Development and Implementation of an Inexpensive, Easily Producible, Time Efficient External Ventricular Drain Simulator Using 3-Dimensional Printing and Image Registration. Issue 4 (5th June 2018)

• Record Type: Journal Article
• Authors: Bow, Hansen; He, Le; Raees, Muhammad Aanish; Pruthi, Sumit; Chitale, Rohan
• Is Part Of: Operative neurosurgery. Volume 16:Issue 4(2019)
• Page Start: 496
• Page End: 502
• Publication Date: 2018-06-05
• Subjects: 3D printing -- External ventricular drain -- Image registration -- Simulation; Nervous system -- Surgery -- Periodicals; 617.480590
• DOI: 10.1093/ons/opy142
• Languages: English
• ISSNs: 2332-4252

Abstract

Abstract: BACKGROUND: External ventricular drain (EVD) placement is one of the most commonly performed procedures in neurosurgery, frequently by the junior neurosurgery resident. Simulators for EVD placement are often costly, time-intensive to create, and complicated to set up. OBJECTIVE: To describe creation of a simulator that is inexpensive, time-efficient, and simple to set up. METHODS: This simulator involves printing a hollow head using a desktop 3-dimensional (3D) printer. This head is registered to a commercially available image-guidance system. A total of 11 participants volunteered for this simulation module. EVD placement was assessed at baseline, after verbal teaching, and after live 3D view instruction. RESULTS: Accurate placement of an EVD on the right side at the foramen of Monro or the frontal horn of the lateral ventricle increased from 44% to 98% with training. Similarly, accurate placement on the left increased from 42% to 85% with training. CONCLUSION: During participation in the simulation, accurate placement of EVDs increased significantly. All participants believed that they had a better understanding of ventricular anatomy and that this module would be useful as a teaching tool for neurosurgery interns.