Immersive virtual reality-based training improves response in a simulated operating room fire scenario

Ganesh Sankaranarayanan, Lizzy Wooley, Deborah Hogg, Denis Dorozhkin, Jaisa Olasky, Sanket Chauhan, James W. Fleshman, Suvranu De, Daniel Scott, Daniel B. Jones

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


Background: SAGES FUSE curriculum provides didactic knowledge on OR fire prevention. The objective of this study is to evaluate the impact of an immersive virtual reality (VR)-based OR fire training simulation system in combination with FUSE didactics. Methods: The study compared a control with a simulation group. After a pre-test questionnaire that assessed the baseline knowledge, both groups were given didactic material that consists of a 10-min presentation and reading materials about precautions and stopping an OR fire from the FUSE manual. The simulation group practiced on the OR fire simulation for one session that consisted of five trials within a week from the pre-test. One week later, both groups were reassessed using a questionnaire. A week after the post-test both groups also participated in a simulated OR fire scenario while their performance was videotaped for assessment. Results: A total of 20 subjects (ten per group) participated in this IRB approved study. Median test scores for the control group increased from 5.5 to 9.00 (p = 0.011) and for the simulation group it increased from 5.0 to 8.5 (p = 0.005). Both groups started at the same baseline (pre-test, p = 0.529) and reached similar level in cognitive knowledge (post-test, p = 0.853). However, when tested in the mock OR fire scenario, 70% of the simulation group subjects were able to perform the correct sequence of steps in extinguishing the simulated fire whereas only 20% subjects in the control group were able to do so (p = 0.003). The simulation group was better than control group in correctly identifying the oxidizer (p = 0.03) and ignition source (p = 0.014). Conclusions: Interactive VR-based hands-on training was found to be a relatively inexpensive and effective mode for teaching OR fire prevention and management scenarios.

Original languageEnglish (US)
Pages (from-to)3439-3449
Number of pages11
JournalSurgical endoscopy
Issue number8
StatePublished - Aug 1 2018


  • Immersive VR
  • OR fire management
  • Simulation training
  • VR training

ASJC Scopus subject areas

  • Surgery


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