Augmented Reality, Virtual Reality
Conditions
Keywords
ultrasound-guided procedure, nerve block
Brief summary
The study seeks to assess the efficacy of incorporating augmented reality (AR) or virtual reality (VR) technology into ultrasound-guided medical procedures such as regional anesthesia and line placement. By utilizing AR/VR devices, the investigators will improve the ergonomics when using ultrasound to guide procedures. The aims are to enhance visualization of anatomical structures and improve procedural accuracy for clinicians. The study aims to evaluate the feasibility, and effectiveness of integrating AR/VR technology into ultrasound-guided procedures, with the ultimate goal of improving patient outcomes.
Detailed description
The investigators aim to learn several key insights from this study. Firstly, they hope to determine the extent to which augmented reality (AR) or virtual reality (VR) technology can enhance the precision and accuracy of ultrasound-guided medical procedures, such as regional anesthesia and line placement. This includes evaluating whether AR/VR visualization leads to improved needle placement and reduced complication rates. Furthermore, the investigators aim to evaluate the usability and acceptance of AR/VR technology among clinicians, considering factors such as user experience, comfort, and integration with existing workflow processes. The importance of this new knowledge lies in its potential to improve medical practice by leveraging cutting-edge technology to improve patient outcomes and expand access to quality healthcare globally. If AR/VR proves to be effective in enhancing procedural accuracy, it could lead to significant advancements in healthcare delivery, particularly in underserved communities and resource-limited settings by leveraging remote care. Additionally, insights gained from this study could inform the development of future AI assisted AR/VR applications in medicine, driving innovation and improving the standard of care across various medical specialties.
Interventions
DEVICEUltrasound-guided procedure using AR/VR technology
Participants will receive the intervention, which involves utilizing AR/VR technology during ultrasound-guided procedures (e.g., regional anesthesia, line placement). All participants will receive standard pre- and post-block or line care as they normally would for the ultrasound-guided procedure.
Sponsors
Stanford University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
All participants will receive the intervention, which involves utilizing AR/VR technology during ultrasound-guided procedures.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients presenting for ultrasound-guided procedures, with ASA physical status I, II, or III.
Exclusion criteria
* pregnancy * incarceration * BMI \>35
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedure success rate (Primary Block) | Document the block result pre-operatively (at least 30 min following block completion), or within one hour upon arriving to PACU | Document the block result in pre-op, if feasible, or PACU by testing sensory (cold spray) and motor function on all nerves covered by the block |
| Post-operative opioid consumption | 12 hours after surgery | Morphine milligram equivalents (MME) will be measured post-operatively |
| Post-operative pain scores | 12 hours after surgery | Trend pain scores on 11-point NRS scale (from 0 to 10) following the procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinician satisfaction | Within 24 hours of block completion | A short survey will be utilized to gather data on clinicians' perceptions of the ease of use, effectiveness, and overall experience with AR/VR tools compared to traditional methods. |
| Procedure duration | During the procedure | Time of procedure from initial needle insertion to needle removal will be calculated |
| Needle pass/redirection | During the procedure | The number of times a clinician must remove the needle from the patient completely and reattempt will be calculated. |
| Needle visualisation | Within 24 hours of block completion | A subjective score will be assessed on a short survey to clinicians. |
Countries
United States
Contacts
CONTACTJean-Louis Horn, MD
CONTACTKsenia (kasimova), MD
Outcome results
None listed