An Interactive Endotracheal Suctioning Simulator Which Exhibits Vital Reactions: ESTE-SIM
Shunsuke Komizunai*,, Shinji Ninomiya**, Atsushi Konno*, Satoshi Kanai*, Tadayoshi Asaka*, Eri Murata*, Hiroki Mani*, Nozomi Takahashi*, and Noriyo Colley*
Kita 14, Nishi 9, Kita-ku, Sapporo, Hokkaido 060-0814, Japan
**Hiroshima International University, Hiroshima, Japan
This paper describes a next-generation nursing education simulator, the endotracheal suctioning training environment simulator (ESTE-SIM), which is capable of interactively reproducing vital reactions. With the spread of home treatment, care providers who have received a certain level of nursing education should be increased, not limited to conventional health-care professionals. A great gap exists between simulations under restricted conditions that have been practiced in conventional nursing education and those in the actual clinical site, thus creating a burden on nurses and patients. If a simulator that approaches real clinical situations can be developed, it will not only contribute to lessening the burden on nurses but also improve the quality of nursing care. The ESTE-SIM, which simulates endotracheal suctioning, can measure the movements of the suction catheter inserted in the trachea. The measurement information is used to estimate the progress of the nursing maneuver, which is then used to reproduce vital reactions, including dynamic facial expression changes based on projection mapping and monitor-displayed vital signs. To design and control the vital reactions, a mathematical model to determine the behavior of the simulator is formulated based on the actual measurement data of the vital reactions of patients and the experiential knowledge of nurses. By integrating these element technologies, we developed a novel interactive nursing education simulator capable of recreating typical vital reactions that occur during the basic endotracheal suctioning maneuver.
-  C. Tanaka and E. Ikari, “The Role of School Nurses for Medical Care at Special Schools – From Survey on Nurses of Special Schools –,” Bulletin of Fukuoka Jogakuin University (Human Relations Faculty), pp. 25-30, 2018 (in Japanese).
-  Y. Kosako and T. Sorata, “The Actual Situation and of the Nursing Skills in Child Health Nursing Practice in Bachelor’s Degree Programs,” Academic archives of Yamaguchi Prefectural University, Vol.11, pp. 101-110, 2018 (in Japanese).
-  Y. Uozumi and K. Nagamune, “Interactive Surgery System with 3D Electromagnetic Motion Tracker for Training Surgeons in Skin Cutting Skills Needed in Total Knee Arthroplasty,” J. Adv. Comput. Intell. Intell. Inform., Vol.21, No.7, pp. 1180-1188, 2017.
-  X. Liang, H. Kato, N. Hashimoto, and K. Okawa, “Simple Virtual Reality Skill Training System for Manual Arc Welding,” J. Robot. Mechatron., Vol.26, No.1, pp. 78-84, 2014.
-  K. Murai, Y. Hayashi, K. Kuramoto, T. Fujita, K. Maenaka, K. Higuchi, and T. Saiki, “Toward New Practical Education Based on Professional Kansei,” J. Adv. Comput. Intell. Intell. Inform., Vol.15, No.3, pp. 370-376, 2011.
-  B. Zhou, G. Sun, X. Zhang, J. Xu, J. Lai, X. Du, M. Hosokawa, H. Hayashi, R. Kimura, and Y. Sakurada, “Development of Web-Based Tabletop Emergency Earthquake Exercise System,” J. Disaster Res., Vol.10, No.2, pp. 217-224, 2015.
-  N. Sato, K. Akai, M. Hirose, S. Okamoto, and K. Karino, “Visualization of Acquisition Experience in Sternal Compression Maneuver Using Kinect Sensoring: For Co-Creation of Medical Technique Experiential Values,” Int. J. Automation Technol., Vol.12, No.4, pp. 542-552, 2018.
-  K. Takahashi, H. Inomo, W. Shiraki, C. Isouchi, and M. Takahashi, “Experience-Based Training in Earthquake Evacuation for School Teachers,” J. Disaster Res., Vol.12, No.4, pp. 782-791, 2017.
-  Kyoto Kagaku Co., Ltd., “Airway Suction Trainer.” https://www.kyotokagaku.com/products/detail02/m85.html [Accessed May 30, 2019]
-  MICOTO Technology Inc., “mikoto [Medical Simulator Robot].” http://www.micotech.jp/mikoto.html [Accessed May 30, 2019]
-  Laerdal Medical, “SimMan 3G.” https://www.laerdal.com/jp/products/simulation-training/emergency-care–trauma/simman-3g/ [Accessed October 1, 2018]
-  S. Komizunai, A. Konno, S. Kanai, S. Ninomiya, T. Asaka, N. Takahashi, and N. Colley, “Issues on Visual Presentation by Projection Mapping/Augmented Reality in Nursing Simulator Development,” Proc. of the 5th Academic Conf. of Japan Association for Simulation-based Education in Healthcare Professionals, A-11, p. 36, 2017 (in Japanese).
-  S. Komizunai, A. Konno, S. Kanai, S. Ninomiya, T. Asaka, N. Takahashi, and N. Colley, “Visual presentation by projection mapping/augmented reality for nursing simulators which exhibit vital reactions,” J. of Japan Association for Simulation-Based Education in Healthcare Professionals, Vol.6, pp. 99-103, 2018 (in Japanese).
-  S. Komizunai, N. Colley, A. Konno, S. Kanai, T. Asaka, N. Takahashi, and S. Ninomiya, “ESTE-SIM: a projection mapping simulator which exhibit patients’ vital reaction depending on maneuver of suctioning catheter,” Proc. of the 6th Academic Conf. of Japan Association for Simulation-based Education in Healthcare Professionals, 5-2, p. 40, 2018 (in Japanese).
-  S. Ninomiya, N. Colley, S. Komizunai, A. Konno, S. Kanai, N. Takahashi, and T. Asaka, “Development of a real-time sputam aspiration amount and catheter contact load measurement device for an endotracheal suctioning training simulator,” Proc. of the 5th Academic Conf. of Japan Association for Simulation-Based Education in Healthcare Professionals, A-12, p. 37, 2017 (in Japanese).
-  S. Komizunai, N. Colley, S. Ninomiya, and A. Konno, “A vital reaction model for an endotracheal suction simulator which exhibit vital reactions: ESTE-SIM (Oxygen saturation and heart rate),” Proc. of SICE SI 2018, 1B6-08, 2018 (in Japanese).
-  Covidien, “Alarm Management System N-600x Pulse Oximeter.” http://www.covidien.com/imageServer.aspx/doc255337.pdf?contentID=34505&contenttype=application/pdf [Accessed October 1, 2018]
-  N. Colley, A. Konno, S. Komizunai, and S. Ninomiya, “Toward establishing a safe method for endotracheal suctioning for children – Comparison of dynamic pressure suction method and static pressure suction method –,” 2018 Annual Conf. of the Hokkaido Children’s Health Study Group, 2018 (in Japanese).
-  N. Colley, S. Komizunai, E. Murata, M. Inamura, M. Tamaki, C. Yatsuyanagi, M. Yamada, A. Konno, S. Kanai, T. Asaka, S. Inoue, H, Mani, N. Takahashi, and S. Ninomiya, “A trial of mathematical model formulation based on measurement of SpO2/heart rate at suctioning for a simulator that exhibits vital reactions ESTE-SIM,” Proc. of the 40th Annual Meeting of Japanese Society of Respiratory Care Medicine, O10-3, p. 258, 2018 (in Japanese).
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