StayCurrentMD · 2022 Pediatric Surgery Update Course - Top disruptive technologies in medicine
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Video26 min·Published Nov 2022Older

2022 Pediatric Surgery Update Course - Top disruptive technologies in medicine

With Dr. Em Tombash & Dr. Ramy Shaaban · hosted by Dr. Todd Ponsky
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What the experts said13 expert statements · 18 host summaries
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.
ClinicalRamy Shaaban
Thumbay Group from Dubai, UAE is the first to build a virtual hospital on the metaverse to interact with patients and improve patient experience.
ClinicalRamy Shaaban
VR 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.
ClinicalRamy Shaaban
A company called Tellaview offers glasses that allow a remote viewer to see what the wearer sees and telestrate onto their view, including during operations.
ClinicalTodd Ponsky
Overlaying CT scans while operating—so surgeons can see tumor anatomy by turning it on or off—will become impactful soon.
OpinionTodd Ponsky
Apple is coming out with glasses that are literally just glasses, and overlaying augmented reality will become more applicable for surgeons.
OpinionTodd Ponsky
The National Institute of Health, OSF Healthcare, and Children's Hospital of Illinois use Induu for training surgical teams, evaluating patient cases, and research collaborations.
ClinicalRamy Shaaban
Surgeons used VR to separate twins with conjoined heads in a 27-hour surgery, spending hours training using VR projection with Precision OS Vision and planning the operation while wearing an Oculus VR headset.
ClinicalRamy Shaaban
Northwell Health System used RFID-enabled patient ID stickers on over 30,000 patients between October 2019 and November 2020, mostly at Lenox Hill Hospital in New York City during the pandemic.
ClinicalRamy Shaaban
NFC (near field communication) interaction is limited to an extremely short range—a distance of 4 centimeters or 1.5 inches or less.
ClinicalRamy Shaaban
Nebraska's center was making digital twins with everything and said creating digital twins for inguinal hernia models, colorectal models, or malrotation models should take no time at all.
ClinicalTodd Ponsky
Fifteen years ago it would take 15 years to go from science fiction idea to reality; now we're seeing it in months due to exponential progression.
OpinionTodd Ponsky
In probably 2 years, most hospitals will have some version of digital twin technology at their fingertips.
OpinionTodd Ponsky
Medical escape rooms have been utilized to teach and reinforce topics including cancer diagnosis, cardiovascular physiology, and fluids and electrolytes.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Rami Shaban believes that adding competition to learning drastically improves retention.
Host summaryTodd Ponsky summarizes what Dr. Ramy Shaaban said · not cited in answers
In 2018, Lucile Packard Children's Hospital, Stanford piloted VR capabilities in pediatric clinical settings and has expanded to one of the nation's largest VR programs with over 150 use cases per month.
Host summaryEm Tombash summarizing the discussion · not cited in answers
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.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Induu allows healthcare professionals to create a unique copy of their patient using CT or MRI scans, and the surgeon can review the digital twin with a virtual headset before going into the case.
Host summaryEm Tombash summarizing the discussion · not cited in answers
A significant percentage of surgical residents report they do not feel ready to independently perform procedures upon completion of their training.
Host summaryEm Tombash summarizing the discussion · not cited in answers
VR training represents an accessible, cost-effective, and deliberate practice methodology to help surgeons reach a competency threshold or achieve surgical mastery.
Host summaryEm Tombash summarizing the discussion · not cited in answers
The FDA approved Precision OS Envision as a VR preoperative planning tool, available in early 2022.
Host summaryEm Tombash summarizing the discussion · not cited in answers
The surgery's direction came from Great Ormond Street Hospital in London while the actual surgery was happening in Rio de Janeiro.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Proximy allows multiple people in remote locations to virtually interact in a way that mimics collaborating in the same operating room, using AI, machine learning, and augmented reality.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Wristbands are difficult to fasten, may irritate, must be rotated to be scanned, can be too tight and hurt the patient, or too loose and get lost.
Host summaryEm Tombash summarizing the discussion · not cited in answers
The wristband loss rate is 12% in the NICU, newborn, and pediatric population.
Host summaryEm Tombash summarizing the discussion · not cited in answers
In the pilot study, 80% of clinicians preferred the ID shield over traditional wristbands.
Host summaryEm Tombash summarizing the discussion · not cited in answers
The first Android device included NFC in 2010 and Apple followed in 2014, meaning NFC has been present since iPhone 6.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Children's Health in Dallas, Texas is now using identity shields after Northwell Health.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Dr. Bramlet at University of Illinois creates digital twins for regular pediatric cardiology cases in a couple of hours for emergencies, and surgical oncology cases take a couple of days but not more than that.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Dr. Bramlet's lab offers a free submission form where they will create a digital twin for your patient to use for the case and email it for free if you have a VR headset.
Host summaryEm Tombash summarizing the discussion · not cited in answers
Fifteen years ago Rick Satava predicted at SAGES that patients would get a CT scan on check-in, surgeons would practice the operation on a robot the day before, hit save when they got it right, then the next day dock the robot and hit go to watch the operation.
Host summaryThe host summarizing the discussion · not cited in answers