Department of Anesthesia and Pain Management, Wasser Pain Management Centre, Mt Sinai Hospital, University of Ontario, Canada.
Reg Anesth Pain Med. 2010 May-Jun;35(3):290-3. doi: 10.1097/AAP.0b013e3181c75a76.
This report describes the production of a low-cost ultrasound phantom of the lumbosacral spine. The phantom should be a very useful tool to teach the basic skills for ultrasound-guided procedures of the lumbosacral spine.
A lumbosacral spine model is secured to the bottom of a microwave-safe container and is immersed in a concentrated gelatin solution. After the gelatin hardens, the model can be used for scanning practice as well as needle placement. The phantom can be recovered after use by melting the gelatin in a microwave to "erase" any needle track marks.
A transparent and durable gelatin block is produced. This allows trainees to have direct visual access to the lumbosacral spine model to correlate with the ultrasound images as well as to confirm proper needle placement. Disadvantages of the model include lack of simulated soft tissue structures and an absence of simulated haptic feedback during needle placement. Metamucil can be added to the gelatin to simulate the appearance of soft tissue, although this increases the opacity and thus decreases the visual access of the gelatin.
This teaching tool can provide trainees with an opportunity to familiarize themselves with sonoanatomy of the lumbosacral spine in addition to practicing probe handling techniques and needle placement.
本报告介绍了一种低成本的腰骶部脊柱超声仿体的制作方法。该仿体将是一种非常有用的工具,可用于教授腰骶部脊柱超声引导操作的基本技能。
将腰骶部脊柱模型固定在微波安全容器的底部,并将其浸入浓缩明胶溶液中。明胶凝固后,即可用于扫描练习和针的放置。使用后,可以通过在微波炉中融化明胶来回收仿体,以“擦除”任何针迹。
制作出了一个透明且耐用的明胶块。这使得学员可以直接观察到腰骶部脊柱模型,与超声图像进行关联,并确认正确的针放置位置。该模型的缺点包括缺乏模拟的软组织结构,以及在放置针时缺乏模拟触觉反馈。可以向明胶中添加 Metamucil 以模拟软组织的外观,尽管这会增加明胶的不透明度,从而降低其可视性。
该教学工具可为学员提供一个熟悉腰骶部脊柱超声解剖结构的机会,同时还可以练习探头操作技术和针的放置。