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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Updated: May 5, 2026

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
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Innovative Realistic Low-Cost Newborn Chest Drain Manikin.

Pankaj Patel1, Mayur Prakash1, Aldo Perdomo1

  • 1Newborn Intensive Care Unit, Westmead Hospital, University of Sydney, Sydney, NSW 2145, Australia.

Children (Basel, Switzerland)
|May 4, 2026
PubMed
Summary

Creating a low-cost, high-fidelity neonatal chest drain insertion simulator is feasible. This inexpensive model accurately mimics the procedure, offering a valuable training tool for medical professionals.

Keywords:
chest drainlow costmanikinnewbornrealistic

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Area of Science:

  • Medical Simulation
  • Neonatal Resuscitation
  • Surgical Training

Background:

  • Chest drain insertion is a critical emergency procedure in neonates.
  • A lack of commercially available, realistic neonatal chest drain simulators exists.
  • Developing an affordable and effective simulation model is essential for training.

Purpose of the Study:

  • To develop an inexpensive, high-fidelity simulation model for neonatal chest drain insertion.
  • To assess the realism and effectiveness of the custom-built manikin.

Main Methods:

  • A modified Laerdal Newborn manikin was created using a child skeleton's rib cage, silicone, and a snack bag for lungs.
  • The total cost of the manikin was approximately $110 AUD.
  • Medical staff evaluated the manikin for chest drain insertion procedures.

Main Results:

  • Thirty medical officers participated in the study, with high ratings for the manikin's fidelity.
  • No significant differences were found in perceived realism or performance across different medical officer levels.
  • The model effectively simulated air and fluid drainage.

Conclusions:

  • A realistic, high-fidelity manikin for neonatal chest drain insertion can be constructed affordably.
  • Further studies are needed to evaluate the clinical impact of using this low-cost simulation model.