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. 2021 Oct 16;13(10):e18824.
doi: 10.7759/cureus.18824. eCollection 2021 Oct.

The Development of a Cost-Effective Infant Intraosseous Infusion Simulator for Neonatal Resuscitation Program Training

Julia Micallef  1 , Artur Arutiunian  1 , Jennifer Hiley  2 , Andy Benson  3 , Adam Dubrowski  1
Affiliations

The Development of a Cost-Effective Infant Intraosseous Infusion Simulator for Neonatal Resuscitation Program Training

Julia Micallef et al. Cureus. .

Abstract

Simulation-based medical education (SBME) employs realistic simulators to allow physicians and medical students to learn and practice high acuity, low occurrence (HALO) skills such as the intraosseous (IO) infusion. Previous research was done to develop and evaluate a three-dimensional (3D)-printed adult proximal tibia IO simulator and was rated as a valuable and realistic medical education training tool. This report focuses on implementing this IO simulator for neonatal resuscitation program (NRP) training purposes, as well as to explain the process of redeveloping the previous adult IO simulator and the development of a stand, called the maxSIMbox, to hold the simulators, as well as the tools needed to perform an IO infusion. The feedback provided from stakeholders was helpful, with an emphasis on providing stability to both the infant IO simulator and the maxSIMbox. From this feedback, a functional and cost-effective simulator was developed to practice this HALO skill and is currently being used for NRP training.

Keywords: 3d printing; intraosseous infusion; simulation-based medical education; simulator; training.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. The 3D-rendered version of the maxSIMbox.
3D, three-dimensional.
Figure 2
Figure 2. Infant IO bone after feedback.
Blue X: head of tibia; orange X: head of fibula; green X: groove; IO: intraosseous.
Figure 3
Figure 3. ‘A’ shows the maxSIMbox and its adjusted components, while ‘B’ depicts how the clamps are used to secure the slide holding the IO bones (held in the slide via friction-fit) shown on the right as well as the slide holding the IO access tools shown on the left.
Blue X: handle; orange X: clamp; green X: suction cup; IO: intraosseous.
See this image and copyright information in PMC

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