Nalinda Dissanayaka , Hamish Alexander , Michael Redmond , Patrick Pearce , Andrew Hobbins-King , Kate Lee , Danilo Carluccio , Roozbeh Fakhr , Luigi-Jules Vandi , James I. Novak
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引用次数: 0
Abstract
Objective
Non-neurosurgeons in regional and rural hospitals may be required to operate on patients presenting with a traumatic brain injury where timely transfer to a tertiary hospital is not possible. Confidence and experience can vary significantly due to limited access to hands-on training. Increasing availability to advanced 3D printed models opens new opportunities to provide accurate head models suitable for this purpose. This study evaluated the experience of regional clinicians and nurses following a neurotrauma workshop where 3D printed head models were used to provide training in burr hole and craniotomy procedures.
Methods
A neurotrauma seminar and workshop was hosted at the Sunshine Coast Health Institute, in the state of Queensland, Australia. The workshop component allowed 26 local clinicians and nurses to gain hands-on experience with a 3D printed head model, guided by neurosurgeons from the closest tertiary hospital. Following training, participants completed a short survey.
Results
Prior to this workshop, most participants had never performed a burr hole (58 %, n=15) or interacted with a 3D printed model (69 %, n=18). Overall, most participants indicated that the 3D printed model performed better (58 %, n=15) and much better (15 %, n=4) than their expectations. 81 % (n=21) left the workshop with improved confidence in performing burr hole and craniotomy procedures. Despite some melting of the plastic, 96 % (n=25) of participants would recommend this model to their colleagues.
目的地区和农村医院的非神经外科医生可能需要为脑外伤患者进行手术,而这些患者不可能及时转到三级医院。由于获得实践培训的机会有限,他们的信心和经验会有很大差异。先进 3D 打印模型的日益普及为提供适用于这一目的的精确头部模型带来了新的机遇。本研究评估了地区临床医生和护士在神经创伤研讨会后的经验,在研讨会上,3D 打印的头部模型被用来提供毛刺孔和开颅手术的培训。方法在澳大利亚昆士兰州的阳光海岸卫生研究所举办了神经创伤研讨会和讲习班。研讨会上,26 名当地临床医生和护士在最近的三甲医院神经外科医生的指导下,亲身体验了 3D 打印头部模型。培训结束后,参与者填写了一份简短的调查问卷。结果在参加此次研讨会之前,大多数参与者从未进行过毛刺孔操作(58%,人数=15)或与 3D 打印模型进行过互动(69%,人数=18)。总体而言,大多数参与者表示 3D 打印模型的性能比他们的预期要好(58%,人数=15)或好得多(15%,人数=4)。81% 的学员(21 人)在离开讲习班时表示,他们对实施毛刺孔和开颅手术的信心有所增强。尽管塑料有些融化,但仍有 96% (人数=25)的学员会向同事推荐该模型。