Development and Utilization of 3D Printed Material for Thoracotomy Simulation

Yates, Evan; Chirurgi, Roger; Adamakos, Frosso; Habal, Rania; Jaiswal, Rajnish; Kalantari, Hossein; Hassen, Getaw Worku

doi:10.1155/2018/9712647

Cited by 7 publications

(5 citation statements)

References 35 publications

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“…Overall, 8 of the 31 studies specifically discussed that their 3DP models were either cheaper or of similar price to conventional models [16,17,31,34,35,37,38,41]. This decrease in price can reach up to 250% which provides a strong motive for furthering the implementation of 3DP technology in critical care [17].…”

Section: Results Interpretationmentioning

confidence: 99%

“…The feedback was used and they were able to modify the gelatin used to make it more stable and increase the compressibility of the venous system. No Yates E. et al [ 35 ] Thoracotomy Technical report and quasi experiment Created a thoracotomy model and tested it on EM residents using before and after questionnaires EM residents 21 The questionnaires showed that the 3DP model increased their confidence of performing the procedure. Yes Bettega A.L.…”

Section: Resultsmentioning

confidence: 99%

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3D printing in critical care: a narrative review

et al. 2020

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Background 3D printing (3DP) has gained interest in many fields of medicine including cardiology, plastic surgery, and urology due to its versatility, convenience, and low cost. However, critical care medicine, which is abundant with high acuity yet infrequent procedures, has not embraced 3DP as much as others. The discrepancy between the possible training or therapeutic uses of 3DP in critical care and what is currently utilized in other fields needs to be addressed. Objective This narrative literature review describes the uses of 3DP in critical care that have been documented. It also discusses possible future directions based on recent technological advances. Methods A literature search on PubMed was performed using keywords and Mesh terms for 3DP, critical care, and critical care skills. Results Our search found that 3DP use in critical care fell under the major categories of medical education (23 papers), patient care (4 papers) and clinical equipment modification (4 papers). Medical education showed the use of 3DP in bronchoscopy, congenital heart disease, cricothyroidotomy, and medical imaging. On the other hand, patient care papers discussed 3DP use in wound care, personalized splints, and patient monitoring. Clinical equipment modification papers reported the use of 3DP to modify stethoscopes and laryngoscopes to improve their performance. Notably, we found that only 13 of the 31 papers were directly produced or studied by critical care physicians. Conclusion The papers discussed provide examples of the possible utilities of 3DP in critical care. The relative scarcity of papers produced by critical care physicians may indicate barriers to 3DP implementation. However, technological advances such as point-of-care 3DP tools and the increased demand for 3DP during the recent COVID-19 pandemic may change 3DP implementation across the critical care field.

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Section: Results Interpretationmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

3D printing in critical care: a narrative review

et al. 2020

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“…Additionally, while two previous studies have created curriculum to teach EDT, neither has assessed for competence or mastery learning. 12 , 13 Both have been small pilot studies showing improvement in confidence performing the procedure after a curriculum intervention but not mastery of the procedure.…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 5 , 7 High- fidelity simulation models are increasingly being employed to allow for repetitive practice; however, no competency-based curriculum currently exists for EDT. 10 – 13 …”

Section: Introductionmentioning

confidence: 99%

Creation and Implementation of a Mastery Learning Curriculum for Emergency Department Thoracotomy

Miller

Zaïdi

Sista

et al. 2020

WestJEM

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Introduction Emergency department thoracotomy (EDT) is a lifesaving procedure within the scope of practice of emergency physicians. Because EDT is infrequently performed, emergency medicine (EM) residents lack opportunities to develop procedural competency. There is no current mastery learning curriculum for residents to learn EDT. The purpose of this study was to develop and implement a simulation-based mastery learning curriculum to teach and assess EM residents’ performance of the EDT. Methods We developed an EDT curriculum using a mastery learning framework. The minimum passing standard (MPS) for a previously developed 22-item checklist was determined using the Mastery Angoff approach. EM residents at a four-year academic EM residency program underwent baseline testing in performing an EDT on a simulation trainer. Performance was scored by two raters using the checklist. Learners then participated in a novel mastery learning EDT curriculum that included an educational video, hands-on instruction, and deliberate practice. After a three-month period, residents then completed initial post testing. Residents who did not meet the minimum passing standard after post testing participated in additional deliberate practice until mastery was obtained. Baseline and post-test scores, and time to completion of the procedure were compared with paired t-tests. Results Of 56 eligible EM residents, 54 completed baseline testing. Fifty-two residents completed post-testing until mastery was reached. The minimum passing standard was 91.1%, (21/22 items correct on the checklist). No participants met the MPS at the baseline assessment. After completion of the curriculum, all residents subsequently reached the MPS, with deliberate practice sessions not exceeding 40 minutes. Scores from baseline testing to post-testing significantly improved across all postgraduate years from a mean score of 10.2/22 to 21.4/22 (p <0.001). Mean time to complete the procedure improved from baseline testing (6 minutes [min] and 21 seconds [sec], interquartile range [IQR] = 4 min 54 sec - 7 min 51 sec) to post-testing (5 min 19 seconds, interquartile range 4 min 17sec - 6 min 15 sec; p = 0.001). Conclusion This simulation-based mastery learning curriculum resulted in all residents performing an EDT at a level that met or exceeded the MPS with an overall decrease in time needed to perform the procedure.

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“…In general, commercial medical training models are no option for CO 2 studies, because they are not designed to be gastight and are expensive. Thus, we took inspiration from some low-cost and "home-made" alternatives that have been developed, especially for student training in emergency thoracotomy [10][11][12]. We dedicated this technical report to give a detailed description of a thoracotomy model that is specifically designed for CO 2 field-flooding studies and can also be used for training other surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

Development of a Gastight Thoracotomy Model for Investigation of Carbon Dioxide Field-Flooding Efficacy

Puthettu¹,

Vandenberghe²,

Demertzis³

2022

Cureus

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Carbon dioxide (CO 2 ) field-flooding during cardiac surgery is a prevention technique to avoid blood-air contact and subsequent embolization. Although it was first used more than 60 years ago, there is still some perplexity around its efficacy, mainly because the gas is invisible and air embolization is difficult to quantify.An accurate assessment of field-flooding can, therefore, best be performed in models where various methods can be tried in a controlled environment and evaluated with industrial-grade sensors. Multiple options are available for anatomically correct models that reproduce a sternotomy situation, but models for minimally invasive cardiac surgery are expensive and normally meant for training of surgical techniques where only the top side of the model is important.We created a low-cost and "home-made" gastight mini-thoracotomy model with internal organs and left atrial incision to investigate CO 2 insufflation in a simulated minimally invasive mitral valve surgery. The model was validated with CO 2 field-flooding tests with a commercial diffuser, while three sensors continuously registered the local concentration of CO 2 gas.

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Development and Utilization of 3D Printed Material for Thoracotomy Simulation

Cited by 7 publications

References 35 publications

3D printing in critical care: a narrative review

3D printing in critical care: a narrative review

Creation and Implementation of a Mastery Learning Curriculum for Emergency Department Thoracotomy

Development of a Gastight Thoracotomy Model for Investigation of Carbon Dioxide Field-Flooding Efficacy

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