Document Detail


Virtual reality-based simulation training for ventriculostomy: an evidence-based approach.
MedLine Citation:
PMID:  24051886     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Virtual reality (VR) simulation-based technologies play an important role in neurosurgical resident training. The Congress of Neurological Surgeons (CNS) Simulation Committee developed a simulation-based curriculum incorporating VR simulators to train residents in the management of common neurosurgical disorders.
OBJECTIVE: To enhance neurosurgical resident training for ventriculostomy placement using simulation-based training.
METHODS: A course-based neurosurgical simulation curriculum was introduced at the Neurosurgical Simulation Symposium at the 2011 and 2012 CNS annual meetings. A trauma module was developed to teach ventriculostomy placement as one of the neurosurgical procedures commonly performed in the management of traumatic brain injury. The course offered both didactic and simulator-based instruction, incorporating written and practical pretests and posttests and questionnaires to assess improvement in skill level and to validate the simulators as teaching tools.
RESULTS: Fourteen trainees participated in the didactic component of the trauma module. Written scores improved significantly from pretest (75%) to posttest (87.5%; P < .05). Seven participants completed the ventriculostomy simulation. Significant improvements were observed in anatomy (P < .04), burr hole placement (P < .03), final location of the catheter (P = .05), and procedure completion time (P < .004). Senior residents planned a significantly better trajectory (P < .01); junior participants improved most in terms of identifying the relevant anatomy (P < .03) and the time required to complete the procedure (P < .04).
CONCLUSION: VR ventriculostomy placement as part of the CNS simulation trauma module complements standard training techniques for residents in the management of neurosurgical trauma. Improvement in didactic and hands-on knowledge by course participants demonstrates the usefulness of the VR simulator as a training tool.
ABBREVIATIONS: CA, Cochran-ArmitageCNS, Congress of Neurological SurgeonsPGY, postgraduate yearVR, virtual reality.
Authors:
Clemens M Schirmer; J Bradley Elder; Ben Roitberg; Darlene A Lobel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  73 Suppl 1     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S66-73     Citation Subset:  IM    
Affiliation:
*Division of Neurosurgery, Baystate Medical Center, Springfield, Massachusetts; ‡Department of Neurosurgery, Tufts University School of Medicine, Boston, Massachusetts; §Department of Neurological Surgery, The Ohio State University Medical Center, Columbus, Ohio; ¶Section of Neurosurgery, University of Chicago, Chicago, Illinois; ‖Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota.
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