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Innovative approaches to pericardiocentesis training: a comparative study of 3D-printed and virtual reality
Alberto Rubio-López1,2, Rodrigo García-Carmona3, Laura Zarandieta-Román4
1Intensive Care Unit, Hospital Universitario HM Montepríncipe, HM Hospitales, Madrid, Spain. arubiolopez@gmail.com.
Advances in Simulation (London, England)
|April 4, 2025
Summary
3D-printed mannequins enhance fine motor skills for pericardiocentesis training, while virtual reality (VR) reduces cognitive load. A hybrid approach combining both simulation methods optimizes medical education, especially in resource-limited settings.
Area of Science:
- Medical Education Simulation
- Invasive Procedure Training
- Surgical Skills Development
Background:
- Pericardiocentesis training presents challenges due to complexity and infrequent clinical use.
- Simulation-based training using 3D printing and virtual reality (VR) offers accessible solutions.
- This study compares 3D-printed mannequins and VR for pericardiocentesis training effectiveness.
Purpose of the Study:
- To compare the effectiveness of 3D-printed mannequins versus VR simulations for pericardiocentesis training.
- To evaluate learning outcomes, stress responses, and cognitive load in medical students.
- To determine optimal simulation strategies for invasive procedure training.
Main Methods:
- Thirty-five final-year medical students trained with both 3D-printed and VR models.
- Learning outcomes assessed via Objective Structured Clinical Examination (OSCE).
- Stress measured by heart rate variability (HRV); cognitive load by NASA-TLX.
Main Results:
- 3D-printed models superior for fine motor skills (e.g., needle placement).
- VR training resulted in lower mental demand and effort.
- Mannequin training induced higher stress, reflecting greater realism.
Conclusions:
- Both 3D-printed and VR simulations are effective for pericardiocentesis training.
- 3D-printed models excel in tactile skill development; VR enhances cognitive engagement.
- A hybrid VR-then-3D-model approach maximizes training, particularly in resource-limited environments.

