Increasing Access to Medical Training With Three-Dimensional Printing: Creation of an Endotracheal Intubation Model

Park, Lily; Price-Williams, Steven; Jalali, Alireza; Pirzada, Kashif

doi:10.2196/12626

Cited by 16 publications

(21 citation statements)

References 3 publications

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“…They are used as a communication tool with patients or between professionals [ 3 ], facilitate decision-making, and allow simulation before the surgical procedure [ 2 ]. These simulators of medical techniques such as orotracheal intubations [ 52 ], sutures [ 53 ], endoscopies [ 54 ], endovascular interventions [ 55 ], or other surgical procedures [ 56 – 58 ] can be developed at a very low cost. They can also be an alternative to corpses for teaching anatomy [ 59 – 61 ].…”

Section: Discussionmentioning

confidence: 99%

Point-of-care manufacturing: a single university hospital’s initial experience

et al. 2021

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Background The integration of 3D printing technology in hospitals is evolving toward production models such as point-of-care manufacturing. This study aims to present the results of the integration of 3D printing technology in a manufacturing university hospital. Methods Observational, descriptive, retrospective, and monocentric study of 907 instances of 3D printing from November 2015 to March 2020. Variables such as product type, utility, time, or manufacturing materials were analyzed. Results Orthopedic Surgery and Traumatology, Oral and Maxillofacial Surgery, and Gynecology and Obstetrics are the medical specialties that have manufactured the largest number of processes. Working and printing time, as well as the amount of printing material, is different for different types of products and input data. The most common printing material was polylactic acid, although biocompatible resin was introduced to produce surgical guides. In addition, the hospital has worked on the co-design of custom-made implants with manufacturing companies and has also participated in tissue bio-printing projects. Conclusions The integration of 3D printing in a university hospital allows identifying the conceptual evolution to “point-of-care manufacturing.”

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Section: Discussionmentioning

confidence: 99%

Point-of-care manufacturing: a single university hospital’s initial experience

et al. 2021

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“…2 Number of studies involving critical care within the major utilities of 3DP in critical care of more complex products. This was shown in the use of multiple materials to simulate the different tissue densities common to human structures [16,33,37,38]. Furthermore, specially designed materials can be created for a particular utility.…”

Section: Results Interpretationmentioning

confidence: 99%

“…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%

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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“…Two-dimensional CT data to construct a three-dimensional model may result in inaccuracies; this may be addressed by evolving threedimensional printing and modeling technologies. 4 There should be a ''failed'' airway scenario strategy especially when FONA is very difficult or impossible. Back-up plans should consider extracorporeal membrane oxygenation or heart lung bypass rescue.…”

Section: To the Editormentioning

confidence: 99%