Intensive Care Services, Royal Brisbane and Women's Hospital, Herston, Australia.
Faculty of Medicine, University of Queensland, Herston, Australia.
Anaesth Intensive Care. 2021 May;49(3):164-172. doi: 10.1177/0310057X20976655. Epub 2021 Mar 31.
Although a wide range of medical applications for three-dimensional printing technology have been recognised, little has been described about its utility in critical care medicine. The aim of this review was to identify three-dimensional printing applications related to critical care practice. A scoping review of the literature was conducted via a systematic search of three databases. A priori specified themes included airway management, procedural support, and simulation and medical education. The search identified 1544 articles, of which 65 were included. Ranging across many applications, most were published since 2016 in non - critical care discipline-specific journals. Most studies related to the application of three-dimensional printed models of simulation and reported good fidelity; however, several studies reported that the models poorly represented human tissue characteristics. Randomised controlled trials found some models were equivalent to commercial airway-related skills trainers. Several studies relating to the use of three-dimensional printing model simulations for spinal and neuraxial procedures reported a high degree of realism, including ultrasonography applications three-dimensional printing technologies. This scoping review identified several novel applications for three-dimensional printing in critical care medicine. Three-dimensional printing technologies have been under-utilised in critical care and provide opportunities for future research.
尽管三维打印技术在医学领域的应用已得到广泛认可，但在重症监护医学中的应用却鲜为人知。本综述旨在确定与重症监护实践相关的三维打印应用。通过对三个数据库的系统搜索，进行了范围界定的文献综述。预先指定的主题包括气道管理、程序支持以及模拟和医学教育。该搜索共确定了 1544 篇文章，其中 65 篇被纳入。这些研究涵盖了许多应用，大多数发表于 2016 年以后，且来自非重症监护专业的特定期刊。大多数研究都与模拟的三维打印模型的应用有关，并报告了良好的逼真度；然而，一些研究报告称模型未能很好地代表人体组织的特征。随机对照试验发现，一些模型与商业气道相关技能训练器相当。一些关于三维打印模型模拟在脊柱和神经轴程序中的应用的研究报告了高度的真实性，包括超声应用三维打印技术。本范围界定的综述确定了重症监护医学中三维打印的几个新应用。三维打印技术在重症监护中尚未得到充分利用，为未来的研究提供了机会。
