a better effect on treating infant diarrhea compared to medical treatment. The TCM doctors need to be trained to master professional massage techniques. Traditional Chinese massage training relies on the students' understanding ability, and cannot accurately record the students' operating information. This situation leads to insufficient clinical massage skills of the students. OBJECTIVE: This paper proposes a novel massage training platform to quantitatively perceive the massage techniques of students. METHODS: The paper proposed two types of flexible array sensors, which are arranged and placed into the bionic baby according to the position of the human acupoints. The massage techniques of the training object can be analyzed and evaluated during the massage process by studying the voltage from pressure sensors when the participants massage the bionic infant. RESULTS: A medical student was invited to conduct the massage training experiment, and the massage information included the operating strength, massage frequency and the massage direction, which were recorded and analyzed through the training platform. CONCLUSION: The platform can perceive the parameters related to the massage technique of students and can be used for medical training.

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Development of the airway Management Training System WKA-5: Improvement of mechanical designs for high-fidelity patient simulation

Cited by 12 publications

References 11 publications

Does seniority always correlate with simulated intubation performance? Comparing endotracheal intubation performance across medical students, residents, and physicians using a high-fidelity simulator

Does seniority always correlate with simulated intubation performance? Comparing endotracheal intubation performance across medical students, residents, and physicians using a high-fidelity simulator

A review of the approaches to predict the ease of swallowing and post-swallow residues

Development of a novel massage platform for medical training

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