Ventriculostomy Simulation in Neurosurgery
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Neurosurgery is a highly specialized field which demands years of technical training in a high-stakes environment. Educational centers which train young neurosurgeons must adapt to the ever-changing policies of duty hour restrictions and increased supervision. As a result, simulation in neurosurgery is gaining popularity because it maximizes resident training opportunities while minimizing patient risk. One of the first procedures a young neurosurgical resident will learn is how to place an external ventricular drain (EVD). The learning curve for a ventriculostomy procedure is steep, with junior residents learning from senior residents at first, but advancing to performing the procedure on their own. Ventriculostomy simulation provides a safe and educational environment for neurosurgical residents to refine their skills. In this chapter, we discuss the evolution of simulation in neurosurgery and the various ventriculostomy simulators available for resident training.
KeywordsNeurosurgical simulation Ventriculostomy Virtual reality simulation Mixed simulation Physical simulation Neurosurgical training 3D printing External ventricular drainage
Video demonstrating the steps of insertion of the frontal ventriculostomy using the Immersive Touch ventriculostomy module (Courtesy of ImmersiveTouch, with permission) (MP4 277928 kb)
- 6.Dandy WE. An operative procedure for hydrocephalus. Bull Johns Hopkins Hosp. 1922;33:189–90.Google Scholar
- 17.Fried HI, Nathan BR, Rowe AS, Zabramski JM, Andaluz N, Bhimraj A, et al. The insertion and Management of External Ventricular Drains: an evidence-based consensus statement : a statement for healthcare professionals from the Neurocritical Care Society. Neurocrit Care. 2016;24(1):61–81.CrossRefGoogle Scholar
- 25.Lampotang S, Lizdas D, Rajon D, Luria I, Gravenstein N, Bisht Y, et al. Mixed simulators: augmented physical simulators with virtual underlays. IEEE Virtual Reality. Orlando. 2013.Google Scholar