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Updated: Jul 8, 2026
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Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
VIVIE: Virtually Integrated Ventricular Intervention Environment and its effectiveness as a teaching and learning
Patrick Liam O'Connor1, Kathleen Mccombe2, Sandrine De Ribaupierre3
1Gina Cody School of Engineering and Computer Science, Concordia University, 1515 Ste. Catherine St. W., Montreal, QC, H3G 2W1, Canada. p_oco@live.concordia.ca.
Summary
Virtual reality (VR) simulation, VIVIE, effectively trains novice neurosurgeons in external ventricular drain (EVD) placement, improving accuracy and control. Expert feedback highlights its educational potential for simulation-based neurosurgical training.
Area of Science:
- Neurosurgery
- Medical Simulation
- Virtual Reality
Background:
- External ventricular drain (EVD) placement is crucial for managing intracranial pressure.
- Catheter misplacement during EVD procedures is a common challenge, especially for trainees.
- Virtual reality (VR) offers a promising solution for scalable procedural education.
Purpose of the Study:
- To introduce VIVIE, a standalone VR system for practicing EVD placement.
- To evaluate the feasibility and effectiveness of VIVIE for novice neurosurgeons.
Main Methods:
- VIVIE simulates EVD placement steps: landmark identification, entry point selection, burr hole creation, and catheter insertion.
- A pilot study involved 15 novices undergoing structured training and assessment.
- Objective performance metrics and subjective usability/workload data were collected.
- Expert neurosurgeons provided qualitative feedback on realism and educational value.
Main Results:
- Novice participants showed improved targeting accuracy and lateral control with VIVIE training.
- Subjective feedback indicated low workload, good usability, and high user engagement.
- Experts recognized VIVIE's realism and educational potential but noted areas for improvement in interaction fidelity and anatomical detail.
Conclusions:
- VIVIE is a feasible VR training system for EVD placement, beneficial for early-stage learners.
- The system shows potential for simulation-based neurosurgical education.
- Further refinement and validation are needed to assess learning transfer and clinical relevance.
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