Simulation-based ultrasound-guided central venous cannulation training program

Denadai, Rafael; Toledo, Andréia Padilha; Bernades, Danielle Milani; Diniz, Felipe; Eid, Fernanda Brandão; Lanfranchi, Livia Maria Marcondes de Moura; Amaro, Luciana Chamone; Germani, Natalia Mariana; Parise, V.; Filho, Claudio Nascimento Pacheco; Saad-Hossne, Rogério

doi:10.1590/s0102-86502014000200010

Cited by 15 publications

(20 citation statements)

References 23 publications

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“…The content met the international training recommendations for PICC insertion and care. 28 Under the guidance of the instructor, all nurses performed ultrasonographic evaluation of the veins of colleagues and the insertion of a PICC into a realistic prototype.…”

Section: Sectional Studymentioning

confidence: 99%

Peripheral Venipuncture: Comprehension and Evaluation of Nursing Practices

Braga

Salgueiro-Oliveira

Henriques

et al. 2019

Texto contexto - enferm.

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Objective: to understand the nursing practices related to peripheral venipuncture and to analyze the incidence of complications in patients with venous catheters. Method: mixed design, involving: case study, sectional study, cohort study and focus group. The sample consisted of nurses and patients from a medical clinic in Portugal. Thematic analysis and descriptive statistics were performed. Results: stressors capable of influencing nursing practices were identified, including: the decisions of the medical team, the age and characteristics of the venous network of the patient, the availability of other catheters in the institution, the low level of knowledge of nurses regarding the care of patients in the insertion, maintenance and removal of the peripherally inserted central venous catheter. The following complications and their respective incidences were documented in patients with peripheral venous catheters: phlebitis (22.2%), obstruction (27.7%), fluid exiting through insertion site (36.1%), infiltration (38.8%) and accidental catheter removal (47.2%). Catheter obstruction with an incidence of 22.2% was only observed in those who used the peripherally inserted central venous catheter. The following benefits were observed with the use of the peripherally inserted central venous catheter: safe administration of drugs; pain reduction, number of venous punctures and complications. Conclusions: the peripherally inserted central venous catheter is presented as a valid and viable alternative that can improve the quality of nursing care and the safety and well-being of patients.

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Section: Sectional Studymentioning

confidence: 99%

Peripheral Venipuncture: Comprehension and Evaluation of Nursing Practices

Braga

Salgueiro-Oliveira

Henriques

et al. 2019

Texto contexto - enferm.

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“…The use of medical simulation has been shown to reduce complication rates in clinical practice through standardization (Evans et al, 2010) allowing residents to learn at their own pace without consequence thereby reducing operator-dependence errors (Denadai et al, 2014). For example, research on simulated interventional radiology suggests that virtual reality simulators provide sufficient realism for teaching ultrasound guided needle insertion procedures (Magee, Zhu, Ratnalingam, Gardner, & Kessel, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…Current CVC training systems range from low-cost homemade models (Denadai et al, 2014; Di Domenico et al, 2007) to “realistic” manikins featuring an arterial pulse and self-sealing veins (e.g. Simulab CentralLineMan controlled through a hand-pump), see Figure 1.…”

Section: Introductionmentioning

confidence: 99%

Improving Medical Education

Yovanoff

Pepley

Mirkin

et al. 2016

Proceedings of the Human Factors and Ergonomics Society Annual

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Virtual simulation is an emerging field in medical education. Research suggests that simulation reduces complication rates and improves learning gains for medical residents. One benefit of simulators is their allowance for more realistic and dynamic patient anatomies. While potentially useful throughout medical education, few studies have explored the impact of dynamic haptic simulators on medical training. In light of this research void, this study was developed to examine how a Dynamic-Haptic Robotic Trainer (DHRT) impacts medical student self-efficacy and skill gains compared to traditional simulators developed to train students in Internal Jugular Central Venous Catheter (IJ CVC) placement. The study was conducted with 18 third year medical students with no prior CVC insertion experience who underwent a pre-test, simulator training (manikin, robotic, or mixed) and post-test. The results revealed the DHRT as a useful method for training CVC skills and supports further research on dynamic haptic trainers in medical education.

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“…The high cost of US simulation phantoms has led teachers to explore alternatives, including cadavers and homemade alternatives 10 using culinary gelatin 11 – 15 or animal products 16 – 19 . Each method accepts several disadvantages of the proposed materials in exchange for its much lower cost: the phantoms require careful storage, break down with multiple uses, and degrade and mold over short periods.…”

mentioning

confidence: 99%

“…2 The high cost of US simulation phantoms has led teachers to explore alternatives, including cadavers and homemade alternatives 10 using culinary gelatin [11][12][13][14][15] or animal products. [16][17][18][19] Each method accepts several disadvantages of the proposed materials in exchange for its much lower cost: the phantoms require careful storage, break down with multiple uses, and degrade and mold over short periods.We have constructed simple and inexpensive models for ultrasound-guided procedural training using synthetic ballistic gelatin. These models are durable, leak resistant, and able to be shaped to fit a variety of simulation scenarios to teach procedures.…”

mentioning

confidence: 99%