Printed three-dimensional airway model assists planning of single-lung ventilation in a small child

Wilson, Caroline A.; Arthurs, Owen J.; Black, Ann E.; Schievano, Silvia; Hunt, Carl E.; Hoog, S. van; Wallis, Colin; Sury, M. R. J.

doi:10.1093/bja/aev305

Cited by 36 publications

(34 citation statements)

References 9 publications

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“…A model of the bronchial tree in a post-lung transplantation patient with stenosis of the proximal portion of the bronchus intermedius enabled planning a modified silicone stent insertion with appropriate sizing of the orifice for the upper lobe airway [70]. A 3D printed model enabled experimentation with different-sized tracheal tubes in preparation for a challenging intubation of a 6yo child that required sequential single-lung ventilation for whole-lung lavage [71] (Figure 13). 3D-printed models of anatomical variants of the tracheobronchial tree have also been reported toward enhancing flexible bronchoscopy proficiency [72].…”

Section: Thoracic Applicationsmentioning

confidence: 99%

Cardiothoracic Applications of 3-dimensional Printing

Giannopoulos

Steigner

George

et al. 2016

Journal of Thoracic Imaging

147

108

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Summary Medical 3D printing is emerging as a clinically relevant imaging tool in directing preoperative and intraoperative planning in many surgical specialties and will therefore likely lead to interdisciplinary collaboration between engineers, radiologists, and surgeons. Data from standard imaging modalities such as CT, MRI, echocardiography and rotational angiography can be used to fabricate life-sized models of human anatomy and pathology, as well as patient-specific implants and surgical guides. Cardiovascular 3D printed models can improve diagnosis and allow for advanced pre-operative planning. The majority of applications reported involve congenital heart diseases, valvular and great vessels pathologies. Printed models are suitable for planning both surgical and minimally invasive procedures. Added value has been reported toward improving outcomes, minimizing peri-operative risk, and developing new procedures such as transcatheter mitral valve replacements. Similarly, thoracic surgeons are using 3D printing to assess invasion of vital structures by tumors and to assist in diagnosis and treatment of upper and lower airway diseases. Anatomic models enable surgeons to assimilate information more quickly than image review, choose the optimal surgical approach, and achieve surgery in a shorter time. Patient-specific 3D-printed implants are beginning to appear and may have significant impact on cosmetic and life-saving procedures in the future. In summary, cardiothoracic 3D printing is rapidly evolving and may be a potential game-changer for surgeons. The imager who is equipped with the tools to apply this new imaging science to cardiothoracic care is thus ideally positioned to innovate in this new emerging imaging modality.

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Section: Thoracic Applicationsmentioning

confidence: 99%

Cardiothoracic Applications of 3-dimensional Printing

Giannopoulos

Steigner

George

et al. 2016

Journal of Thoracic Imaging

147

108

View full text Add to dashboard Cite

show abstract

“…All-in-one editing suites such as Mimics (Materialise, Leuven, Belgium) are comprehensive and have been used with success in previous airway modelling, but often come with expensive licensing agreements [5,6]. Fortunately, there is a huge range of software applications, freely downloadable online to aid with segmentation, STL (standard tessellation language) file conversion, computeraided design and image slicing.…”

Section: -D Printing In Anaesthesia: Challenges and Controversiesmentioning

confidence: 99%

3‐D printing in anaesthesia: challenges and controversies

2017

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“…Furthermore, the anesthesiologists have simulated the tracheal intubation and simulated ventilation for special patients by a 3D print airway model which help them deal with difficult airways and reduce related risks [2,7,[19][20][21][22][23]]. Wilson, et al performed 3D reconstruction of the patient's airways and subsequently produced an airway model including the trachea from the larynx level and the main bronchi up to the first bronchial bifurcation by 3D printed technology for those children who need single lung ventilation.…”

Section: The Role That 3d Bio-printing Plays In Medical Revolutionmentioning

confidence: 99%

“…They made a precise plan: Insert a size 3.5 tube into the right bronchus and a size 4 tube into the left bronchus with the tube's tips at the right positions. They succeeded in carrying out the anesthesia plan for the single lung ventilation during the surgery, and the child received satisfactory ventilation and postoperative recovery [7].…”

Section: The Role That 3d Bio-printing Plays In Medical Revolutionmentioning

confidence: 99%

Untitled

2015

Transl Perioper & Pain Med

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The difficult airways caused by congenital or acquired variations are one of the major challenges in clinical anesthesia. The airway tools, airway stents, patches and others nowadays are produced in fixed specification, with complex process, long cycle and poor tissue compatibility, which may increase the risk of infection and difficultly meet the airway variations and airway surgeries. In addition, young anesthesiologists need long time of training before they can independently deal with the difficulty airway. Three-dimensional (3D) bio-printing technology is a promising method in solving clinical airway problems. This article intends to make a summary and prospect of related areas. Keywords

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Printed three-dimensional airway model assists planning of single-lung ventilation in a small child

Abstract: Three-dimensional printing of a model of the airway of a small child aided planning of bronchial intubation and single-lung ventilation. Three-dimensional printing of airway structures may have wider application in anaesthesia practice.

Cited by 36 publications

References 9 publications

Cardiothoracic Applications of 3-dimensional Printing

Cardiothoracic Applications of 3-dimensional Printing

3‐D printing in anaesthesia: challenges and controversies

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