Abstract
The ability to record and stream neurosurgery is an unprecedented opportunity to further research, medical education, and quality improvement. Here, we appraise the ease of implementation of existing point-of-view devices when capturing and sharing procedures from the neurosurgical operating room and detail their potential utility in this context. Our neurosurgical team tested and critically evaluated features of the Google Glass and Panasonic HX-A500 cameras, including ergonomics, media quality, and media sharing in both the operating theater and the angiography suite. Existing devices boast several features that facilitate live recording and streaming of neurosurgical procedures. Given that their primary application is not intended for the surgical environment, we identified a number of concrete, yet improvable, limitations. The present study suggests that neurosurgical video capture and live streaming represents an opportunity to contribute to research, education, and quality improvement. Despite this promise, shortcomings render existing devices impractical for serious consideration. We describe the features that future recording platforms should possess to improve upon existing technology.
Highlights
The ability to record and stream neurosurgery is an unprecedented opportunity to further research, medical education, and quality improvement
Ergonomics Regarding ergonomics, the HX-A500 is compatible with loupes but is mounted laterally on the head and does not align well with the surgeon’s natural gaze
Given that many surgical procedures may last beyond this amount of time, a surgeon utilizing the HX-A500 must be selective with respect to what portion of a procedure to record
Summary
The ability to record and stream neurosurgery is an unprecedented opportunity to further research, medical education, and quality improvement. We appraise the ease of implementation of existing point-of-view devices when capturing and sharing procedures from the neurosurgical operating room and detail their potential utility in this context. Capturing and compiling video of these surgeries is a teaching tool that can prepare medical students, residents, and accomplished surgeons alike by providing knowledge and useful expectations of procedures, which together improve success and patient outcomes in neurosurgery. This concept is exemplified by online archives, such as The Neurosurgical Atlas, which provide high-quality video of neurosurgical procedures conducted by experienced surgeons [1].
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