Inexpensive homemade models for ultrasound-guided vein cannulation training

Domenico, Stefano Di; Santori, Gregorio; Porcile, Elisa; Licausi, Martina; Centanaro, M.; Valente, Umberto

doi:10.1016/j.jclinane.2007.05.002

Cited by 32 publications

(33 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For this reason, trainees received supplemental hours of supervision during their first CVCs performed on patients [16]. In our preliminary experience with this training protocol, the overall use of ultrasound-guidance increased markedly in our unit (from 2% to 23% of all CVCs) during the first month after the course [20].…”

Section: Discussionmentioning

confidence: 99%

Introducing ultrasound-guided vein catheterization into clinical practice: A step-by-step guide for organizing a hands-on training program with inexpensive handmade models

Domenico

Licausi

Porcile

et al. 2008

Journal of Ultrasound

View full text Add to dashboard Cite

KEYWORDSCentral vein catheterization; Ultrasound; Handmade models; Training.Abstract Introduction: Central vein catheterization (CVC) plays a central role in hospital patient management. Compared with the use of traditional anatomical landmarks, ultrasound-guidance is associated with higher CVC success rates, fewer complications, and more rapid central venous access. The use of US-guided CVC in clinical practice has not become widespread, largely because anesthesiology and general surgery residents receive limited training in this technique. To increase the use of US-guided CVC in our surgical department, we organized a hands-on training program based on the use of handmade models. Methods: Three different models were constructed using plastic food-storage containers, segments of rubber tourniquet and silastic tubing (to simulate vessels), and agar gelatin. Results: The hands-on training course allowed progressive acquisition of the basic handeeye coordination skills necessary for performing US-guided venipuncture. The overall cost for each model was less than V5.00. Discussion: The models described in this report are useful tools for teaching US-guided CVC. Thanks to their low-cost, they can be widely used to facilitate the introduction of this technique in clinical practice.Sommario Introduzione: Il catetererismo venoso centrale (CVC) riveste un ruolo fondamentale nella gestione del paziente ospedalizzato. La tecnica eco-guidata è la metodica che assicura una più elevata percentuale di successo e permette un più sicuro e rapido posizionamento di CVC rispetto alla tecnica tradizionale. Tuttavia, la diffusione di tale metodica è ostacolata dall'assenza di uno specifico training durante i corsi di specializzazione in anestesia e chirurgia.Al fine di introdurre la tecnica eco-guidata, abbiamo organizzato un training producendo e utilizzando modelli in agar. Metodi: Sono stati costruiti tre differenti modelli utilizzando contenitori per alimenti, segmenti di laccio emostatico, tubo in silicone e gelatina a base di agar. Risultati: Un training specifico per la puntura eco-guidata è stato effettuato utilizzando i modelli prodotti. Il training ha consentito una rapida acquisizione delle basi tecniche per effettuare il posizionamento di CVC eco-guidato. Il costo medio di ogni modello è risultato inferiore a 5 euro. Discussione: I modelli prodotti in agar si sono rivelati un utile strumento per acquisire la coordinazione di base necessaria per la puntura eco-guidata. Il loro basso costo ne può permettere una ampia diffusione e può incentivare la realizzazione di nuovi percorsi educativi al fine di introdurre tale tecnica nella pratica clinica. ªa v a i l a b l e a t w w w . s c i e n c e d i r e c t . c

show abstract

Section: Discussionmentioning

confidence: 99%

Introducing ultrasound-guided vein catheterization into clinical practice: A step-by-step guide for organizing a hands-on training program with inexpensive handmade models

Domenico

Licausi

Porcile

et al. 2008

Journal of Ultrasound

View full text Add to dashboard Cite

show abstract

“…10 The use of models has been shown in various settings to improve competency and confidence. [11][12][13] Models are available for the teaching of a number of procedures and while even the best of these have limitations in terms of realism, they can provide a useful platform on which to base procedure skills training prior to their application on patients. Many hospitals have skills laboratories equipped to varying degrees with these resources.…”

Section: Discussionmentioning

confidence: 99%

“…16 A number of studies have shown the benefits of model-based training -dedicated training sessions or courses which include practical instruction on models have been shown to improve competency and confidence. [11][12][13][14]17 However, no data are currently available for patient outcomes. The use of simulation-based training is also gaining ground in surgery and is increasingly recognised as a useful tool for safe, learner-centred training.…”

Section: Discussionmentioning

confidence: 99%

A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence

et al. 2010

View full text Add to dashboard Cite

-Pressure on working hours has led to a decrease in opportunities for training in invasive medical procedures for junior doctors. The effect of a structured course on immediate and medium-term changes in selfreported confidence was investigated. A one-day modelbased practical course was run on two separate occasions teaching central venous line placement, lumbar puncture, Seldinger-technique chest drain insertion and knee joint aspiration. Attendees were asked to indicate their confidence in each procedure on a 10-point Likert scale before, immediately after and three months after the course. Significant improvements in self-reported confidence were seen for all procedures which were sustained at three months. Feedback was universally positive. Practical preclinical training may be a useful adjunct to patient-based training in invasive procedures. The course was particularly popular with foundation year trainees: ideally this training should be available before trainees' first exposure in the clinical setting.

show abstract

“…. Additionally, although residents have reported that the use of US was one of the most important factors to avoid bedside procedural complications 9,10 , the US-guided technique requires knowledge of ultrasonography and hand-eye coordination, and most residents have little formal training in these fields 10 . Thus, given the apparent gap between regulatory expectations and actual performance, the development of alternatives for this training is of utmost importance 4 .…”

Section: About 5 Million Central Venous Cannulations (Cvc)mentioning

confidence: 99%

Simulation-based ultrasound-guided central venous cannulation training program

Denadai

Toledo

Bernades³

et al. 2014

Acta Cir. Bras.

View full text Add to dashboard Cite

PURPOSE:To propose a simulation-based ultrasound-guided central venous cannulation skills' training program, during residency. METHODS:This study describes the strategies for learning the ultrasound-guided central venous cannulation on low-fidelity bench models. The preparation of bench models, educational goals, processes of skill acquisition, feedback and evaluation methods were also outlined. The training program was based on key references to the subject. RESULTS:It was formulated a simulation-based ultrasound-guided central venous cannulation teaching program on low-fidelity bench models. CONCLUSION:A simulation-based inexpensive, low-stress, no-risk learning program on low-fidelity bench models was proposed to facilitate acquisition of ultrasound-guided central venous cannulation skills by residents-in-training before exposure to the living patient.

show abstract

Inexpensive homemade models for ultrasound-guided vein cannulation training

Cited by 32 publications

References 16 publications

Introducing ultrasound-guided vein catheterization into clinical practice: A step-by-step guide for organizing a hands-on training program with inexpensive handmade models

Introducing ultrasound-guided vein catheterization into clinical practice: A step-by-step guide for organizing a hands-on training program with inexpensive handmade models

A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence

Simulation-based ultrasound-guided central venous cannulation training program

Contact Info

Product

Resources

About