{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T03:00:30Z","timestamp":1784084430681,"version":"3.55.0"},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: criar, em impressora 3D, um simulador de baixo custo de caixa tor\u00e1cica humana que permita a reprodu\u00e7\u00e3o da t\u00e9cnica de drenagem fechada de t\u00f3rax (DFT) comparando sua efic\u00e1cia com a do modelo animal.  M\u00e9todos: foi realizada impress\u00e3o 3D do arcabou\u00e7o \u00f3sseo de um t\u00f3rax humano a partir de uma tomografia de t\u00f3rax. Ap\u00f3s a impress\u00e3o das costelas, foram realizados testes com diversos materiais que contribu\u00edram para formar a simula\u00e7\u00e3o da caixa tor\u00e1cica e da pleura. Foi, ent\u00e3o, realizado um estudo experimental, randomizado e controlado comparando sua efic\u00e1cia ao modelo animal no ensino da DFT para estudantes de medicina, que foram divididos em dois grupos: Grupo Modelo Animal e Grupo Modelo Simulador, que treinaram DFT em animais e no modelo simulador, respectivamente.  Resultados: a reconstru\u00e7\u00e3o do t\u00f3rax exigiu o conhecimento anat\u00f4mico para an\u00e1lise da tomografia e para edi\u00e7\u00e3o fiel da superf\u00edcie 3D. N\u00e3o houve diferen\u00e7a significativa quanto \u00e0 seguran\u00e7a de realizar o procedimento entre os grupos (7,61 vs. 7,73; p=0,398). Foi observada maior pontua\u00e7\u00e3o no grupo modelo simulador para uso como material did\u00e1tico e aprendizado da t\u00e9cnica de drenagem tor\u00e1cica quando comparado ao grupo modelo animal (p&lt;0,05).  Conclus\u00e3o: o custo final para a confec\u00e7\u00e3o do modelo foi inferior ao de um simulador comercial, o que demonstra a viabilidade do uso da impress\u00e3o 3D para esse fim. Al\u00e9m disso, o simulador desenvolvido se mostrou equivalente ao modelo animal quanto \u00e0 simula\u00e7\u00e3o da t\u00e9cnica de drenagem para aprendizado pr\u00e1tico e houve prefer\u00eancia pelo modelo simulador como material did\u00e1tico.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192011","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T13:27:04Z","timestamp":1549373224000},"source":"Crossref","is-referenced-by-count":11,"title":["Simulador de dreno de t\u00f3rax: desenvolvimento de modelo de baixo custo para capacita\u00e7\u00e3o de m\u00e9dicos e estudantes de medicina."],"prefix":"10.1590","volume":"46","author":[{"given":"Ana Lu\u00edsa","family":"Bettega","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Fernando Spagnuolo","family":"Brunello","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme Augusto","family":"Nazar","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni Yuji Enomoto","family":"De-Luca","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Mansano","family":"Sarquis","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrique de Aguiar","family":"Wiederkehr","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Aguiomar","family":"Foggiatto","sequence":"additional","affiliation":[{"name":"Universidade Tecnol\u00f3gica Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvania Klug","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"i2","DOI":"10.1136\/qshc.2004.009878","article-title":"The future vision of simulation in health care","volume":"13","author":"Gaba DM","year":"2004","journal-title":"Qual Saf Health Care"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1046\/j.1365-2923.37.s1.9.x","article-title":"Low- to high-fidelity simulation - a continuum of medical education?","volume":"37","author":"Maran NJ","year":"2003","journal-title":"Med Educ"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1002\/msj.20127","article-title":"The utility of simulation in medical education what is the evidence?","volume":"76","author":"Okuda Y","year":"2009","journal-title":"Mt Sinai J Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1046\/j.1365-2923.37.s1.6.x","article-title":"Patient simulation for training basic and advanced clinical skills","volume":"37","author":"Good ML","year":"2003","journal-title":"Med Educ"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"455","DOI":"10.5811\/westjem.2011.3.2107","article-title":"Simulation in medical student education: survey of clerkship directors in emergency medicine","volume":"12","author":"Heitz C","year":"2011","journal-title":"West J Emerg Med"},{"issue":"2","key":"ref6","first-page":"98","article-title":"O uso de simuladores no ensino da medicina","volume":"22","author":"Flores CD","year":"2014","journal-title":"Rev Bras Inform Educ"},{"issue":"5","key":"ref7","first-page":"360","article-title":"Educa\u00e7\u00e3o baseada em simula\u00e7\u00e3o em medicina de urg\u00eancia e emerg\u00eancia: a arte imita a vida","volume":"9","author":"Flato UAP","year":"2011","journal-title":"Rev Soc Bras Clin Med"},{"key":"ref8","first-page":"16","article-title":"O Laborat\u00f3rio de habilidades na forma\u00e7\u00e3o m\u00e9dica","volume":"4","author":"Pezzi L","year":"2008","journal-title":"Cad ABEM"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1590\/0100-69912016001012","article-title":"Teaching project: a low-cost swine model for chest tube insertion training","volume":"43","author":"Netto FA","year":"2016","journal-title":"Rev Col Bras Cir"},{"issue":"4","key":"ref10","first-page":"57","article-title":"Simula\u00e7\u00e3o em educa\u00e7\u00e3o m\u00e9dica: uma mudan\u00e7a necess\u00e1ria","volume":"13","author":"Luna RA","year":"2014","journal-title":"Rev Hosp Univ Pedro Ernesto"},{"key":"ref11","series-title":"Semin\u00e1rio de Tecnologias Aplicadas a Educa\u00e7\u00e3o e Sa\u00fade, 2, 2015 Out 26-27; 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