A 3-Dimensionally Printed, High-Fidelity Ultrasound-Guided Pericardiocentesis Training Model

Baribeau, Yanick; Bortman, Jeffrey; Khamooshian, Arash; Laham, Roger J.; Mahmood, Faraz; Mahmood, Feroze; Sharkey, Aidan; Steely, Andrea M.; Matyal, Robina

doi:10.1053/j.jvca.2019.08.051

Cited by 7 publications

(9 citation statements)

References 5 publications

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“…Baribeau et al 8 also recognized the need for a low-cost, high-fidelity pericardiocentesis simulator and recently reported a construct that includes a 3D-printed heart model. Their 3D heart model and method to construct the pericardium are qualitatively similar to what we have reported here.…”

Section: Discussionmentioning

confidence: 99%

“…7 In response to this, various groups have created inexpensive models. 8 – 11 However, while these models are simple, important anatomic landmarks, such as cardiac chambers, have often been missing, resulting in a lower-fidelity experience. More recently, Baribeau et al 8 reported on a pericardiocentesis simulator that incorporates a three-dimensional (3D) printed cardiac model, but this simulator may be more complicated than is necessary to achieve a high-fidelity pericardiocentesis simulation experience.…”

Section: Introductionmentioning

confidence: 99%

“… 8 – 11 However, while these models are simple, important anatomic landmarks, such as cardiac chambers, have often been missing, resulting in a lower-fidelity experience. More recently, Baribeau et al 8 reported on a pericardiocentesis simulator that incorporates a three-dimensional (3D) printed cardiac model, but this simulator may be more complicated than is necessary to achieve a high-fidelity pericardiocentesis simulation experience. The purpose of this study is to report our initial findings from the use of a simple, inexpensive pericardiocentesis simulator that incorporates a 3D-printed heart model in an inexpensive ultrasound-compatible gelatin mold.…”

Section: Introductionmentioning

confidence: 99%

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Initial Experience with a Novel Pericardiocentesis Training Simulator Incorporating a Three-dimensional Printed Cardiac Model

Tsai

Seslar

2021

J Innov Cardiac Rhythm Manage.

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Pericardial effusion is a rare but serious complication in cardiac electrophysiology procedures. To avoid progression to acute tamponade and reduce the risk of adverse patient outcomes, emergent pericardiocentesis is often necessary. The conduct of more pericardiocentesis training may further mitigate this risk. However, teaching and practice opportunities are rare, creating the need for pericardiocentesis simulators. While various pericardiocentesis simulators exist, their applications have been limited; further, commercial simulators are anatomically realistic but can be expensive. As such, cheaper homemade simulators have been developed, yet these may lack the cardiac anatomical features for a high-fidelity simulation or may be overly complex to assemble. The purpose of this study is to report initial findings from a pericardiocentesis simulator that incorporates a three-dimensional (3D) cardiac model that is economical, simple to assemble, and anatomically accurate. A 3D-printed cardiac model was printed from a computed tomography file. The model was fitted with a latex balloon-in-a-balloon pericardium filled with colored saline and placed in an ultrasound-compatible gelatin mold to create a pericardiocentesis simulator. The simulator was then tested with experienced and novice trainees at an academic hospital. A total of 10 participants (four interventional cardiology faculty members and six cardiology fellows) performed simulated pericardiocentesis using the simulator and completed a questionnaire to evaluate the model’s features and usefulness. The overall feedback regarding this novel simulation approach was positive and the model exhibited important anatomical features to accurately simulate ultrasound-guided pericardiocentesis. All participants were able to successfully insert the needle into the pericardial space and all but one successfully placed the pericardial drain. Survey results indicated that the model was largely perceived as useful for training. This work suggests incorporating a 3D-printed cardiac model into a gelatin mold results in a simple and inexpensive yet high-fidelity pericardiocentesis simulation experience. This novel approach may be useful for teaching pericardiocentesis in an academic hospital.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Initial Experience with a Novel Pericardiocentesis Training Simulator Incorporating a Three-dimensional Printed Cardiac Model

Tsai

Seslar

2021

J Innov Cardiac Rhythm Manage.

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“…7,8 Due to the need for proper training and the expense of high fidelity, a plethora of low-fidelity and home-made models have been made available. [9][10][11][12][13][14][15] These models have also addressed common practical limitations such as using non-resin medium for ultrasonography and replaceable components. However, to the best of our knowledge, there are no low-fidelity models employing non-animal rib models.…”

Section: Discussionmentioning

confidence: 99%

A Novel, Low-cost, Low-fidelity Pericardiocentesis Teaching Model

Lord

Lord²,

Geary

2021

WestJEM

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Introduction: Pericardiocentesis is a high-risk/low-frequency procedure important to emergency medicine (EM). However, due to case rarity it is not often performed on a patient during residency training. Because the coronavirus disease 2019 pandemic limited cadaver-based practice, we developed a novel, low-cost, low-fidelity pericardiocentesis model using three dimensional-printing technology to provide advances on prior home-made models. Methods: Residents watched a 20-minute video about performing a pericardiocentesis and practiced both a blind and ultrasound-guided technique. We assessed model fidelity, convenience, and perceived provider competence via post-workshop questionnaire. Results: A total of 24/26 (93%) individuals practicing on the ultrasound-guided model and 22/24 (92%) on the blind approach model agreed or strongly agreed that the models reasonably mimicked a pericardial effusion. Conclusion: Our low-cost, low-fidelity model is durable, mimics the clinical case, and is easy to use. It also addresses known limitations from prior low-fidelity models.

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“…In this issue of the Journal of Cardiothoracic and Vascular Anesthesia Baribeau et al present a novel, inexpensive training tool for pericardiocentesis that utilizes three-dimensional (3D) printing technology. 1 The model consists of a mannequin with a sternum and sub-xyphoid zone, and an enclosed silicon heart surrounded by a thin membranous silicon pericardial sac. The heart is filled with red fluid, and the pericardial sac with blue fluid.…”

mentioning

confidence: 99%