Ultrasound-guided central venous catheterization using an optical see-through head-mounted display: A pilot study.
OBJECTIVE
We examined the feasibility of using a head-mounted display (HMD) to improve the ergonomics of sonographic-guided interventional procedures.


METHODS
Five physicians with experience of more than 20 central venous catheterizations participated in this study. Each participant performed five pairs of simulated jugular vein catheterization under sonographic guidance with and without the HMD. The procedure time was determined as well as the number of head movements, needle redirections, posterior wall punctures, and guidewire malpositionings.


RESULTS
All participants could perform simulated sonographic-guided catheterization using this HMD without turning their heads. There were no differences in the procedural time, the number of needle redirections, posterior wall punctures, and guidewire malpositionings.


CONCLUSIONS
The binocular optical see-through HMD could be adopted for sonographic-guided interventional procedures © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 44:487-491, 2016.
Department of Neurosurgery, Sano Kosei General Hospital, Tochigi, Japan. nkaneko@jichi.ac.jp.|Department of Neurosurgery, Jichi Medical University, Tochigi, Japan. nkaneko@jichi.ac.jp.
Naoki
N
Kaneko
Department of Neurosurgery, Jichi Medical University, Tochigi, Japan.
Makoto
M
Sato
Division of Community and Family Medicine, Center for Community Medicine, Jichi Medical University, Tochigi, Japan.
Taro
T
Takeshima
Division of Genetic Therapeutics, Jichi Medical University, Tochigi, Japan.
Yoshihide
Y
Sehara
Department of Neurosurgery, Jichi Medical University, Tochigi, Japan.
Eiju
E
Watanabe
D002405:Catheterization, Central Venous / Q000379:methods*; D002983:Clinical Competence / Q000706:statistics & numerical data; D003626:Data Display; D006804:Ergonomics; D005240:Feasibility Studies; D006257:Head; D006801:Humans; D007601:Jugular Veins; D000066908:Simulation Training / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000295:instrumentation* / Q000379:methods*
central venous catheterization; head-mounted display; instrumentation; optical see-through; ultrasound; ultrasound-guided interventional procedures