From
Dr. Ramy Shaaban
2022 Pediatric Surgery Update Course - Top disruptive technologies in medicine
With Dr. Em Tombash & Dr. Ramy Shaaban · hosted by Dr. Todd Ponsky
Chapter 3 of 5 · Emerging & Future Directions
Digital twins
Digital Twins and VR Surgical Planning
Cued at 12:38 · press play
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Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Multiple institutions including Texas Children's Hospital, University of Kansas health system, Penn Presbyterian Medical Center, and University of Minnesota have built medical escape rooms to improve education among trainees
Virtual reality can be used to ease anxiety before procedures or during imaging, help with postoperative pain, and in some cases reduce the need for sedation or general anesthesia during minor surgical procedures
Tellaview is a company offering glasses that allow remote viewers to see what the wearer sees and telestrate onto their view, with the ability to turn the overlay on or off during surgery
Overlaying CT scans during surgery to visualize tumor anatomy with on/off capability is an upcoming augmented reality application for surgeons
Apple is developing glasses that are literally just glasses (not bulky goggles), which will make augmented reality overlays more applicable for surgeons
Surgeons used VR to separate twins with conjoined heads in a 27-hour surgery, spending hours training using VR projection with PrecisionOS Vision while wearing an Oculus VR headset
The wristband loss rate is 12% in the NICU, newborn, and pediatric population
Northwell Health System used the IdentityShield badge on over 30,000 patients between October 2019 and November 2020, mostly at Lenox Hill Hospital in New York City during the pandemic
NFC (near field communication) interaction is limited to an extremely short range of 4 centimeters or 1.5 inches or less
Technology progression in healthcare is now exponential rather than linear, with innovations moving from concept to reality in months rather than the 15 years it would have taken previously
Most hospitals will likely have LiDAR scanning technology at their fingertips within 2 years
Medical escape rooms have been utilized to teach and reinforce topics including cancer diagnosis, cardiovascular physiology, and fluids and electrolytes
Rami Shaban believes that adding competition to learning drastically improves retention, based on his PhD thesis in eSports
Stanford Medicine Children's Health is home to one of the nation's largest VR programs with over 150 use cases per month
A randomized controlled trial from Seoul National University College of Medicine showed that VR experience of the preoperative process could reduce preoperative anxiety and improve compliance during anesthetic induction in children undergoing elective surgery and general anesthesia
A significant percentage of surgical residents report they do not feel ready to independently perform procedures upon completion of their training
VR training represents an accessible, cost-effective, and deliberate practice methodology to help surgeons reach a competency threshold or achieve surgical mastery
FDA approved Precision OS Envision as a VR preoperative planning tool, with the patented software available in early 2022 allowing surgeons to use an Oculus Quest 2 device for preoperative planning
The conjoined twins separation surgery was directed from Great Ormond Street Hospital in London while the actual surgery was happening in Rio de Janeiro
Proximy allows multiple people in remote locations to virtually interact in a way which mimics what they would experience if collaborating in the same operating room, using AI, machine learning, and augmented reality
Patient wristbands are difficult to fasten, may irritate, must be rotated to be scanned, can be too tight causing patient harm, or too loose resulting in loss
IdentityShield is an RFID-enabled smart ID sticker made of thin plastic material that is adhesive, non-reactive, and hypoallergenic, lasting for 7 days on patients
In the Northwell pilot study, 80% of clinicians preferred the IdentityShield over traditional wristbands
NFC has been present in Android devices since 2010 and in Apple devices since 2014 starting with iPhone 6
Dr. Bramlet's lab at University of Illinois creates digital twins for regular pediatric cardiology cases in a couple of hours for emergency cases, and a couple of days for surgical oncology cases
Dr. Bramlet's lab offers free digital twin creation through a submission form, emailing the completed model for use with any VR headset