Author:
López Álvarez J.M.,Pérez Quevedo O.,Alonso-Graña López-Manteola S.,Naya Esteban J.,Loro Ferrer J.F.,Lorenzo Villegas D.L.
Abstract
Simulation has been defined as the representation of something as real. It is necessary for performing the ultrasound-guided vascular cannulation technique correctly. The use of training models for diagnostic or therapeutic procedures: improves the quality of care for patients; decreases stress level that it can produce the realization of a new technique directly on the patient and; can be used as many times as the model is reproduced, also serving as a method for the resolution of some problems that may appear related to the in vivo technique. The evidence shows that simulation plays an important role in the acquisition of skills to perform invasive procedures. The use of ultrasound in vascular accesses whether peripheral or central, arterial, or venous, improves the success rate in the canalization and reduce the complications derived from the technique in certain critical situations (coagulopathy, thrombocytopenia, obesity, etc.) specially in pediatric patients given the variability of depth and diameter of its vessels with respect to the adult population. To facilitate learning in the technique of echoguided puncture, a training model is presented that is easily reproducible, economical and with a high fidelity in relation to the punctures performed on the patient.
Reference32 articles.
1. Nestel D, Groom J, Eikeland-Husebø S, O’Donnell JM. Simulation for learning and teaching procedural skills: The state of the science. Simulation in Healthcare. 2011;Suppl.6(7):S10-S13. DOI: 10.1097/SIH.0b013e318227ce96
2. Schmidt GA, Kory P. Ultrasound-guided central venous catheter insertion: Teaching and learning. Intensive Care Medicine. 2014;40:111-113
3. Rothschild JM. Ultrasound guidance of central vein catheterization. In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment: Number 43. AHRQ Publication No. 1-E058, July 2001: Chapter 21. Rockville, MD: Agency for Healthcare Research and Quality; 2001
4. Franco Sadud R, Schnobrich D, Mathews BK, Candotti C, Abdel-Ghani S, Pérez MG, Chu Rodgers S, Mader MJ, Haro EK, Dancel R, Cho J, Grikis L, Lucas BP. Recommendations on the Use of Ultrasound Guidance for Central and Peripheral Vascular Access in Adults: A Position Statement of the Society of Hospital Medicine. 2019. Available from: https://n9.cl/p5rui
5. Naur TMH, Nilsson PM, Pietersen PI, Clementsen PF, Konge L. Simulation-Based Training in Flexible Bronchoscopy and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A Systematic Review. 2017. Available from: https://n9.cl/2394