Evidence map›Paper›PMID 37880665›Full record

ArticleBMC medical education2023

Research and application of a teaching platform for combined spinal-epidural anesthesia based on virtual reality and haptic feedback technology.

Ting Zheng, Huihong Xie, Fei Gao, Cansheng Gong, Wei Lin, Peng Ye, Yuqing Liu, Bingwei He, Xiaochun Zheng

Registry-linked trialAbstract read
In one paragraph

Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07079059 (Comparative Analysis of Virtual Reality Simulation Training on Clerkship Anesthesia Rotation Experience for Medical Students in a Canadian Setting), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07079059 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Analysis of Virtual Reality Simulation Training on Clerkship Anesthesia Rotation Experience for Medical Students in a Canadian Setting

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2025 to 2027Enrolled180ConditionsAnesthesiaArmsVirtual Reality Training
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Extended reality in anesthesia: a narrative review.Korean journal of anesthesiology · 2025
    Review
  7. The use of extended reality in anesthesiology education: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. Extended Reality for Neuraxial Procedures: A Scoping Review.Journal of medical extended reality · 2024
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ting Zheng *Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China.
Huihong Xie *Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China.
Fei Gao *Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China.
Cansheng GongDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China.
Wei LinCollege of Mechanical Engineering, Fuzhou University, Fuzhou, China.
Peng YeDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China.
Yuqing LiuFujian Provincial Co-Constructed Laboratory of "Belt and Road", Fujian Emergency Medical Center, Fuzhou, China.
Bingwei HeFujian Provincial Co-Constructed Laboratory of "Belt and Road", Fujian Emergency Medical Center, Fuzhou, China.
Xiaochun ZhengDepartment of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China. zhengxiaochun7766@163.com.

Funding

Guided Project of Social Development in Fujian Province 2021Y0050Key Project on Educational Teaching Reform of Fujian Province Undergraduate Universities FBJG20200022Research Project on Educational Teaching Reform of Fujian Medical University J21021Starting Fund Project of Fujian Medical University 2022QH1303
6 · The paper itself

Abstract

backgroundIntraspinal anesthesia poses significant teaching challenges and inadequate teaching resources, which ultimately limit students' opportunities for practice. To address this issue, we aimed to develop a virtual platform for combined spinal-epidural anesthesia that merges virtual reality technology with haptic feedback technology, while assessing its educational impact and learning outcomes.

methodsWe utilized MIMICS, 3Ds MAX, and UNITY 3D software to perform 3D reconstruction based on lumbar CT/MRI data from a standard male volunteer. The haptic coefficients were configured on each layer by 20 experienced anesthesiologists in accordance with the Geomagic Touch X force feedback device. A total of 20 anesthesiology interns completed 30 virtual puncture training sessions. Two experienced anesthetists evaluated the efficacy of the platform and the level of mastery achieved using the Global Rating Scale (GRS) and a Checklist score, respectively. Finally, a questionnaire survey was conducted to gather feedback on the virtual platform.

resultsAfter the 10th session, the puncture time stabilized at 2.4 min. As the number of sessions increased, the Global Rating Scale (GRS) score stabilized by the 8th session, and the Checklist scores tended to stabilize by the 10th session. Results from questionnaires indicated that over half of the anesthesiology interns (70%) believed that the platform, which exhibited strong repeatability, improved their anatomical recognition and provided a strong sense of breakthrough in identifying the ligamentum flavum. The majority of them (80%) expressed satisfaction with the virtual platform.

conclusionsThe platform effectively facilitated the acquisition of basic and accurate puncture skills on a virtual patient.

Indexed as

Anesthesia, EpiduralVirtual RealityComputer SimulationFeedbackHaptic TechnologyHumansMaleSoftwareUser-Computer InterfaceCombined spinal-epidural anesthesiaHaptic feedbackLearning curveQuestionnaireVirtual reality technology

Identifiers

PMID37880665
PMCPMC10601272

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.