Beyond the Battlefield:
Exploring Motion Tracking Technologies to Elevate Regional Anesthesia Proficiency in Military Training
Lakshmi Sarvepalli, MD; John D Mitchell, MD; Vincent Baribeau, BS; Chris Clark, MD; Audrey R Tacderas, BS, and Carlos E. Guerra-Londono MD.
Department of Anesthesiology, Pain Management, & Perioperative Medicine. Henry Ford Health, Detroit, MI, USA.
Introduction:
•Motion analysis has been used to grade performance of surgical and ultrasound-guided procedures.1 Its use in UGRA (Ultrasound Guided Regional Anesthesia) has been limited.
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•This pilot study explores the feasibility of using motion tracking to discriminate UGRA proficiency between novice non-physician military medics and expert anesthesiologists.
Methods :
•IRB approval at Henry Ford Health (Detroit, MI). Participants gave informed consent for video and motion-tracking recordings during the course.
Participants: 11 novice military medics and 4 experts
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•Weeklong curriculum of point-of-care ultrasound techniques along with teaching/practice of 4 hours provided to novice military medics before data collection.
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•Novice and expert data acquired on the same femoral block task trainer (Simulab Corp, Seattle WA) under identical conditions using protocolized start and stop points and a standard sequence of events for a single femoral nerve injection.
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•A Viper electromagnetic motion tracker (Polhemus Ltd, Colcheter, VT) with sensors was attached to both the ultrasound probe and the dorsum of the participant’s dominant hand using Tegaderm.
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• Sensors recorded the motion of the dominant (needle) hand and ultrasound probe in X, Y, and Z planes, as well as roll, pitch, and yaw at 240 frames per second.
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•Primary endpoints for single injections: path length (cm), rotational sum (degrees), translational motions (number of distinct movements), and total time (seconds).
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•Statistical analyses were performed in Stata/SE18.3 (StataCorp, College Station, TX), Two-tailed t-tests with unequal variance was performed.