A Novel, Low‐Cost, Nonbiological Phantom for Training in Ultrasound‐Guided Regional Anesthesia

ABSTRACT Background Trainees of ultrasound‐guided regional anesthesia (UGRA) should begin with phantoms before use on patients. The phantoms currently available have substantial drawbacks. Our aim was to develop a low‐cost homemade UGRA phantom without perishable parts, which shows sonoanatomical details and hydrodissection when injecting fluid—the “Pink Phantom.” Methods A homemade polymer mass was optimized for ultrasound compatibility, along with target structures such as fascia, nerves, and vessels, mimicking the human groin region. The Pink Phantom's value for UGRA training was assessed in two steps. First, nine experts compared it to a commercial and a biological phantom using a 21‐item VAS questionnaire. Second, 35 UGRA trainees evaluated it after first use with an 8‐item VAS questionnaire. Results Preparation took 1 h per phantom at a cost of approximately 13 $US. The experts' median overall VAS rating of the Pink Phantom (7.8) was slightly higher than their rating of the biological phantom (6.7) and much higher than their rating of the commercial phantom (3.3). UGRA trainees also gave the Pink Phantom a high median overall rating (8.4). Conclusions The Pink Phantom replicates the human groin region with fascia, vessels, and a nerve, offering realistic hydrodissection combined with high durability.

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Publication Details

Journal
Sonography
Published
2025-12-22
DOI
https://doi.org/10.1002/sono.70031
Primary Topic
Anesthesia and Pain Management
Type
article
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article

A Novel, Low‐Cost, Nonbiological Phantom for Training in Ultrasound‐Guided Regional Anesthesia

Martin Ertmer, Jessica Schleifer, Raoul Breitkreutz, Marco Richard Zugaj
Sonography
Anesthesia and Pain Management
article

A Novel, Low‐Cost, Nonbiological Phantom for Training in Ultrasound‐Guided Regional Anesthesia

Martin Ertmer, Jessica Schleifer, Raoul Breitkreutz, Marco Richard Zugaj
article en

Abstract

ABSTRACT Background Trainees of ultrasound‐guided regional anesthesia (UGRA) should begin with phantoms before use on patients. The phantoms currently available have substantial drawbacks. Our aim was to develop a low‐cost homemade UGRA phantom without perishable parts, which shows sonoanatomical details and hydrodissection when injecting fluid—the “Pink Phantom.” Methods A homemade polymer mass was optimized for ultrasound compatibility, along with target structures such as fascia, nerves, and vessels, mimicking the human groin region. The Pink Phantom's value for UGRA training was assessed in two steps. First, nine experts compared it to a commercial and a biological phantom using a 21‐item VAS questionnaire. Second, 35 UGRA trainees evaluated it after first use with an 8‐item VAS questionnaire. Results Preparation took 1 h per phantom at a cost of approximately 13 $US. The experts' median overall VAS rating of the Pink Phantom (7.8) was slightly higher than their rating of the biological phantom (6.7) and much higher than their rating of the commercial phantom (3.3). UGRA trainees also gave the Pink Phantom a high median overall rating (8.4). Conclusions The Pink Phantom replicates the human groin region with fascia, vessels, and a nerve, offering realistic hydrodissection combined with high durability.

SonographyVol. 13(1)
Heidelberg University (DE), University Hospital Bonn (DE), FOM University of Applied Sciences for Economics and Management (DE), University Hospital Heidelberg (DE), Frankfurt University of Applied Sciences (DE), Martin Luther University Halle-Wittenberg (DE), Heidelberg University (US)
Openalex Percentile: Top 27%
Anesthesia and Pain Management
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