An interactive teaching device simulating intussusception reduction

Rebecca Stein-Wexler, Thomas Ray Sanchez, Glade E. Roper, Anthony S. Wexler, Robert P. Arieli, Clark Ho, Joseph C. Li, Alp Ozpinar, Steffan K. Soosman

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Intussusception is relatively uncommon, occurring in 0.5 to 2.3 cases per 1,000 live births in the USA. Radiology residents, therefore, have few opportunities to participate in intussusception reduction during training, and practicing radiologists encounter it infrequently. Training is essential, as successful reduction avoids surgery. The judgment involved in reducing an intussusception is best gained with experience. We developed a training device that simulates fluoroscopic intussusception reduction with air. The device consists of a doll that contains a cylinder with similar stress and strain characteristics to the human colon. The trainee pumps air into the cylinder through a rectal tube using a standard hand-held air reduction pump. A sensor measures the pressure within the chamber and transmits readings to a computer, which displays images from actual intussusception reductions based on the pressure maintained within the device. A random component in the software gives the user a new experience each time and models uncertainties in the actual reduction process, including perforation. This intussusception reduction simulator can enhance resident education, giving residents the opportunity to practice this technique before employing it on a real patient. The simulator can also help practicing radiologists become more comfortable with intussusception air reduction.

Original languageEnglish (US)
Pages (from-to)1810-1815
Number of pages6
JournalPediatric Radiology
Volume40
Issue number11
DOIs
StatePublished - Nov 2010

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Keywords

  • Children
  • Education
  • Intussusception
  • Reduction
  • Simulation
  • Teaching model

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health

Cite this

Stein-Wexler, R., Sanchez, T. R., Roper, G. E., Wexler, A. S., Arieli, R. P., Ho, C., Li, J. C., Ozpinar, A., & Soosman, S. K. (2010). An interactive teaching device simulating intussusception reduction. Pediatric Radiology, 40(11), 1810-1815. https://doi.org/10.1007/s00247-010-1764-x