Evaluation of Google Glass&amp;amp;#8482; with Camera Adaptor and GoPro&amp;amp;#8482; as Teaching Tools for Endotracheal Intubation in the Austere Medical Environment

Son, Michael; Zimmer, David J.; McCauley, Ross; Zimmer, Donald; Dynako, Joseph; Skupski, Richard; Patel, B. M.; Zackariya, Nuha; Shariff, Faadil; Colas, L. Nathalie; Pyram, Gerson; Augustin, Marc E.; Mathurin, Carmeline; Louis, Stanley; Louis, Patricia Saint; Loriston, Stanley; Herbstman, Dan; Cervantes, Lucio; Kappler, Shane; McCurdy, Michael T.; Thachil, Jecko; Greve, Sarah; Walsh, Mark

doi:10.4236/ojanes.2018.88024

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…During anesthesia induction, tele-glasses also recorded laryngoscopy view, which was attached to an individual record, for both teaching and self-assessment purposes. [25,26]…”

Section: Discussion/observationsmentioning

confidence: 99%

New technologies in airway management: A review

et al. 2022

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The evolution of medical knowledge and technological growth have contributed to the development of different techniques and devices for airway management. These appear to play a role in optimizing the number of attempts and overall success, ultimately reducing the negative consequences of airway manipulation. In this literature review, we highlight the recent evidence regarding new technologies applied to airway management. Before intubation, every patient should have an individualized structured airway management plan. Technology can help with both airway evaluation and tracheal intubation. Point-of-care cervical ultrasound and artificial intelligence models with automated facial analysis have been used to predict difficult airways. Various devices can be used in airway management. This includes a robotic video endoscope that guides intubation based on real image recognition, a laryngeal mask with a non-inflatable cuff that tries to reduce local complications, video laryngeal masks that are able to confirm the correct position and facilitate intubation, Viescope™, a videolaryngoscope developed for combat medicine with a unique circular blade, a system that uses cervical transillumination for glottis identification in difficult airways and Vivasight SL™ tracheal tube, which has a high-resolution camera at its tip guaranteeing visual assurance of tube position as well as guiding bronchial blocker position. To conclude, we detailed the challenges in airway management outside the operating room as well as described suction-assisted laryngoscopy and airway decontamination technique for contaminated airways. Further research in the clinical setting is recommended to better support the use of these technologies

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“…During anesthesia induction, tele-glasses also recorded laryngoscopy view, which was attached to an individual record, for both teaching and self-assessment purposes. [25,26]…”

Section: Discussion/observationsmentioning

confidence: 99%

New technologies in airway management: A review

et al. 2022

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“…33 Some preliminary studies have introduced advanced technologies (e.g., Google Glass, GoPro) to help guide the novice proceduralist in endotracheal intubation. 34 Nonetheless, the anatomically challenging airway may manifest as a "Can't intubate, can't oxygenate" scenario, described as the inability to secure an ETT and failure to maintain oxygenation via a bag-valve mask (BVM) or supraglottic device. Providers should use the scalpel-bougie cricothyroidotomy approach in this scenario, given its streamlined equipment and procedure sequence (i.e., number 10 scalpel, finger, bougie, size 6.0 mm ETT).…”

Section: Airway Techniquesmentioning

confidence: 99%

Critical Care Anywhere: Principles for High-Functioning Management in Low-Resource Environments

Stankiewicz

Ward

McCurdy

2021

MRAJ

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Critically ill patients can present at any time and location, and they demand high quality care. Historical experiences from military, wilderness, and disaster medicine settings have helped shape the modern concept of caring for the most severely ill with limited available resources. We introduce a method to help design a successful critical care medical support endeavor, which includes properly defining components of Navigation, Environment, Resupply, Energy, Unconventional problems, and Support (NEREUS). Additionally, we provide recommendations for optimal team personnel composition, including utilization of paramedics, critical care providers, nurses, and respiratory therapists across the spectrum of care provided at point of injury, en route to definitive care, and definitive care. A review of critical care principles relevant to the austere setting proceeds with a systematic organization according to airway, breathing, circulation, and neurologic management. Lastly, we employ our proposed method of organizing a critical care medical support endeavor to a post-hurricane scenario. In summary, this review provides the historical background, modern definition, and practical framework for successfully administering critical care in scenarios with limited available resources. We emphasize the need to appropriately adapt critical care concepts to meet the unique demands of a specific scenario.

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“…These issues can be solved with a point-of-view camera system. A recent case series found that point-of-view cameras, the GoPro (GoPro, Inc, San Mateo, CA), and Google Glass ™ (Google, Mountain View, California), were useful in teaching endotracheal intubation [ 3 ]. The value of a point-of-view camera in teaching intubation was previously recognised more than two decades ago with the commercial release of the Airway Cam ™ (Airway Cam Technologies, Wayne, PA, USA), a head-mounted camera system worn next to the proceduralist’s dominant eye [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Use of GoPro point-of-view camera in intubation simulation—A randomized controlled trial

et al. 2020

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Introduction Teaching endotracheal intubation is uniquely challenging due to its technical, high-stakes, and highly time-sensitive nature. The GoPro is a small, lightweight, high-resolution action camera with a wide-angle field of view that can encompass both the airway as well as the procedurist’s hands and positioning technique when worn with a head mount. We aimed to evaluate its effectiveness in improving intubation teaching for novice learners in a simulated setting, via a two-arm, parallel group, randomized controlled superiority trial with 1:1 allocation ratio. Methods We recruited Year 4 medical students at the start of their compulsory 2-week Anesthesia posting. Participants underwent a standardized intubation curriculum and a formative assessment, then randomized to receive GoPro or non-GoPro led feedback. After a span of three months, participants were re-assessed in a summative assessment by blinded accessors. Participants were also surveyed on their learning experience for a qualitative thematic perspective. The primary outcomes were successful intubation and successful first-pass intubation. Results Seventy-one participants were recruited with no dropouts, and all were included in the analysis. 36 participants received GoPro led feedback, and 35 participants received non-GoPro led feedback. All participants successfully intubated the manikin. No statistically significant differences were found between the GoPro group and the non-GoPro group at summative assessment (85.3% vs 90.0%, p = 0.572). Almost all participants surveyed found the GoPro effective for their learning (98.5%). Common themes in the qualitative analysis were: the ability for an improved assessment, greater identification of small details that would otherwise be missed, and usefulness of the unique point-of-view footage in improving understanding. Conclusions The GoPro is a promising tool for simulation-based intubation teaching. There are considerations in its implementation to maximize the learning experience and yield from GoPro led feedback and training.

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Evaluation of Google Glass&#8482; with Camera Adaptor and GoPro&#8482; as Teaching Tools for Endotracheal Intubation in the Austere Medical Environment

Cited by 5 publications

References 14 publications

New technologies in airway management: A review

New technologies in airway management: A review

Critical Care Anywhere: Principles for High-Functioning Management in Low-Resource Environments

Use of GoPro point-of-view camera in intubation simulation—A randomized controlled trial

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