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After reviewing the article on Augmented and Virtual reality related to surgery and healthcare education, I believe that there is great potential for improvement in training and procedures performed by providers and surgeons. While there are some setbacks to AR and VR such as cost, confidentiality, and size of devices, I still believe the benefits outweigh. Through continued research and technology improvement, the "kinks" can be worked out and provide increased experience and confidence in real-time procedures.

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-Limited powerful microcomputers to drive the augmented reality.
-Devices are large and cables are cumbersome.
-Confidentially and management of the data is hard to maintain.
-Data hijacking
-Software and hardware for AR and VR will increase (anticipated for industry to be worth 641 milli9on by 2018).

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- To ease the transition from the learning environment to the clinical environment
- To increase broadcasting and recording of surgery
-To increase precision and accuracy in real-time procedures
-To provide patients with an augmented or virtual experience of what to expect from procedures.

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5220044/pdf/atm-04-23-454.pdf

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There are many new technology innovations emerging in order to enhance education, training, and performance. While this article describes the new technologies of augmented and virtual reality in surgery, this can be related to nursing through the use of these technologies for nursing skills. Augmented reality is the addition of artificial information to one or more of the senses that allows the user to perform task more efficiency (Khor et al, 2016). The newest example augmented reality is AccuVein, which is a projector-like device that shows the veins on the skin surface. This can most definitely be beneficial for nurses, providers, and surgeons when located veins and artery for placement of PICC lines, IVs, and surgery. Virtual reality can also be helpful in the education and training of surgeons and providers in that it generates an immersive, completely artificial computer-stimulated image and environment with real-time interaction (Khor et al, 2016). It has already been used for endoscopic training and is continuing to grow throughout healthcare education. The newest version is a headset that has high quality immersive environment, with tools to interact with the virtual environment. The issue at hand is do the benefits outweigh the limitations or legal pitfalls related to argument and virtual reality if healthcare.

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Wee Sim Khor1
, Benjamin Baker1
, Kavit Amin1
, Adrian Chan2
, Ketan Patel3
, Jason Wong4

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Department of Plastic & Reconstructive Surgery, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK; 2
Occipital
VR, Toronto, Ontario, Canada; 3
Division of Plastic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA; 4
Plastic & Reconstructive
Surgery Research, The University of Manchester, Manchester, UK

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Khor, W. S., Baker, B., Amin, K., Chan, A., Patel, K., & Wong, J. (2016). Augmented and virtual reality in surgery—the digital surgical environment: applications, limitations and legal pitfalls. Annals of Translational Medicine, 4(23), 454. http://doi.org/10.21037/atm.2016.12.23