Augmented Reality-Assisted Percutaneous Dilatational Tracheostomy in Critically Ill Patients With Chronic Respiratory Disease

Percutaneous dilatational tracheostomy is a minimally invasive procedure performed for those who require prolonged mechanical ventilation. It is a procedure that is performed routinely at the bedside in the intensive care unit. Complications nonetheless still occur, and as a result, several technique modifications have been employed. At Loma Linda University Medical Center, we have implemented a novel technique using augmented reality during percutaneous dilatational tracheostomy placement in an attempt to minimize such complications. Using Brother's AiRScouter WD-200B head mounted display, the tracheostomy operator is able to focus on the surgical field without having to significantly break line of sight to view the traditional bronchoscopy monitor. Six cases have been treated with this procedure to date with good success and excellent user feedback. We aim to assess augmented reality-assisted percutaneous dilatational tracheostomy and determine its overall efficacy when compared to traditional percutaneous dilatational tracheostomy.