Virtual reality in intensive care

Bruno, Raphael Romano; Bruining, Nico; Jung, Christian; Kelm, Malte; Wolff, Georg; Wernly, Bernhard

doi:10.1007/s00134-022-06792-0

Cited by 18 publications

(9 citation statements)

References 15 publications

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“…Both, virtual reality (VR) and augmented reality (AR) are technological breakthroughs which facilitate entertainment and communication worldwide [1]. VR immerses its user completely into a three-dimensional, virtual world, while AR maintains the connection to the "real world" and fuses virtual elements with reality [2].…”

Section: Introductionmentioning

confidence: 99%

Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective

Bruno

Wolff²,

Wernly³

et al. 2022

Crit Care

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Virtual reality (VR) and augmented reality (AR) are aspiring, new technologies with increasing use in critical care medicine. While VR fully immerses the user into a virtual three-dimensional space, AR adds overlaid virtual elements into a real-world environment. VR and AR offer great potential to improve critical care medicine for patients, relatives and health care providers. VR may help to ameliorate anxiety, stress, fear, and pain for the patient. It may assist patients in mobilisation and rehabilitation and can improve communication between all those involved in the patient’s care. AR can be an effective tool to support continuous education of intensive care medicine providers, and may complement traditional learning methods to acquire key practical competences such as central venous line placement, cardiopulmonary resuscitation, extracorporeal membrane oxygenation device management or endotracheal intubation. Currently, technical, human, and ethical challenges remain. The adaptation and integration of VR/AR modalities into useful clinical applications that can be used routinely on the ICU is challenging. Users may experience unwanted side effects (so-called “cybersickness”) during VR/AR sessions, which may limit its applicability. Furthermore, critically ill patients are one of the most vulnerable patient groups and warrant special ethical considerations if new technologies are to be introduced into their daily care. To date, most studies involving AR/VR in critical care medicine provide only a low level of evidence due to their research design. Here we summarise background information, current developments, and key considerations that should be taken into account for future scientific investigations in this field. Graphical abstract

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Section: Introductionmentioning

confidence: 99%

Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective

Bruno

Wolff²,

Wernly³

et al. 2022

Crit Care

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“…Nonetheless, major limitations of 3D printing remain high fabrication costs, the duration of production as well as the time-consuming segmentation needed. VR may overcome some of these limitations since it allows full immersion into the 3D virtual environment ( 34 , 35 ). Free movement, zooming, and cropping of the VR model allow precise appreciation of the patient-specific anatomy.…”

Section: Discussionmentioning

confidence: 99%

A comparison of conventional and advanced 3D imaging techniques for percutaneous left atrial appendage closure

Heidari,

Kanschik,

Maier

et al. 2024

Front. Cardiovasc. Med.

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BackgroundUnderstanding complex cardiac anatomy is essential for percutaneous left atrial appendage (LAA) closure. Conventional multi-slice computed tomography (MSCT) and transesophageal echocardiography (TEE) are now supported by advanced 3D printing and virtual reality (VR) techniques for three-dimensional visualization of volumetric data sets. This study aimed to investigate their added value for LAA closure procedures.MethodsTen patients scheduled for interventional LAA closure were evaluated with MSCT and TEE. Patient-specific 3D printings and VR models were fabricated based on MSCT data. Ten cardiologists then comparatively assessed LAA anatomy and its procedure relevant surrounding structures with all four imaging modalities and rated their procedural utility on a 5-point Likert scale questionnaire (from 1 = strongly agree to 5 = strongly disagree).ResultsDevice sizing was rated highest in MSCT (MSCT: 1.9 ± 0.8; TEE: 2.6 ± 0.9; 3D printing: 2.5 ± 1.0; VR: 2.5 ± 1.1; p < 0.01); TEE, VR, and 3D printing were superior in the visualization of the Fossa ovalis compared to MSCT (MSCT: 3.3 ± 1.4; TEE: 2.2 ± 1.3; 3D printing: 2.2 ± 1.4; VR: 1.9 ± 1.3; all p < 0.01). The major strength of VR and 3D printing techniques was a superior depth perception (VR: 1.6 ± 0.5; 3D printing: 1.8 ± 0.4; TEE: 2.9 ± 0.7; MSCT: 2.6 ± 0.8; p < 0.01). The visualization of extracardiac structures was rated less accurate in TEE than MSCT (TEE: 2.6 ± 0.9; MSCT: 1.9 ± 0.8, p < 0.01). However, 3D printing and VR insufficiently visualized extracardiac structures in the present study.ConclusionA true 3D visualization in VR or 3D printing provides an additional value in the evaluation of the LAA for the planning of percutaneous closure. In particular, the superior perception of depth was seen as a strength of a 3D visualization. This may contribute to a better overall understanding of the anatomy. Clinical studies are needed to evaluate whether a more comprehensive understanding through advanced multimodal imaging of patient-specific anatomy using VR may translate into improved procedural outcomes.

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“… 53 , 54 Furthermore, small studies have shown that short VR sessions can significantly reduce healthcare providers’ fatigue and stress levels. 55 With these encouraging results, XR will likely have a more significant role in other aspects of post-procedural care, such as wound care education, heart failure rehabilitation, or increasing adherence to post-procedural recommendations.…”

Section: Clinical Implementation Of Xrmentioning

confidence: 99%

Merging virtual and physical experiences: extended realities in cardiovascular medicine

Tsai

Onuma

Złahoda-Huzior

et al. 2023

European Heart Journal

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Technological advancement and the COVID-19 pandemic have brought virtual learning and working into our daily lives. Extended realities (XR), an umbrella term for all the immersive technologies that merge virtual and physical experiences, will undoubtedly be an indispensable part of future clinical practice. The intuitive and three-dimensional nature of XR has great potential to benefit healthcare providers and empower patients and physicians. In the past decade, the implementation of XR into cardiovascular medicine has flourished such that it is now integrated into medical training, patient education, pre-procedural planning, intra-procedural visualization, and post-procedural care. This review article discussed how XR could provide innovative care and complement traditional practice, as well as addressing its limitations and considering its future perspectives.

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Virtual reality in intensive care

Cited by 18 publications

References 15 publications

Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective

Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective

A comparison of conventional and advanced 3D imaging techniques for percutaneous left atrial appendage closure

Merging virtual and physical experiences: extended realities in cardiovascular medicine

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