Implementation and Evaluation of Training for Ultrasound-Guided Vascular Access to Small Vessels Using a Low-Cost Cadaver Model

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Michael WagnerTobias Werther

Abstract

Critically ill neonatal and pediatric patients often require central vascular access. Real-time ultrasound guidance for central venous catheterization is beneficial. Because the diameter of central veins is much smaller in neonates than in adults, extensive training is needed to master the visualization and catheterization of central veins in neonates. This study assessed the learning effect of a standardized simulation-based teaching program on ultrasound-guided cannulation in a low-cost cadaver tissue model. This simulation-based prospective study assessed physician competence in the ultrasound-guided central venous catheterization procedure. Analyses were conducted before and after the teaching course. Pediatric simulation center at a tertiary care center. Staff physicians from the Neonatal ICU and PICUs at the Medical University of Vienna. Two latex tubes, with internal diameters of 2 and 4 mm, were inserted in parallel into cadaver tissue to mimic vessels and create a model for central venous catheterization. Under ultrasound guidance, each participant attempted to puncture and insert a guide-wire into each of the latex tubes using in-plane and out-of-plane techniques, both before and after the teaching course. The trainin...Continue Reading

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Citations

Mar 24, 2021·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Wilfried KroisCarlos Albert Reck
May 6, 2021·Journal of Ultrasound·José Manuel López-ÁlvarezDionisio Lorenzo Lorenzo-Villegas
Nov 17, 2020·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Guillaume R GrilletBéatrice S La Combe

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