Tools for Simulation; Low Budget and No Budget

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Presentation transcript:

Tools for Simulation; Low Budget and No Budget Benjamin J. May, MD, Joe K. Khoury, BS, Ronald S. Winokur, MD Techniques in Vascular & Interventional Radiology Volume 22, Issue 1, Pages 3-6 (March 2019) DOI: 10.1053/j.tvir.2018.10.002 Copyright © 2018 Terms and Conditions

Figure 1 This photo displays the core ingredients used to make ballistics gel for several of the displayed simulation phantoms (powdered “Knox” gelatin, cinnamon leaf oil and “Metamucil” fiber). Techniques in Vascular & Interventional Radiology 2019 22, 3-6DOI: (10.1053/j.tvir.2018.10.002) Copyright © 2018 Terms and Conditions

Figure 2 Materials for US-guided vascular access simulation. The penrose drain, filled with colored water, and tied at both ends. The basin is then filled with ballistics gel. Techniques in Vascular & Interventional Radiology 2019 22, 3-6DOI: (10.1053/j.tvir.2018.10.002) Copyright © 2018 Terms and Conditions

Figure 3 Vascular phantom without (A) and with compression (B), mimicking a compressible vein such as the femoral or jugular vein. Note the echotexture from the Metamucil. (C) Shows the phantom in use with successful needle access. Techniques in Vascular & Interventional Radiology 2019 22, 3-6DOI: (10.1053/j.tvir.2018.10.002) Copyright © 2018 Terms and Conditions

Figure 4 Materials used to make the nephrostomy phantom. (A) Parallel tongue depressors used to simulate overlying ribs. (B) Completed phantom with opaque gelatin based ballistics gel. (C) Ultrasound image showing intercostal window with access needle successfully within a target calyx. Techniques in Vascular & Interventional Radiology 2019 22, 3-6DOI: (10.1053/j.tvir.2018.10.002) Copyright © 2018 Terms and Conditions

Figure 5 Set-up for the ultrasound-guided biopsy phantom, consisting of pimento stuffed olives suspended by 21G needles before allowing the ballistic gel to solidify. Techniques in Vascular & Interventional Radiology 2019 22, 3-6DOI: (10.1053/j.tvir.2018.10.002) Copyright © 2018 Terms and Conditions

Figure 6 (A) Demonstrates materials required to assemble the phantom. (B) Shows the set up for filter retrieval. Note that the legs of the filter have pierced the plastic tape requiring appropriate force to free them for retrieval. (C) Demonstrate the use of a web cam to simulate fluoroscopy. Techniques in Vascular & Interventional Radiology 2019 22, 3-6DOI: (10.1053/j.tvir.2018.10.002) Copyright © 2018 Terms and Conditions

Figure 7 (A) Materials used to create the catheter exchange phantom. Three-fourth inch clear vinyl tubing adhered to a medium-density fiberboard (MDF). (B) Scoring system created for the phantom, ranging from −1 (red) to +2 (green). (Color version of figure is available online.) Techniques in Vascular & Interventional Radiology 2019 22, 3-6DOI: (10.1053/j.tvir.2018.10.002) Copyright © 2018 Terms and Conditions