A review of epidural simulators: Where are we today?

Medical Engineering and Physics

Volumn 35, Issue 9, 2013, Pages 1235-1250

  Vaughan, Neil ^a   Dubey, Venketesh N ^a   Wee, Michael Y K ^b   Isaacs, Richard ^b  

^a BOURNEMOUTH UNIVERSITY   (United Kingdom)

^b POOLE HOSPITAL NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Epidural; Haptics; Lumbar puncture; Modelling; Needle insertion; Simulator; Spinal

Indexed keywords

EPIDURAL; HAPTICS; LUMBAR PUNCTURE; NEEDLE INSERTION; SPINAL;

MODELS; NEURAL NETWORKS;

SIMULATORS;

AUDIOVISUAL EQUIPMENT; COMPUTER ANALYSIS; EPIDURAL ANESTHESIA; EPIDURAL SIMULATOR; FINE NEEDLE ASPIRATION BIOPSY; FRICTION; GROUND REACTION FORCE; HUMAN; LUMBAR PUNCTURE; NEUROMUSCULAR BLOCKING; NONHUMAN; PRIORITY JOURNAL; REVIEW; RISK FACTOR; SIMULATOR; SPINAL ANESTHESIA; TACTILE FEEDBACK;

EID: 84880776016     PISSN: 13504533     EISSN: 18734030     Source Type: Journal    
DOI: 10.1016/j.medengphy.2013.03.003     Document Type: Review

References (71)

1. Catchpole K, Bell D, Johnson S, Boult M. Reviewing the evidence of patient safety incidents in anaesthetics. Internal report. The National Patient Safety Agency; 2006.
2. Cook T.M., Counsell D., Wildsmith J.A.W. Major complications of central neuraxial block: report on the Third National Audit of the Royal College of Anaesthetists. Br J Anaesth 2009, 102:179-190.
3. Paech M.J., Godkin R., Webster S. Complications of obstetric analgesia and anaesthesia: a prospective analysis of 10,995 cases. Int J Obstet Anaesth 1998, 7:5-11.
4. Jenkins J.G. Some immediate serious complications of obstetric analgesia and anaesthesia: a prospective study of 145,550 epidurals. Int J Obstet Anaesth 2005, 14:37-42.
5. Gleeson C.M., Reynolds F. Accidental dural puncture rates in the UK. Int J Obstet Anaesth 1998, 7:242-246.
6. Gupta S., Collis R., Harries S. Increasing dural tap rate: is this a national trend?. Int J Obstet Anaesth 2007, 16:S17.
7. Naik V.N., Devito I., Halpern S.H. Cusum analysis is a useful tool to assess resident proficiency at insertion of labour epidurals. Can J Anesth 2003, 50:694-698.
8. Konrad C., Schupfer G., Wietlisbach M., Gerber H. Learning manual skills in anesthesiology: is there a recommended number of cases for anesthetic procedures?. Anesth Analg 1998, 86:635-639.
9. Watterson L.M., Hyde S., Bajenov S., Kennedy S.E. The training environment of junior anaesthetic registrars learning epidural labour analgesia in Australian teaching hospitals. Anaesth Intensive Care J 2007, 35:38-46.
10. Grantcharov T.P., Reznick R.K. Teaching procedural skills. Br Med J 2008, 336:1129-1131.
11. Smith T.S., Johannsson H.E., Sadler C. Trials of labour: can simulation make a difference to obstetric anaesthetic training?. Curr Anaesth Crit Care 2005, 16:289-296.
12. Aggarwal R., Darzi A. Technical skills training in the 21st century. N Engl J Med 2006, 355:2695-2696.
13. Bould M.D., Crabtree N.A., Naik V.N. Assessment of procedural skills in anaesthesia. Br J Anaesth 2009, 103:472-483.
14. Szypula K., Ashpole K.J., Bogod D., Yentis S.M., Mihai R., Scott S., et al. Litigation related to regional anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia 2010, 65(5):443-452.
15. Dogliotti A.M. Research and clinical observations on spinal anesthesia: with special reference to the peridural technique. Anesth Analg 1933, 12:59-65.
16. Wong D.T., Prabhu A.J., Coloma M., Imasogie N., Chung F.F. What is the minimum training required for successful cricothyroidotomy?. Anesthesiology 2003, 98:349-353.
17. Working Party of the Association of Anaesthetists Consent for anaesthesia 2006, AAGBI, London. revised ed.
18. Royal College of Anaesthetists Curriculum for a CCT in anaesthetics-version 2 2010, Royal College of Anaesthetists, London, August.
19. Bruce R.C.H., McLeod A.D.M., Smith G.B. A survey of UK anaesthetic trainee attitudes towards simulator based training experience. Bull RCOA 2005, 34:1722-1723.
20. Gaba D.M. Improving anesthesiologists' performance by simulating reality. Anesthesiology 1992, 76:491-494.
21. Zausig Y.A., Bayer Y., Hacke N., Sinner B., Zink W., Grube C., et al. Simulation as an additional tool for investigating the performance of standard operating procedures in anaesthesia. Br J Anaesth 2007, 99(5):673-678.
22. Kneebone R.L., Nestel D., Vincent C., Darzi A. Complexity, risk and simulation in learning procedural skills. Med Educ 2007, 41:808-814.
23. Riley R., Wilks D., Freeman J. Anaesthetists' attitudes towards an anaesthesia simulator. A comparative survey: USA and Australia. Anaesth Intensive Care 1997, 25(5):514-519.
24. Tran D., Hor K.W., Kamani A.A., Lessoway V.A., Rohling R.A. Instrumentation of the loss-of-resistance technique for epidural needle insertion. IEEE Trans Biomed Eng 2009, 56(3):820-827.
25. Vidal F.P., John N.W., Healey A.E., Gould DA Simulation of ultrasound guided needle puncture using patient specific data with 3D texture and volume haptics. Comp Anim Virtual Worlds 2008, 19:111-127.
26. Abolhassani N., Patel R., Moallem M. Needle insertion into soft tissue: a survey. Med Eng Phys 2007, 29(4):413-431.
27. Gillespie B., Rosenberg L.B. Design of high-fidelity haptic display for one-dimensional force reflection applications. Proc SPIE 1995, 2351:44-54.
28. Friedman Z., Siddiqui N., Katznelson R., Devito I., Bould M.D., Naik V. Clinical impact of epidural anesthesia simulation on short and long-term learning curves: high versus low-fidelity model training. Reg Anesth Pain Med 2009, 34(3):229-232.
29. Sakamaki T., Sairyo K., Sakai T., Tamura T., Okada Y., Mikami H. Measurements of ligamentum flavum thickening at lumbar spine using MRI. Arch Orthop Trauma Surg 2009, 129(10):1415-1419.
30. Nickalls R.W.D., Kokri M.S. The width of the posterior epidural space in obstetric patients. Anaesthesia 1986, 41:432-433.
31. Putz R. The detailed functional anatomy of the ligaments of the vertebral column. Ann Anat 1992, 174:40-47.
32. Prestar F.J., Putz R. Das ligamentum longitudinale posterius-morphologie und funktion. Morphol Med 1982, 2:181-189.
33. Hiemenz L. Force models for needle insertion created from measured needle puncture data. Medicine meets virtual reality 2001, 180-186.
34. Vaughan N., Dubey V.N., Wee M.Y.K., Isaacs R. Haptic interface on measured data for epidural simulation. Proceedings of the ASME 2012 international design engineering technical conference and computers and information in engineering conference 2012.
35. Leighton B.L. A greengrocer's model of the epidural space. Anesthesiology 1980, 70:368-369.
36. Uppal V., Kearns R., McGrady E. Evaluation of M43B lumbar puncture simulator-II as a training tool for identification of the epidural space and lumbar puncture. Anaesthesia 2011, 66:493-496.
37. National Institute for Health and Clinical Excellence Ultrasound-guided catheterization of the epidural space [IPG249] 2008, National Institute for Health and Clinical Excellence, London.
38. Duggan JE. An epidural simulator device for training practitioners in the anaesthetic technique of epidural injection. GB Patent GB2369714; 2000.
39. Kurosaki Y. Epidural puncture simulator. JP Patent 2002132138; 2002.
40. Zhangji L, Baoquan Z. Spinal puncture training simulation standard patient. Patent CN101877192; 2010.
41. Daykin A., Bacon R. An epidural injection simulator. Anaesthesia 1990, 45:235-236.
42. Langton J.A., Meiklejohn B.H. Pressure generated during insertion of lumbar epidurals: a comparison with the Portex epidural injection simulator. Anaesthesia 1990, 45:1055-1056.
43. Stredney D., Sessanna D., McDonald J.S., Hiemenz L., Rosenberg L.B. A virtual simulation environment for learning epidural anesthesia. Medicine meets virtual reality: healthcare in the information age 1996, 164-175. IOS Press, Amsterdam. S.J. Weghorst, H.B. Sieburg, K.S. Morgan (Eds.).
44. Brett P.N., Parker T.J., Harrison A.J., Thomas T.A., Carr A. Simulation of resistance forces acting on surgical needles. Proc Inst Mech Eng 1997, 211:335-347.
45. Dang T., Annaswamy T., Srinivasan M. Development and evaluation of an epidural injection simulator with force feedback for medical training. Stud Health Technol Inform 2001, 81:97-102.
46. Wilson J.G., Pallotta O.J., Reynolds K.J., Owen H. An epidural injection simulator. World congress on medical physics and biomedical engineering 2003.
47. Mayooran Z., Watterson L., Withers P., Line J., Arnett W., Horley R. Mediseus epidural: full-procedure training simulator for epidural analgesia in labour. Proceedings of SimTecT healthcare simulation conference 2006.
48. Brien G, Horley R. Simulator and method. Patent WO2007068050; 2007.
49. Elks K.N., Riley R.H. The Mediseus epidural simulator-does it replicate real patients?. Anaesth Intensive Care 2007, 35:818.
50. Dreifaldt U., Kulcsar Z., Gallagher P. Exploring haptics as a tool to improve training of medical doctors in the procedure of spinal anaesthetics. Eurohaptics conference 2006.
51. Albert D., Hockemeyer C., Kulcsar Z., Shorten G. Competence assessment for spinal anaesthesia. HCI and usability for medicine and health care. Proceedings of the third symposium of the workgroup human-computer interaction and usability engineering of the Austrian computer society, USAB 2007 Graz, Austria. Lecture notes in computer science 2007, 165-170. Springer, Berlin.
52. Bostrom M., Singh S.K., Wiley C.W. Design of an interactive lumbar puncture simulator with tactile feedback. Virtual reality annual international symposium, Proceedings of the IEEE 1993, 280-286.
53. Gorman P., Krummel T., Webster R., Smith M., Hutchens D. A prototype haptic lumbar puncture simulator. Medicine meets virtual reality 2000: envisioning healing: interactive technology and the patient-practitioner dialogue 2000, 106-109.
54. Färber M., Hummel F., Gerloff C., Handels H. Virtual reality simulator for the training of lumbar punctures. Methods Inform Med 2009, 48:493-501.
55. Färber M., Hoeborn E., Dalek D., Hummel F., Gerloff C., Bohn C.A., et al. Training and evaluation of lumbar punctures in a VR-environment using a 6DOF haptic device. Stud Health Technol Inform 2008, 132:112-114.
56. Magill J.C., Byl M.F., Hinds M.F., Agassounon W., Pratt S.D., Hess P.E. A novel actuator for simulation of epidural anesthesia and other needle insertion procedures. Simul Healthc 2010, 5(3):179-184.
57. Hiemenz L., Stredney D., Schmalbrock P. Development of the force-feedback model for an epidural needle insertion simulator. Stud Health Technol Inform 1998, 50:272-277.
58. Naemura K., Saito H. Needle insertion test by porcine ligamentum flavum. World congress on medical physics and biomedical engineering 2009, 28-31.
59. McKay W.P., Rosser T., Kriegler S., Mohamed A. Epidural loss-of-resistance biomechanics: an open pilot cadaver study 2010, vol. 3. Dove Press, Auckland, New Zealand, pp. 101-7.
60. Meiklejohn B. The effect of rotation of an epidural needle. An in vitro study. Anaesthesia 1987, 42(11):1180-1182.
61. Westbrook J., Uncles D., Sitzman B., Carrie L. Comparison of the force required for dural puncture with different spinal needles and subsequent leakage of cerebrospinal fluid. Anesth Analg 1994, 79:769-772.
62. Coles T.R., John N.W., Sofia G., Gould D.A., Caldwell D.G. Modification of commercial force feedback hardware for needle insertion simulation. Stud Health Technol Inform 2011, 163:135-137.
63. Coles T.R., John N.W. The effectiveness of commercial haptic devices for use in virtual needle insertion training simulations. Advances in computer-human interaction, Third international conference 2010, 148-153.
64. Magill J.C., Anderson B.D., Rosen D.I., Anderson G.B., Hess P.E., Pratt S.D. A multi-axis mechanical simulator for epidural needle insertion. Proceedings of medical simulation: international symposium ISMS 2004, 267.
65. Jones R., Pinnock C. The development of the epidural simulator training apparatus (ESTA). International Meeting for Medical Simulation 2003.
66. Gu H.B., Wu D.S., Liu H. Development of a novel low-cost flight simulator for pilot training. World Acad Sci Eng Technol 2009, 60:685-689.
67. Clinkscales C.P., Greenfield M.L.V.H., Vanarase M., Polley L.S. An observational study of the relationship between lumbar epidural space depth and body mass index in Michigan parturients. Int J Obstet Anesth 2007, 16:323-327.
68. Palmer S.K., Abram S.E., Maitra A.M., von Colditz J.H. Distance from the skin to the lumbar epidural space in an obstetric population. Anesth Analg 1983, 62:944-946.
69. Watts R.W. The influence of obesity on the relationship between body mass index and the distance to the epidural space from the skin. Anaesth Intensive Care 1993, 21:309-310.
70. Hamza J., Smida M., Benhamou D., Cohen S.E. Parturient's posture during epidural puncture affects the distance from skin to epidural space. J Clin Anesth 1995, 7:1-4.
71. Segal S., Beach M., Eappen S. A multivariate model to predict the distance from the skin to the epidural space in an obstetric population. Reg Anesth 1996, 21:451-455.