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Quantifying the Mechanics of a Laryngoscopy"

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Quantifying the Mechanics of a Laryngoscopy"
Laryngoscopy is a medical procedure that provides a secure airway by passing a breathing tube through the mouth and into the lungs of a patient. The ability to successfully perform laryngoscopy is highly dependent on operator skill; experienced physicians have failure rates of 0.1% or less, while less experienced paramedics may have failure rates of 10-33%, which can lead to death or brain injury. Accordingly, there is a need for improved training methods, and virtual reality technology holds promise for this application. The immediate objective of this research project is to measure the mechanics of laryngoscopy, so that an advanced training mannequin can be developed.

This summer an instrumented laryngoscope has been developed which uses a 6-axis force/torque sensor and a magnetic position/orientation sensor to quantify the interactions between the laryngoscope and the patient. Experienced physicians as well as residents in training have used this device on an existing mannequin, and the force and motion trajectories have been visualized in 3D.

One objective is to use comparisons between expert and novice users to identify the critical skill components necessary for patients, to identify the mechanical properties of the human anatomy that effect laryngoscopy, and thus enable the development of a realistic training simulator.

In the future an advanced training mannequin will be developed whose physical properties will be based on our sensor measurements, and where virtual reality tools will be used to provide training feedback for novice users.

Laryngoscopy is a medical procedure that provides a secure airway by passing a breathing tube through the mouth and into the lungs of a patient. The ability to successfully perform laryngoscopy is highly dependent on operator skill; experienced physicians have failure rates of 0.1% or less, while less experienced paramedics may have failure rates of 10-33%, which can lead to death or brain injury.

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