Abstract
Peripheral venous access is an extremely common procedure, crucial in delivering drugs and collecting blood samples. It is associated to high failure rates, especially when pediatric subjects are involved, due to reduced limb size and low cooperation. Ultrasound can sensibly increase success rates and reduce the time required to perform the procedure, though a specific training is necessary to acquire adequate hand-eye coordination and simultaneously handle needle and probe. Commercially available simulators lack of realistic devices that reproduce anatomy and kinematics of pediatric patients. In this work, an echogenic simulator integrating direct 3D printing and silicone casting is proposed. More specifically, it replicates a five years old upper limb’s anatomy comprising an articulated skeleton, muscle tissues, skin and an integrated blood circuit. The devised simulator shows its effectiveness in terms of acoustic properties, articular kinematics reproduction and haptic feedback. Furthermore, the simulator can be easily customized according to specific training needs thanks to a highly flexible manufacturing process.
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References
Mitchell, S.E., Clark, R.A.: Complications of central venous catheterization. Am. J. Roentgenol. 133(3), 467–476 (1979)
Costantino, T.G., Parikh, A.K., Satz, W.A., Fojtik, J.P.: Ultrasonography-guided peripheral intravenous access versus traditional approaches in patients with difficult intravenous access. Ann. Emerg. Med. 46(5), 456–461 (2005)
Jones, S.E., Nesper, T.P., Alcouloumre, E.: Prehospital intravenous line placement: a prospective study. Ann. Emerg. Med. 18(3), 244–246 (1989)
Almeida, C.E.: Vascular access: the impact of ultrasonography. Einstein (São Paulo) 14(4), 561–566 (2016)
Alloni, R.: Simulation: an innovative teaching methodology in the education of health-care providers. Methodol. Educ. Clin. Innovation, 23(2) (2015)
Al-Elq, A.H.: Simulation-based medical teaching and learning. J. Fam. Community Med. 17(1), 35 (2010)
Vessel Ultrasound Training Model for venous access. http://www.bluephantom.com/product/Branched-4-Vessel-Ultrasound-Training-Block-Model.aspx?cid=525. Accessed 13 Mar 2019
SONOtrain. https://www.3bscientific.it/sonotrain-ultrasound-vein-model-1019637-p120-3b-scientific,p_1397_27465.html. Accessed 13 Mar 2019
Hm2.0 Re-Moldable 2 Vessel Ultrasound Training Model. https://humimic.com/product/hm1-0-vessel-ultrasound-training-model/. Accessed 13 Mar 2019
Ultrasound-Guided PICC Training Simulator. https://www.kyotokagaku.com/products/detail01/mw18.html. Accessed 13 Mar 2019
Life/form Advanced Venipuncture and Injection Arm – Light. https://www.enasco.com/p/Life-form%C2%AE-Advanced-Venipuncture-and-Injection-Arm—Light%2BLF01121U. Accessed 13 Mar 2019
Venous and Arterial Vascular Access Ultrasound Training Arm Model. https://www.bluephantom.com/product/Gen-II-PICC-with-IV-AND-Arterial-Line-Vascular-Access-Ultrasound-Trainer.aspx?cid=407. Accessed 13 Mar 2019
5-Year-Old Patient Injection Training Arm. https://www.gaumard.com/s405. Accessed 21 Mar 2019
O’Brien, E.K., Wayne, D.B., Barsness, K.A., McGaghie, W.C., Barsuk, J.H.: Use of 3D printing for medical education models in transplantation medicine: a critical review. Curr. Transplant. Rep. 3(1), 109–119 (2016)
Whiteley, G.P.: An Articulated Skeletal Analogy of the Human Upper-Limb (2000)
Kapandji, I.A.: The physiology of the joints, volume I, upper limb. Am. J. Phys. Med. Rehabil. 50(2), 96 (1971)
Levangie, P.K., Norkin, C.C.: Joint structure and function: a comprehensive analysis. FA Davis Company
Materialise Mimics, https://www.materialise.com/en/medical/software/mimics. Accessed 13 Mar 2019
Al-Amri, S.S., Kalyankar, N.V.: Image segmentation by using threshold techniques. arXiv preprint arXiv:1005.4020. Accessed 21 May 2010
Snyder, R.G.: Physical characteristics of children as related to death and injury for consumer product safety design. Final report (1975)
Wang, Y., Tai, B.L., Yu, H., Shih, A.J.: Silicone-based tissue-mimicking phantom for needle insertion simulation. J. Med. Devices 8(2), 021001 (2014)
Culjat, M.O., Goldenberg, D., Tewari, P., Singh, R.S.: A review of tissue substitutes for ultrasound imaging. Ultrasound Med. Biol. 36(6), 861–873 (2010)
Pacioni, A., Carbone, M., Freschi, C., Viglialoro, R., Ferrari, V., Ferrari, M.: Patient-specific ultrasound liver phantom: materials and fabrication method. Int. J. Comput. Assist. Radiol. Surg. 10(7), 1065–1075 (2015)
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Furferi, R. et al. (2020). 3D Printing-Based Pediatric Trainer for Ultrasound-Guided Peripheral Venous Access. In: Henriques, J., Neves, N., de Carvalho, P. (eds) XV Mediterranean Conference on Medical and Biological Engineering and Computing – MEDICON 2019. MEDICON 2019. IFMBE Proceedings, vol 76. Springer, Cham. https://doi.org/10.1007/978-3-030-31635-8_87
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DOI: https://doi.org/10.1007/978-3-030-31635-8_87
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