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“Shunt Pumping Test”: role of practice on an experimental model

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Abstract

Purpose

To ascertain the benefits of practicing shunt pumping test on a validated experimental model.

Methods

A validated experimental model of shunt was used and 25 medical professionals were asked to assess the block in the model where artificial blocks were created. The assessment was repeated after the participants had practiced on the same model. The performance of participants before and after practice was compared and statistically evaluated.

Results

The ability to predict the status of shunt showed an improvement in all scenarios after practice. The odds ratio for predicting a blocked shunt before and after practice was 7.25 (95% credible interval: 1.50–21.01). The odds ratio for predicting a functional shunt before and after practice was 8.81 (95% credible interval of 1.64 to 13.65).

Conclusion

Practicing on the experimental model significantly improves the ability to predict the status of shunt. Training of primary caregivers on similar shunt models based on the shunts used in respective centers can improve an early detection of shunt block and reduce reliance on more invasive and expensive evaluation modalities.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Army Hospital (R&R), Delhi Cantt, New Delhi, India

    Manish Sharma

  2. Department of Paediatrics, Command Hospital (EC) Kolkata, Kolkata, India

    Karthik Ram Mohan

  3. Department of Clinical Haematology, Army Hospital (R&R), Delhi Cantt, New Delhi, India

    Suman Kumar

  4. Department of Anaesthesia and Critical Care, Command Hospital (EC) Kolkata, Kolkata, India

    Krishna M. Kumar

Authors
  1. Manish Sharma
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  2. Karthik Ram Mohan
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  3. Suman Kumar
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  4. Krishna M. Kumar
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Contributions

Dr Manish Sharma: conceptualisation, model preparation, conduct of study, manuscript writing. Dr Karthik Ram Mohan: conduct of study, critical evaluation, manuscript writing. Dr Suman Kumar: statistical analysis. Dr Krishna Kumar M: conduct of study.

Corresponding author

Correspondence to Manish Sharma.

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Sharma, M., Mohan, K.R., Kumar, S. et al. “Shunt Pumping Test”: role of practice on an experimental model. Childs Nerv Syst 37, 2807–2811 (2021). https://doi.org/10.1007/s00381-021-05221-9

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  • DOI: https://doi.org/10.1007/s00381-021-05221-9

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