Towards a realistic in vitro experience of epidural Tuohy needle insertion.
Identifieur interne : 000758 ( PubMed/Checkpoint ); précédent : 000757; suivant : 000759Towards a realistic in vitro experience of epidural Tuohy needle insertion.
Auteurs : Neil Vaughan [Royaume-Uni] ; Venketesh N. Dubey ; Michael Y K. Wee ; Richard IsaacsSource :
- Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine [ 2041-3033 ] ; 2013.
English descriptors
- KwdEn :
- Algorithms, Anesthesia, Epidural (instrumentation), Anesthesia, Epidural (methods), Animals, Epidural Space (anatomy & histology), Epidural Space (physiology), Equipment Design, Feedback, Models, Biological, Needles, Pilot Projects, Signal Processing, Computer-Assisted (instrumentation), Swine, Transducers, Pressure, Wireless Technology.
- MESH :
- anatomy & histology : Epidural Space.
- instrumentation : Anesthesia, Epidural, Signal Processing, Computer-Assisted.
- methods : Anesthesia, Epidural.
- physiology : Epidural Space.
- Algorithms, Animals, Equipment Design, Feedback, Models, Biological, Needles, Pilot Projects, Swine, Transducers, Pressure, Wireless Technology.
Abstract
The amount of pressure exerted on the syringe and the depth of needle insertion are the two key factors for successfully carrying out epidural procedure. The force feedback from the syringe plunger is helpful in judging the loss of pressure, and the depth of the needle insertion is crucial in identifying when the needle is precisely placed in the epidural space. This article presents the development of two novel wireless devices to measure these parameters to precisely guide the needle placement in the epidural space. These techniques can be directly used on patients or implemented in a simulator for improving the safety of procedure. A pilot trial has been conducted to collect depth and pressure data with the devices on a porcine cadaver. These measurements are then combined to accurately configure a haptic device for creating a realistic in vitro experience of epidural needle insertion.
DOI: 10.1177/0954411913483428
PubMed: 23636758
Affiliations:
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pubmed:23636758Le document en format XML
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The force feedback from the syringe plunger is helpful in judging the loss of pressure, and the depth of the needle insertion is crucial in identifying when the needle is precisely placed in the epidural space. This article presents the development of two novel wireless devices to measure these parameters to precisely guide the needle placement in the epidural space. These techniques can be directly used on patients or implemented in a simulator for improving the safety of procedure. A pilot trial has been conducted to collect depth and pressure data with the devices on a porcine cadaver. These measurements are then combined to accurately configure a haptic device for creating a realistic in vitro experience of epidural needle insertion.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">23636758</PMID><DateCreated><Year>2013</Year><Month>06</Month><Day>19</Day></DateCreated><DateCompleted><Year>2013</Year><Month>12</Month><Day>10</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2041-3033</ISSN><JournalIssue CitedMedium="Internet"><Volume>227</Volume><Issue>7</Issue><PubDate><Year>2013</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine</Title><ISOAbbreviation>Proc Inst Mech Eng H</ISOAbbreviation></Journal><ArticleTitle>Towards a realistic in vitro experience of epidural Tuohy needle insertion.</ArticleTitle><Pagination><MedlinePgn>767-77</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0954411913483428</ELocationID><Abstract><AbstractText>The amount of pressure exerted on the syringe and the depth of needle insertion are the two key factors for successfully carrying out epidural procedure. The force feedback from the syringe plunger is helpful in judging the loss of pressure, and the depth of the needle insertion is crucial in identifying when the needle is precisely placed in the epidural space. This article presents the development of two novel wireless devices to measure these parameters to precisely guide the needle placement in the epidural space. These techniques can be directly used on patients or implemented in a simulator for improving the safety of procedure. A pilot trial has been conducted to collect depth and pressure data with the devices on a porcine cadaver. These measurements are then combined to accurately configure a haptic device for creating a realistic in vitro experience of epidural needle insertion.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vaughan</LastName><ForeName>Neil</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>School of Design, Engineering & Computing, Bournemouth University, Poole, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dubey</LastName><ForeName>Venketesh N</ForeName><Initials>VN</Initials></Author><Author ValidYN="Y"><LastName>Wee</LastName><ForeName>Michael Y K</ForeName><Initials>MY</Initials></Author><Author ValidYN="Y"><LastName>Isaacs</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>04</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Proc Inst Mech Eng H</MedlineTA><NlmUniqueID>8908934</NlmUniqueID><ISSNLinking>0954-4119</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000465">Algorithms</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000767">Anesthesia, Epidural</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000818">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004824">Epidural Space</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005246">Feedback</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008954">Models, Biological</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D009339">Needles</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010865">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012815">Signal Processing, Computer-Assisted</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013552">Swine</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014160">Transducers, Pressure</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D059015">Wireless Technology</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Epidural</Keyword><Keyword MajorTopicYN="N">Tuohy needle</Keyword><Keyword MajorTopicYN="N">anaesthesia</Keyword><Keyword MajorTopicYN="N">depth measurement</Keyword><Keyword MajorTopicYN="N">haptics</Keyword><Keyword MajorTopicYN="N">insertion force</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="aheadofprint"><Year>2013</Year><Month>4</Month><Day>4</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>5</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>5</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23636758</ArticleId><ArticleId IdType="pii">0954411913483428</ArticleId><ArticleId IdType="doi">10.1177/0954411913483428</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Dubey, Venketesh N" sort="Dubey, Venketesh N" uniqKey="Dubey V" first="Venketesh N" last="Dubey">Venketesh N. Dubey</name><name sortKey="Isaacs, Richard" sort="Isaacs, Richard" uniqKey="Isaacs R" first="Richard" last="Isaacs">Richard Isaacs</name><name sortKey="Wee, Michael Y K" sort="Wee, Michael Y K" uniqKey="Wee M" first="Michael Y K" last="Wee">Michael Y K. Wee</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Vaughan, Neil" sort="Vaughan, Neil" uniqKey="Vaughan N" first="Neil" last="Vaughan">Neil Vaughan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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