硬膜外麻醉训练的力建模和游戏化

Andre Luiz Brazil, A. Conci, E. Clua, N. Rodriguez-Hernandez, L. Bittencourt, R. Rodríguez‐Ramos
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引用次数: 7

摘要

这项工作提出了一种严肃的游戏方法和硬膜外麻醉训练的力模型,这是一种盲针插入的医疗程序,其中正确的放置和位置与硬膜外腰椎区域组织的阻力损失(LOR)有关,以避免硬脑膜穿刺。训练使用一种触觉装置,由力和机械模型控制,提供来自旁路组织(皮肤、脂肪、脊髓韧带、硬膜外间隙和硬脑膜)的感觉和反应体验。每个组织的本构模型都包含在一个非线性均匀弹性模型中,起源于许多方法的比较研究。触觉设备能够重现运动的阻力,让操作员感受到反应,就像在现实世界中执行的动作一样。模拟原型还融入了积分和成就的游戏化元素,以提高学员在学习和实践过程中的积极性,刺激学员提高技能水平。该触觉触摸设备具有六个自由度(6 DOF),允许在三个轴(x, y和z)上进行平移和旋转。主要目的是展示力模型,以及当前的发展状况。将该解决方案集成到虚拟仿真环境中,对该医疗程序进行了培训,并显示了初步结果。
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Force modeling and gamification for Epidural Anesthesia training
This work presents a serious game approach together with a force model for epidural anesthesia training, a blind medical procedure for needle insertion in which correct placement and location is related to the loss of resistance (LOR) from tissues inside epidural lumbar region, in order to avoid the puncture of dura-mater membrane. The training uses a haptic device, controlled by a force and a mechanical model, which provide experiences with sensations and reactions from the bypassed tissues (skin, fat, spinal ligaments, epidural space and dura-mater). The constitutive models for each tissue included in the procedure are approximated in a non-linear homogeneous elastic model, originated from a comparative study of many approaches. The haptic devices are capable to reproduce the resistance to the movements, allowing the feel of reaction to the operator, as if actions were executed in a real world. The simulation prototype also incorporates the gamification elements of points and achievements in order to improve the motivation of the trainee along the learning and practice, stimulating the student for skill level improvement. The haptic touch device is capable of six degrees of freedom (6 DOF), allowing translations and rotations on three axes (x, y, and z). The main objective is to present the force model, and the current development status. The solution is integrated into a virtual simulation environment, for training this medical procedure, preliminary results are shown as well.
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