Abstract
IntroductionHead-mounted displays (HMDs) are becoming increasingly investigated in the realm of healthcare. These devices are worn on the user’s head and display information directly to the eye. This allows for near-constant delivery of information, regardless of user position. Increasing advances in technology have allowed for miniaturisation, increasing sophistication, wireless capability and prolonged battery life, all of which allow for more opportunities for these devices to be used in a clinical setting.MethodsA prospective, randomised, controlled, parallel-group study was conducted. Subjects were randomised to either an HMD group or a non-HMD group. All subjects then underwent a standardised intraoperative care simulation experience consisting of multiple procedures that required completion within a set time limit. During this period, subjects concurrently monitored the physiological state of a simulated patient. Multiple standardised physiological derangements were displayed to the subjects via either the worn HMD or standard monitors. The primary outcome was the time to recognition of these physiological derangements.ResultsA total of 39 anaesthesia providers were enrolled in this study. There was a significant decrease in the total time it took them to recognise the simulated physiological derangements in the HMD group (difference of 38.2% (95% CI 20.3% to 56.1%); p=0.011) No significant differences in the time that it took to perform the required simulated procedures were observed. Significantly fewer physiological derangements were overlooked by the HMD group than the control group overall (relative risk reduction 0.78 (95% CI 0.31 to 0.94); p=0.003).ConclusionsRecent advances in HMD technology may be able to produce a functional adjunctive monitoring device that improves the speed with which anaesthesia providers respond to intraoperative events. This benefit comes without increasing distraction from the task. Further studies in true operative environments are needed to validate this technology.
Reference13 articles.
1. . Use of a Head-Mounted Display of Patient Monitoring Data to Enhance Anesthesiologists’ Response to Abnormal Clinical Events. STA Annual Meeting, Santa Clara, CA, 2002.
2. Via DK , Kyle RR , Kaye RD . A head mounted display of anesthesia monitoring data improves time to recognition of crisis events in simulated crisis scenarios. STA Annual Meeting 2003, San Diego, CA, 2002.
3. Ormerod DF , Ross B , Naluai-Cecchini A , Wearable Computers . Use of a see-through head-worn display of patient monitoring data to enhance anesthesiologists' response to abnormal clinical events. Proceedings. Sixth International Symposium on Wearable Computers, 2002.doi:10.1109/ISWC.2002.1167229
4. Liu D et al . Simulator evaluation of head-mounted displays for patient monitoring. Anesth Analg 2008;106:34.
5. Monitoring with Head-Mounted Displays in General Anesthesia