Patient monitoring with head-mounted displays. 2009

David Liu, and Simon A Jenkins, and Penelope M Sanderson
School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia. naskies@acm.org

OBJECTIVE Head-mounted displays (HMDs) are head-worn display devices that project an information display over the wearer's field of view. This article reviews a recent program of research that investigates the advantages and disadvantages of monitoring with HMDs, and discusses the design considerations and implementation issues that must be addressed before HMDs can be clinically adopted. RESULTS HMDs let anesthesiologists spend a larger proportion of their time in the operating room looking towards the patient and surgical field, and a correspondingly smaller proportion of time looking at the standard monitors. Anesthesiologists can detect patient events faster with an HMD when they are busy performing procedures, but not during normal monitoring. There was no evidence of anesthesiologists' performance or monitoring behavior being affected by perceptual issues with the HMD, and no evidence that more events were missed with the HMD due to inattentional blindness. CONCLUSIONS Anesthesiologists may be able to monitor their patients more effectively when an HMD is used in conjunction with existing monitors, but several engineering and implementation issues need to be resolved before HMDs can be adopted in practice. Further research is needed on the design of information displays for HMDs.

UI MeSH Term Description Entries
D003196 Computer Graphics The process of pictorial communication, between human and computers, in which the computer input and output have the form of charts, drawings, or other appropriate pictorial representation. Computer Graphic,Graphic, Computer,Graphics, Computer
D003626 Data Display The visual representation of data via a manufactured system. Information Display,Data Displays,Display, Data,Display, Information,Displays, Data,Displays, Information,Information Displays
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006257 Head The upper part of the human body, or the front or upper part of the body of an animal, typically separated from the rest of the body by a neck, and containing the brain, mouth, and sense organs. Heads
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006804 Ergonomics The science of designing, building or equipping mechanical devices or artificial environments to the anthropometric, physiological, or psychological requirements of the people who will use them. Engineering Psychology,Human Engineering,Cognitive Ergonomics,Ergonomic Assessment,Human Factors Engineering,Human Factors and Ergonomics,Organizational Ergonomics,Physical Ergonomics,Psychology, Engineering,Visual Ergonomics,Cognitive Ergonomic,Ergonomic,Ergonomic Assessments,Ergonomic, Cognitive,Ergonomic, Organizational,Ergonomic, Physical,Ergonomic, Visual,Ergonomics, Cognitive,Ergonomics, Organizational,Ergonomics, Physical,Ergonomics, Visual,Human Factors Engineerings,Organizational Ergonomic,Physical Ergonomic,Visual Ergonomic
D000758 Anesthesia A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.
D000776 Anesthesiology A specialty concerned with the study of anesthetics and anesthesia.
D014584 User-Computer Interface The portion of an interactive computer program that issues messages to and receives commands from a user. Interface, User Computer,Virtual Systems,User Computer Interface,Interface, User-Computer,Interfaces, User Computer,Interfaces, User-Computer,System, Virtual,Systems, Virtual,User Computer Interfaces,User-Computer Interfaces,Virtual System
D016343 Monitoring, Intraoperative The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs). Intraoperative Monitoring

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