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A novel approach to evaluate skills in Endotracheal Intubation using biomechanical measurement system

机译:一种使用生物力学测量系统评估气管插管技能的新方法

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Endotracheal Intubation (ETI) is a common airway procedure used to connect the larynx and the lungs through the windpipe of patients under emergency situations. The process is carried out by a laryngoscope inserted into the mouth, and helps doctors in viewing the glottis and inserting the tube. In 2012, we developed a humanoid robot for ETI training, called WKA-5R, which was able to simulate various patients and scenarios and to evaluate the doctor's medical skills according to applied force, position of laryngoscopes and tubes, and procedure time. In 2013, we have focused our study on the development of a system for the biomechanical evaluation during simulated ETI. We conducted an experiment with 5 expert and 6 novice anesthesiologists and measured 3 biomechanical parameters: angular velocity of wrist joint and elbow joint, surface electromyography (sEMG) of the upper limb, and some angles on the upper part of the body, in order to evaluate joint stiffness in the arm and posture during ETI. In this paper, the authors show the experimental results on comparison between experts and novices, followed by discussion.
机译:气管插管(ETI)是一种常见的气道操作方法,用于在紧急情况下通过患者的气管连接喉和肺。该过程由插入口中的喉镜进行,并帮助医生观察声门并插入导管。 2012年,我们开发了一种用于ETI训练的人形机器人,称为WKA-5R,该机器人能够根据施加的力,喉镜和试管的位置以及手术时间来模拟各种患者和场景,并评估医生的医疗技能。 2013年,我们将研究重点放在了模拟ETI期间生物力学评估系统的开发上。我们与5位专家和6位新手麻醉师进行了一项实验,并测量了3个生物力学参数:腕关节和肘关节的角速度,上肢的表面肌电图(sEMG)以及身体上部的一些角度,以便评估ETI期间手臂和姿势的关节僵硬程度。在本文中,作者展示了专家和新手之间进行比较的实验结果,然后进行了讨论。

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