Preprint Article Version 1 This version is not peer-reviewed

Innovative Approaches in Pericardiocentesis Training: A Comparative Study of 3D-Printed Mannequins and Virtual Reality Simulations

Version 1 : Received: 22 August 2024 / Approved: 28 August 2024 / Online: 30 August 2024 (03:10:32 CEST)

How to cite: Rubio-López, A.; García-Carmona, R.; Garcia-Carmona, R.; Rubio-Navas, A.; González-Pinto, Á.; Cardinal-Fernández, P. Innovative Approaches in Pericardiocentesis Training: A Comparative Study of 3D-Printed Mannequins and Virtual Reality Simulations. Preprints 2024, 2024082059. https://doi.org/10.20944/preprints202408.2059.v1 Rubio-López, A.; García-Carmona, R.; Garcia-Carmona, R.; Rubio-Navas, A.; González-Pinto, Á.; Cardinal-Fernández, P. Innovative Approaches in Pericardiocentesis Training: A Comparative Study of 3D-Printed Mannequins and Virtual Reality Simulations. Preprints 2024, 2024082059. https://doi.org/10.20944/preprints202408.2059.v1

Abstract

Background: The CoBaTrICE initiative standardized intensive care training throughout Europe. Pericardiocentesis, an important yet infrequent operation, poses unique training challenges often unmet by conventional methods. This study evaluates the efficacy of virtual reality (VR) simulations and 3D-printed mannequins in pericardiocentesis training, both crafted from scratch using highly affordable materials and free software. Methods: Thirty-five final-year medical students participated in this prospective, quasi-experimental study. Initially, students underwent VR simulation training, followed by training using 3D-printed self-made mannequins. Learning outcomes were assessed using the Objective and Structured Clinical Examination (OSCE) questionnaire. Heart rate variability (HRV) analysis was employed to monitor stress responses, while the NASA Task Load Index (NASA-TLX) was used to gauge self-perceived difficulty. Results: Although the mannequin model induced more stress reactions, it excelled in tasks requiring fine motor skills, such as correct placement and asepsis maintenance. In contrast, lower NASA-TLX scores indicated that the VR model imposed less mental demand and effort, reflecting a reduced cognitive load. Conclusion: Both VR simulations and 3D-printed mannequins effectively taught pericardiocentesis skills, each offering distinct advantages. Mannequins enhanced fine motor skills, whereas VR reduced cognitive load and increased engagement. The combination of both approaches could maximize training outcomes, particularly in resource-constrained environments, thus broadening access to advanced simulation education.

Keywords

intensive care training; pericardiocentesis; simulation models; 3D-printed mannequin; virtual reality (VR) training; medical education; heart rate variability (HRV); stress analysis in medical training

Subject

Social Sciences, Education

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