The Development and Initial End-Point User Feedback of a 3D-Printed Adult Proximal Tibia IO Simulator.

Autor:	Sivanathan M; Health Sciences, Ontario Tech University, Oshawa, CAN., Micallef J; Health Sciences, Ontario Tech University, Oshawa, CAN., Clarke KM; Health Sciences, Ontario Tech University, Oshawa, CAN., Gino B; Emergency Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John's, CAN.; Health Sciences, Ontario Tech University, Oshawa, CAN.; Emergency Medicine, Madrecor Hospital, Uberlândia, BRA., Joshi S; Engineering and Applied Science, Ontario Tech University, Oshawa, CAN., Abdo S; Health Sciences, Ontario Tech University, Oshawa, CAN., Buttu D; Health Sciences, Ontario Tech University, Oshawa, CAN., Mnaymneh M; Education, Ontario Tech University, Oshawa, CAN., Siraj S; Health Sciences, Ontario Tech University, Oshawa, CAN., Torres A; Computer Science, Ontario Tech University, Oshawa, CAN., Brock G; Family Practice, Centre De Sante Temiscaming, Temiscaming, CAN., Button D; Paramedicine, Durham College, Oshawa, CAN., Pereira C; Allergy and Immunology, Uberlândia Medical Centre (UMC), Uberlândia, BRA., Dubrowski A; Health Sciences, Ontario Tech University, Oshawa, CAN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 May 30; Vol. 14 (5), pp. e25481. Date of Electronic Publication: 2022 May 30 (Print Publication: 2022).
DOI:	10.7759/cureus.25481
Abstrakt:	Intraosseous infusion (IO) remains an underutilized technique for obtaining vascular access in adults, despite its potentially life-saving benefits in trauma patients. In rural and remote areas, shortage of training equipment and human capacity (i.e., simulators) are the main contributors to the shortage of local training courses aiming at the development and maintenance of IO skills. Specifically, current training equipment options available for trainees include commercially available simulators, which are often expensive, or animal tissues, which lack human anatomical features that are necessary for optimal learning and pose logistical and ethical issues related to practice on live animals. Three-dimensional (3D) printing provides the means to create cost-effective, anatomically correct simulators for practicing IO where existing simulators may be difficult to access, especially in remote areas. This technical report aims to describe the development of maxSIMIO, a 3D-printed adult proximal tibia IO simulator, and present feedback on the design features from a clinical co-design team consisting of 18 end-point users.  Overall, the majority of the feedback was positive and highlighted that the maxSIMIO simulator was helpful for learning and developing the IO technique. The majority of the clinical team responders also agreed that the simulator was more anatomically accurate compared to other simulators they have used in the past. Finally, the survey results indicated that on average, the simulator is acceptable as a training tool. Notable suggestions for improvement included increasing the stability of the individual parts of the model (such as tightening the skin and securing the bones), enhancing the anatomical accuracy of the experience (such as adding a fibula), making the bones harder, increasing the size of the patella, making it more modular (to minimize costs related to maintenance), and improving the anatomical positioning of the knee joint (i.e., slightly bent in the knee joint). In summary, the clinical team, located in rural and remote areas in Canada, found the 3D-printed simulator to be a functional tool for practicing the intraosseous technique. The outcome of this report supports the use of this cost-effective simulator for simulation-based medical education for remote and rural areas anywhere in the world. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Sivanathan et al.)
Databáze:	MEDLINE
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