Modelling and Manufacturing of a 3D Printed Trachea for Cricothyroidotomy Simulation

Doucet, Gregory; Ryan, Stephen F.; Bartellas, Michael; Parsons, Michael H.; Dubrowski, Adam; Renouf, Tia

doi:10.7759/cureus.1575

Cited by 12 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In orthopedic settings in countries with a high standard of living, the development of curricula with training modules for digital surgical systems demonstrates encouraging results [ 31 ]. Novel alternatives, such as printing low-cost 3D silicone models for perineal repair and simulating cricothyroidotomy, have been demonstrated in the literature [ 32 , 33 ]. Depending on the indication, however, these models may be of high fidelity or low fidelity.…”

Section: Discussionmentioning

confidence: 99%

Current Implementation Outcomes of Digital Surgical Simulation in Low- and Middle-Income Countries: Scoping Review

Mahajan¹,

Hawkins²

2023

JMIR Med Educ

View full text Add to dashboard Cite

Background Digital surgical simulation and telecommunication provides an attractive option for improving surgical skills, widening access to training, and improving patient outcomes; however, it is unclear whether sufficient simulations and telecommunications are accessible, effective, or feasible in low- and middle-income countries (LMICs). Objective This study aims to determine which types of surgical simulation tools have been most widely used in LMICs, how surgical simulation technology is being implemented, and what the outcomes of these efforts have been. We also offer recommendations for the future development of digital surgical simulation implementation in LMICs. Methods We searched PubMed, MEDLINE, Embase, Web of Science, Cochrane Database of Systematic Reviews, and the Central Register of Controlled Trials to look for qualitative studies in published literature discussing implementation and outcomes of surgical simulation training in LMICs. Eligible papers involved surgical trainees or practitioners who were based in LMICs. Papers that include allied health care professionals involved in task sharing were excluded. We focused specifically on digital surgical innovations and excluded flipped classroom models and 3D models. Implementation outcome had to be reported according to Proctor’s taxonomy. Results This scoping review examined the outcomes of digital surgical simulation implementation in LMICs for 7 papers. The majority of participants were medical students and residents who were identified as male. Participants rated surgical simulators and telecommunications devices highly for acceptability and usefulness, and they believed that the simulators increased their anatomical and procedural knowledge. However, limitations such as image distortion, excessive light exposure, and video stream latency were frequently reported. Depending on the product, the implementation cost varied between US $25 and US $6990. Penetration and sustainability are understudied implementation outcomes, as all papers lacked long-term monitoring of the digital surgical simulations. Most authors are from high-income countries, suggesting that innovations are being proposed without a clear understanding of how they can be incorporated into surgeons’ practical training. Overall, the study indicates that digital surgical simulation is a promising tool for medical education in LMICs; however, additional research is required to address some of the limitations in order to achieve successful implementation, unless scaling efforts prove futile. Conclusions This study indicates that digital surgical simulation is a promising tool for medical education in LMICs, but further research is necessary to address some of the limitations and ensure successful implementation. We urge more consistent reporting and understanding of implementation of science approaches in the development of digital surgical tools, as this is the critical factor that will determine whether we are able to meet the 2030 goals for surgical training in LMICs. Sustainability of implemented digital surgical tools is a pain point that must be focused on if we are to deliver digital surgical simulation tools to the populations that demand them the most.

show abstract

Section: Discussionmentioning

confidence: 99%

Current Implementation Outcomes of Digital Surgical Simulation in Low- and Middle-Income Countries: Scoping Review

Mahajan¹,

Hawkins²

2023

JMIR Med Educ

View full text Add to dashboard Cite

show abstract

“…Another example is the development of a cost-effective cricothyroidotomy simulator for emergency medicine simulation training. Cricothyroidotomy is a procedure that allows for tracheal intubation in life-threatening situations [ 12 ]. The material cost of developing this anatomically accurate simulator using 3D printing technology is $3.63 CAD [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Cricothyroidotomy is a procedure that allows for tracheal intubation in life-threatening situations [ 12 ]. The material cost of developing this anatomically accurate simulator using 3D printing technology is $3.63 CAD [ 12 ]. The cost of developing the simulator is covered through research and development funding whereby the research laboratory designs, prototypes and conducts research in the areas of validity, acceptability, feasibility and efficacy/effectiveness [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…The material cost of developing this anatomically accurate simulator using 3D printing technology is $3.63 CAD [ 12 ]. The cost of developing the simulator is covered through research and development funding whereby the research laboratory designs, prototypes and conducts research in the areas of validity, acceptability, feasibility and efficacy/effectiveness [ 11 , 12 ]. Once the research and development process has concluded, the healthcare system requires these simulators to be manufactured to address their training needs, however, there is no mechanism or model to facilitate this process.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Identification of a partnership model between a university, for-profit, and not-for-profit organization to address health professions education and health inequality gaps through simulation-based education: A scoping review protocol

et al. 2023

Self Cite

View full text Add to dashboard Cite

Introduction Healthcare providers in rural and remote (R&R) areas of Canada do not have the same access to skills development and maintenance opportunities as those in urban areas. Simulation-based education (SBE) is an optimal technique to allow healthcare providers to develop and maintain skills. However, SBE is currently limited mainly to universities or hospital-based research laboratories in urban areas. The purpose of this scoping review is to identify a model, or components of a model, that outline how a university research laboratory can collaborate with a for profit and not-for-profit organization to facilitate the diffusion of SBE into R&R healthcare provider training. Methods and analysis This scoping review will be guided by the methodological framework introduced by Arksey and O’Malley in 2005 and the Methodology for Joanna Briggs Institute Scoping Reviews. Ovid MEDLINE, PsycINFO, Scopus, Web of Science, and CINAHL will be searched for relevant articles published between 2000 and 2022, in addition to grey literature databases and manual reference list searches. Articles describing a partnership model or framework between academic institutions and non-profit organizations with a simulation or technology component will be included. Titles and abstracts will be screened, followed by a full-text screening of articles. Two reviewers will participate in the screening and data extraction process for quality assurance. Data will be extracted, charted, and summarized descriptively to report key findings on potential partnership models. Conclusion This scoping review will provide an understanding on the extent of existing literature regarding the diffusion of simulators for healthcare provider training through a multi-institutional partnership. This scoping review will benefit R&R parts of Canada by identifying gaps in knowledge and determining a process to deliver simulators to train healthcare providers. Findings from this scoping review will be submitted for publication in a scientific journal.

show abstract

3D Printing of Physical Organ Models: Recent Developments and Challenges

Jin

Kang

et al. 2021

Advanced Science

View full text Add to dashboard Cite

Physical organ models are the objects that replicate the patient-specific anatomy and have played important roles in modern medical diagnosis and disease treatment. 3D printing, as a powerful multi-function manufacturing technology, breaks the limitations of traditional methods and provides a great potential for manufacturing organ models. However, the clinical application of organ model is still in small scale, facing the challenges including high cost, poor mimicking performance and insufficient accuracy. In this review, the mainstream 3D printing technologies are introduced, and the existing manufacturing methods are divided into "directly printing" and "indirectly printing", with an emphasis on choosing suitable techniques and materials. This review also summarizes the ideas to address these challenges and focuses on three points: 1) what are the characteristics and requirements of organ models in different application scenarios, 2) how to choose the suitable 3D printing methods and materials according to different application categories, and 3) how to reduce the cost of organ models and make the process simple and convenient. Moreover, the state-of-the-art in organ models are summarized and the contribution of 3D printed organ models to various surgical procedures is highlighted. Finally, current limitations, evaluation criteria and future perspectives for this emerging area are discussed.

show abstract

Modelling and Manufacturing of a 3D Printed Trachea for Cricothyroidotomy Simulation

Cited by 12 publications

References 19 publications

Current Implementation Outcomes of Digital Surgical Simulation in Low- and Middle-Income Countries: Scoping Review

Current Implementation Outcomes of Digital Surgical Simulation in Low- and Middle-Income Countries: Scoping Review

Identification of a partnership model between a university, for-profit, and not-for-profit organization to address health professions education and health inequality gaps through simulation-based education: A scoping review protocol

3D Printing of Physical Organ Models: Recent Developments and Challenges

Contact Info

Product

Resources

About