Assessment of a Low-Cost Ultrasound Pericardiocentesis Model

Author:

Campo dell'Orto Marco12,Hempel Dorothea3,Starzetz Agnieszka2,Seibel Armin24,Hannemann Ulf25,Walcher Felix26,Breitkreutz Raoul27

Affiliation:

1. Abteilung Kardiologie, Kerckhoff Klinik Bad Nauheim, 61231 Bad Nauheim, Germany

2. Frankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, Germany

3. II. Medizinische Klinik und Poliklinik, Universitätsmedizin Mainz, 55131 Mainz, Germany

4. Klinik für Anästhesiologie, Intensiv- und Notfallmedizin, Diakonie Klinikum Jung Stilling, 57074 Siegen, Germany

5. Zentrale Notaufnahme, Klinikum Darmstadt, 64283 Darmstadt, Germany

6. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann Wolfgang Goethe-Universität, 60590 Frankfurt am Main, Germany

7. Zentrale Notaufnahme, Klinikum Frankfurt Höchst, 65929 Frankfurt am Main, Germany

Abstract

Introduction. The use of ultrasound during resuscitation is emphasized in the latest European resuscitation council guidelines of 2013 to identify treatable conditions such as pericardial tamponade. The recommended standard treatment of tamponade in various guidelines is pericardiocentesis. As ultrasound guidance lowers the complication rates and increases the patient’s safety, pericardiocentesis should be performed under ultrasound guidance. Acute care physicians actually need to train emergency pericardiocentesis.Methods. We describe in detail a pericardiocentesis ultrasound model, using materials at a cost of about 60 euros. During training courses of focused echocardiographyn=67,participants tested the phantom and completed a 16-item questionnaire, assessing the model using a visual analogue scale (VAS).Results. Eleven of fourteen questions were answered with a mean VAS score higher than 60% and thus regarded as showing the strengths of the model. Unrealistically outer appearance and heart shape were rated as weakness of the model. A total mean VAS score of all questions of 63% showed that participants gained confidence for further interventions.Conclusions. Our low-cost pericardiocentesis model, which can be easily constructed, may serve as an effective training tool of ultrasound-guided pericardiocentesis for acute and critical care physicians.

Funder

SonoABCD

Publisher

Hindawi Limited

Subject

Emergency Medicine

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