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3DUI Electronic Syringe for Neonate Central Venous Access Procedure Simulation

  • Gerardo Tibamoso
  • Sergio Medina-Papagayo
  • Lizeth Vega-Medina
  • Byron Perez-GutierrezEmail author
  • Alvaro Uribe-Quevedo
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9740)

Abstract

The central venous access is a highly complex medical procedure, which consists of accessing a central vein (e.g., femoral vein, jugular vein or the umbilicus) to deliver different drugs, anesthesia, fluids or treatments to the patient. This procedure requires a high degree of expertise and its malpractice can result in severe consequences for the patient leading to possible pneumothorax, hemothorax and even death, among many other health risks. In neonates, the procedure is even more challenging because of the anatomical features. The lack of training tools requires trainees to transfer knowledge from adult venous access to the neonate; therefore, it is highly necessary to create training tools for specialists. In this paper, the development of an interactive simulation system for practicing the needle insertion in the internal jugular vein in neonates is presented. A real model of a syringe coupled with inertial sensors was built to permit the interaction between the user and a neonate virtual model displayed on a touch screen. This system has been evaluated by users, who expressed great potential in this interactive simulation for training.

Keywords

Central venous access Haptic Syringe Inertial measurement unit 

Notes

Acknowledgments

This project was supported by the Research Division of Nueva Granada Mil. University through grant IMP ING 1776.

References

  1. 1.
  2. 2.
    Angel, E.: Interactive Computer Graphics: A Top-Down Approach with OpenGL, 2nd edn. Addisson- Wesley, New York (2000)Google Scholar
  3. 3.
    Arduino: Pro mini microcontroller. https://www.arduino.cc/en/Main/ArduinoBoardProMini
  4. 4.
    Barsuk, J.H., McGaghie, W.C., Cohen, E.R., Balachandran, J.S., Wayne, D.B.: Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit. J. Hosp. Med. 4(7), 397–403 (2009)CrossRefGoogle Scholar
  5. 5.
  6. 6.
  7. 7.
  8. 8.
    Engum, S., Jeffries, P., Fisher, L.: Intravenous catheter training system: computer-based education versus traditional learning methods. Am. J. Surg. 186(1), 67–74 (2003)CrossRefGoogle Scholar
  9. 9.
    Gaumard: Newborn pedi simulator. http://www.gaumard.com/s105
  10. 10.
    Google: Android studio. http://developer.android.com
  11. 11.
    Graham, A.S., Ozment, C., Tegtmeyer, K., Lai, S., Braner, D.A.: Central Venous Catheterization. New Engl. J. Med. 356(21), e21 (2007)CrossRefGoogle Scholar
  12. 12.
    Jain, P., Pant, D., Sood, J.: Atlas of Practical Neonatal and Pediatric Procedures. JP Medical Ltd, London (2012)Google Scholar
  13. 13.
  14. 14.
  15. 15.
    Larnpotang, S., Lizdas, D., Rajon, D., Luria, I., Gravenstein, N., Bisht, Y., Schwab, W., Friedman, W., Bova, F., Robinson, A.: Mixed simulators: augmented physical simulators with virtual underlays. In: Virtual Reality (VR), IEEE 2013, pp. 7–10. IEEE (2013)Google Scholar
  16. 16.
    Ma, I.W., Brindle, M.E., Ronksley, P.E., Lorenzetti, D.L., Sauve, R.S., Ghali, W.A.: Use of simulation-based education to improve outcomes of central venous catheterization: a systematic review and meta-analysis. Acad. Med. 86(9), 1137–1147 (2011)CrossRefGoogle Scholar
  17. 17.
    McGee, D.C., Gould, M.K.: Preventing complications of central venous catheterization. New Engl. J. Med. 348(12), 1123–1133 (2003)CrossRefGoogle Scholar
  18. 18.
    Moureau, N., Lamperti, M., Kelly, L., Dawson, R., Elbarbary, M., Van Boxtel, A., Pittiruti, M.: Evidence-based consensus on the insertion of central venous access devices: definition of minimal requirements for training. Br. J. Anaesth. 110(3), 347–356 (2013)CrossRefGoogle Scholar
  19. 19.
    Pedley, M., Stanley, M.: Calculation of orientation matrices from sensor data.Technical report, Freescale, Inc. (2014)Google Scholar
  20. 20.
    Rey, C., Álvarez, F., Rua, V.D.L., Medina, A., Concha, A., Díaz, J.J., Menéndez, S., Los Arcos, M., Mayordomo-Colunga, J.: Mechanical complications during central venous cannulations in pediatric patients. Intensive Care Med. 35(8), 1438–1443 (2009). http://icmjournal.esicm.org/Journals/abstract.html?=10.1007/s00134-009-1534-0 CrossRefGoogle Scholar
  21. 21.
    Salazar Sanín, C., Sánchez, P., Darío, R., Arango Rave, M.E.,Lince Varela, L.F.: Manejo y complicaciones de catéteres venososcentrales en niños: Hospital universitario san vicente de paúl, medellín, colombia. Iatreia 21, p. s8 (2008)Google Scholar
  22. 22.
    Simulab: Vascularaccesschild training system. https://www.simulab.com/products/vac-30
  23. 23.
  24. 24.
    Sunkel, M.: Collision Detection for Cylinder-Shaped Rigid Bodies. Bachelor’s thesis, Friedrich-Alexander-Universität Erlangen-Nürnberg (2010). https://www10.informatik.uni-erlangen.de/Publications/Theses/2010/Suenkel_BA_10.pdf
  25. 25.
    Trieschmann, U., ten Cate, F.U., Sreeram, N.: Central venous catheters in children and neonates? what is important? Images Paediatr. Cardiol. 9(4), 1–8 (2007). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232582/ Google Scholar
  26. 26.
    Trieschmann, U., ten Cate, F.U., Sreeram, N.: Central venouscatheters in children and neonates (Part 2) ? Access via the internal jugular vein. Images Paediatr. Cardiol. 10(1), 1–7 (2008). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232585/ Google Scholar
  27. 27.
    Ullrich, S., Kuhlen, T.: Haptic palpation for medical simulation in virtual environments. IEEE Trans. Vis. Comput. Graph. 18(4), 617–625 (2012). http://dx.doi.org/10.1109/TVCG.2012.46 CrossRefGoogle Scholar
  28. 28.
    Verghese, S.T., McGill, W.A., Patel, R.I., Sell, J.E., Midgley, F.M., Ruttimann, U.E.: Ultrasound-guided internal jugular venous cannulation in infants: a prospective comparison with the traditional palpation method. J. Am. Soc. Anesthesiol. 91(1), 71–77 (1999). http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1946253 CrossRefGoogle Scholar
  29. 29.
    Winer, K.: Simple and effective magnetometer calibration, August 2015. https://github.com/kriswiner/MPU-6050/wiki/Simple-and-Effective-Magnetometer-Calibration
  30. 30.
    Zechner, M.: libgdx. http://libgdx.badlogicgames.com/

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Gerardo Tibamoso
    • 1
  • Sergio Medina-Papagayo
    • 1
  • Lizeth Vega-Medina
    • 1
  • Byron Perez-Gutierrez
    • 1
    Email author
  • Alvaro Uribe-Quevedo
    • 1
  1. 1.VR CenterNueva Granada Military UniversityBogotaColombia

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