Evidence map›Paper›PMID 37434535›Full record

ArticleThe journal of vascular access2024

Elaboration and development of a realistic 3D printed model for training in ultrasound-guided placement of peripheral central venous catheter in children.

Alessandro Raffaele, Valeria Mauri, Mattia Negrini, Erika Negrello, Gian Battista Parigi, Luigi Avolio, Andrea Pietrabissa, Ferdinando Auricchio, Stefania Marconi

Open access · hybridAbstract read
In one paragraph

Article in The journal of vascular access, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Review
  4. Article
  5. Simulation-based learning in nephrology.Clinical kidney journal · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Alessandro RaffaeleDepartment of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi, Pavia, Italy.ORCID 0000-0002-5146-1486
Valeria MauriSC General Surgery 2, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi, Pavia, Italy.ORCID 0000-0001-8458-6974
Mattia NegriniUniversity of Pavia, Pavia, Italy.
Erika NegrelloSC General Surgery 2, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi, Pavia, Italy.
Gian Battista ParigiDepartment of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi, Pavia, Italy.
Luigi AvolioDepartment of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi, Pavia, Italy.
Andrea PietrabissaSC General Surgery 2, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi, Pavia, Italy.
Ferdinando AuricchioDepartment of Civil Engineering and Architecture, University of Pavia, Pavia, Italy.
Stefania MarconiDepartment of Civil Engineering and Architecture, University of Pavia, Pavia, Italy.
University of Pavia · ITPoliclinico San Matteo Fondazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimulation for training is becoming a trend topic worldwide, even if its applications are commonly limited to adulthood. Ultrasound-guided procedures require practice and experience-especially in the pediatric field, where the small size of the involved anatomical structures poses major problems. In this context, a realistic 3D printed pediatric phantom for training of the ultrasound-guided placement of peripheral central venous catheters in children was developed. MATERIALS AND

methodsStarting from Computed Tomography scans of an 8 years-old girl, her left arm was virtually reconstructed-including bones, arteries, and veins-through a semi-automatic segmentation process. According to preliminary results, the most suitable 3D printing technologies to reproduce the different anatomical structures of interest were selected, considering both direct and indirect 3D printing techniques. Experienced operators were asked to evaluate the efficacy of the final model through a dedicated questionnaire.

resultsVessels produced through indirect 3D printing latex dipping technique exhibited the best echogenicity, thickness, and mechanical properties to mimic real children's venous vessels, while arteries-not treated and/or punctured during the procedure-were directly 3D printed through Material Jetting technology. An external mold-mimicking the arm skin-was 3D printed and a silicone-based mixture was poured to reproduce real patient's soft tissues. Twenty expert specialists were asked to perform the final model's validation. The phantom was rated as highly realistic in terms of morphology and functionality for the overall simulation, especially for what concerns vessels and soft tissues' response to puncturing. On the other hand, the involved structures' US appearance showed the lower score.

conclusionsThe present work shows the feasibility of a patient-specific 3D printed phantom for simulation and training in pediatric ultrasound-guided procedures.

Indexed as

Catheterization, Central VenousCatheterization, PeripheralModels, AnatomicPrinting, Three-DimensionalUltrasonography, InterventionalAge FactorsCentral Venous CathetersChildClinical CompetenceFemaleHumansModels, CardiovascularUpper Extremity3D printed pediatric phantom3D printingcardiovascular accesssurgical simulationultrasound-guided procedure

Identifiers

PMID37434535
PMCPMC11539528
OpenAlexW4383998243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.