Although the area of surgical simulation has been the subject of study in recent years, it is still necessary to develop artificial experimental models with a perspective to dismiss the use of biological models. Since this makes the simulators more real, transferring the environment of the health professional to a physical or virtual reality, an anesthetic prototype has been developed, where the motor response is replicated when the brachial plexus is subjected to a proximal nervous stimulus. Using action-research techniques, with this simulator it was possible to validate that the human nerve response can be replicated, which will aid the training of health professionals, reducing possible risks in a surgical environment.Keywords: anesthesia, simulation, brachial plexus blockade, Arduino, 3D print
CONTEXT AND THEORETICAL FOUNDATIONRegional anesthesia has always required deep anatomical knowledge, especially of surface anatomy, so it is possible to infer the location of deep structures based on palpable points of reference, such as bony prominences and muscular borders. Anesthetic techniques for peripheral nerve blocking have evolved from the most conventional ones, such as the search for paresthesia and the loss of resistance, to the more modern ones, such as nerve stimulation and ultrasonography. Today, the search for paresthesia is questioned by most anesthesiologists, since the mechanical stimulation of the needle in the nerve can be harmful and uncomfortable for the patient.In electrical nerve stimulation, a current of 0.5 mA., provoking an appropriate motor response, is considered acceptable, suggesting that the needle is sufficiently close to the nerve. Studies show that the motor response to the electrical stimulus in the nerve has low sensibility to the neural localization, and it can be inferred that the neurostimulator needle can come into contact with the nerve to be blocked without resulting in motor stimulus, decreasing the safety of the anesthetic procedure. In this case, the ultrasound image allows the exact visualization of the needle as it approaches the nerve, avoiding such undesirable contact.Today, the new trend is to perform the blockade of peripheral nerve guided by ultrasound, visualizing in real time the insertion of the needle, its relation with the adjacent structures the tissue plan of deposition of the local anesthetic and its subsequent dispersion.The maintenance of a distance, in which only the local anesthetic will come into direct contact with the nerve, transforms the trauma through the needle and the intraneural injection in avoidable lesions reveals a less aggressive conduct, prevents uncomfortable sensations to the patient and adds more safety to the anesthetic procedure (Backus et al., 2016).Anesthesiology deals with situations that require immediate responses because of critical situations and it is therefore important to develop improvement techniques. Ultrasound has been increasingly used in peripheral blockade. Ultrasound-guided techniques are based on direct vis...