3D打印技术在麻醉模拟教学中的应用
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摘要
3D打印技术通过分层加工、迭加成形的方式可制造任何形状的立体实物,近年逐渐被应用到麻醉模拟教学中,可以根据临床与教学需求制造各种高仿真模拟教具用于住院医生培训。目前3D打印技术在麻醉模拟教学中主要应用方向为神经阻滞、困难气道及气管切开和纤维支气管镜及双腔气管插管的模拟教学,均获得了住院医生的良好反馈。
Three-dimensional (3D) printing could produce solid objects of any shape or geometry using additive manufacturing. In recent years,3D printing has been introduced in simulation training of anesthesia. It can print simulation-training models of any shape with high-fidelity according to the clinical and training needs,and help residents to practice important clinical skills. Currently,3D printing is already deployed in the simulation training of neuraxial blockade,difficult airway and tracheotomy,and fibreoptic bronchoscopy and double-lumen bronchial tubes,which have gained positive feedback from the residents being trained.
Three-dimensional (3D) printing could produce solid objects of any shape or geometry using additive manufacturing. In recent years,3D printing has been introduced in simulation training of anesthesia. It can print simulation-training models of any shape with high-fidelity according to the clinical and training needs,and help residents to practice important clinical skills. Currently,3D printing is already deployed in the simulation training of neuraxial blockade,difficult airway and tracheotomy,and fibreoptic bronchoscopy and double-lumen bronchial tubes,which have gained positive feedback from the residents being trained.
引文
[1]董海龙.模拟教学在麻醉学临床教学中的应用效果[J].临床麻醉学杂志,2014,30:825-826.
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[4]Artime CA,Hagberg CA.Is there a gold standard for management of the difficult airway?[J].Anesthesiol Clin,2015,33:233-240.
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[6]Campos JH,Hallam EA,Van Natta T,et al.Devices for lung isolation used by anesthesiologists with limited thoracic experience:comparison of double-lumen endotracheal tube,Univent torque control blocker,and Arndt wireguided endobronchial blocker[J].Anesthesiology,2006,104:261-266.
[7]Bustamante S,Shravan C.3D printing for simulation in thoracic anesthesia[J].J Cardiothorac Vasc Anesth,2015,30:e61-e63.
[8]Byrne T,Yong SA,Steinfort DP.Development and assessment of a low-cost 3D-printed airway model for bronchoscopy simulation Training[J].J Bronchology Interv Pulmonol,2016,23:251-254.
[9]Wilson CA,Arthurs OJ,Black AE.Printed three-dimensional airway model assists planning of single-lung ventilation in a small child[J].Br J Anaesth,2015,115:616-620.
[2]West SJ,Mari JM,Khan A,et al.Development of an ultrasound phantom for spinal injections with 3-dimensional printing[J].Reg Anesth Pain Med,2014,39:429-433.
[3]Jeganathan J,Baribeau Y,Bortman J,et al.Use of 3-dimensional printing to create patient-specific thoracic spine models as task trainers[J].Reg Anesth Pain Med,2017,42:469-474.
[4]Artime CA,Hagberg CA.Is there a gold standard for management of the difficult airway?[J].Anesthesiol Clin,2015,33:233-240.
[5]Han B,Liu Y,Zhang X.Three-dimensional printing as an aid to airway evaluation after tracheotomy in a patient with laryngeal carcinoma[J].BMC Anesthesiol,2016,16:6.
[6]Campos JH,Hallam EA,Van Natta T,et al.Devices for lung isolation used by anesthesiologists with limited thoracic experience:comparison of double-lumen endotracheal tube,Univent torque control blocker,and Arndt wireguided endobronchial blocker[J].Anesthesiology,2006,104:261-266.
[7]Bustamante S,Shravan C.3D printing for simulation in thoracic anesthesia[J].J Cardiothorac Vasc Anesth,2015,30:e61-e63.
[8]Byrne T,Yong SA,Steinfort DP.Development and assessment of a low-cost 3D-printed airway model for bronchoscopy simulation Training[J].J Bronchology Interv Pulmonol,2016,23:251-254.
[9]Wilson CA,Arthurs OJ,Black AE.Printed three-dimensional airway model assists planning of single-lung ventilation in a small child[J].Br J Anaesth,2015,115:616-620.