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Teaching Airway Management Using Virtual Reality: A Scoping Review.
Caoimhe C Duffy1, Gary A Bass2, William Yi3
1From the Department of Anesthesia and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Anesthesia and Analgesia
|July 19, 2023
Summary
Virtual reality (VR) simulation offers promising airway management training but lacks formal curricula. Current programs are unstructured, institution-specific, and focus on limited skills, highlighting a need for standardized guidelines.
Area of Science:
- Medical Education
- Simulation Technology
- Anesthesiology
Background:
- Airway management skills are traditionally learned through apprenticeship, which is time- and location-constrained.
- Virtual reality (VR) simulation presents an opportunity for reproducible, asynchronous skill acquisition and maintenance.
- Current VR training for airway management lacks formal structure and expert guidance.
Purpose of the Study:
- To explore current VR-based airway management training programs.
- To assess their approaches, outcomes, and technologies.
- To identify programming gaps in VR airway management education.
Main Methods:
- A scoping review of English-language publications on VR simulation for airway management.
- Searched databases: PubMed, Embase, and Scopus.
- Conducted review according to SANRA best-practice guidance.
Main Results:
- Fifteen studies described VR simulation programs for flexible fibreoptic bronchoscopic intubation, direct laryngoscopy, and emergency cricothyroidotomy.
- All initiatives were single-institution, utilized different protocols and endpoints, and employed bespoke or commercial technologies.
- VR airway management training is currently unstructured, skill-specific, and lacks educator pathways.
Conclusions:
- There is a significant gap in formal curriculum development for VR airway management training.
- Medical educators and professional societies should collaborate to create consensus guidelines for VR training curricula and technology use.
- Standardization is needed to optimize the potential of VR simulation in airway management education.
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