TITLE:
Improvements to a Novel Device Simulating Pneumatic Intussusception Reduction
AUTHORS:
Steffan K. Soosman, Joseph C. Li, Glade E. Roper, Anthony S. Wexler, Rebecca Stein-Wexler, Thomas Ray Sanchez
KEYWORDS:
Intussusception; Reduction; Simulator; Teaching
JOURNAL NAME:
Open Journal of Radiology,
Vol.3 No.2,
June
20,
2013
ABSTRACT: Objectives: Intussusception, an uncommon but important cause of acute abdomen
during infancy and early childhood, can be safely and effectively treated by
fluoroscopic air reduction. Although pediatric radiology fellows report ample
opportunity to practice intussusception reduction, radiology residents report few
opportunities to participate in this procedure. Adequate training to reduce
intussusception is essential, as successful reduction obviates the need for
surgery. A teaching device that simulates intussusception reduction could help
radiology residents develop the skills necessary to perform this procedure. Materials and Methods: We report on
improvements made to a training device developed in 2010 by Stein-Wexler et al. Since then we have simplified the
manufacturing process, added several unique patient cases, improved the
software so that adding patient scenarios is easier, and improved the graphic
interface to make the simulation more realistic and facilitate feedback. Results: The simulator is now a
customizable and robust standalone package. A thorough instructor’s manual and
improvements to the graphic design-such as embedded checklists, built-in
feedback mechanisms, and a more intuitive interface-make the simulator easier
to use. Conclusion: We have improved
our previously-reported teaching device for intussusception reduction and
produced a robust simulator. We plan to make this device available to programs
that train physicians in pneumatic intussusception reduction.