Simulation Training and Its Effect on Long-Term Resident Performance in Central Venous Catheterization

Manikins have traditionally been used to train ultrasound-guided Central Venous Catheterization (CVC), but are static in nature and require an expert observer to provide feedback. As a result, virtual simulation and personalized learning has been increasingly adopted in medical education to efficiently provide quantitative feedback. The Dynamic Haptic Robotic Trainer (DHRT) trains surgical residents in CVC needle insertions by simulating various patient profiles and presenting personalized feedback on objective performance. However, no studies have examined the learning gains of the personalized learning feedback or the relation of feedback to what the user is focusing on during the training. Thus, this study was developed to determine the effectiveness of the current personalized learning interface through a long-term investigation with 7 surgical residents. The eye tracking analysis showed that residents spent significantly more time fixated on percent aspiration throughout the study; the more time participants spent looking at the Number of Insertions, Percent Aspiration and the Angle of Insertion on the DHRT GUI, the better they performed on subsequent trials on the DHRT system.

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Cardiopulmonary Function During Long-Term Central Venous Catheterization

Journal of Pediatric Hematology/Oncology ◽

10.1097/00043426-199122000-00007 ◽

1991 ◽

Vol 13 (2) ◽

pp. 148-151 ◽

Cited By ~ 3

Author(s):

Hugh OʼBrodovich ◽

Margaret Adams ◽

Geoffrey Coates ◽

Roland Clifton Way ◽

Maureen Andrew

Keyword(s):

Central Venous Catheterization ◽

Central Venous ◽

Cardiopulmonary Function ◽

Venous Catheterization

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Long-term central venous catheterization in patients with limited access.

American Journal of Roentgenology ◽

10.2214/ajr.167.5.8911206 ◽

1996 ◽

Vol 167 (5) ◽

pp. 1327-1333 ◽

Cited By ~ 12

Author(s):

J A Kaufman ◽

S A Kazanjian ◽

S M Rivitz ◽

S C Geller ◽

A C Waltman

Keyword(s):

Central Venous Catheterization ◽

Central Venous ◽

Limited Access ◽

Venous Catheterization

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Skill assessment of simulation training for ultrasound-guided central venous catheterization

10.26226/morressier.5af985f5101067001b3aaa5c ◽

2018 ◽

Author(s):

M. Hakone ◽

Mami Kikuchi ◽

Kazumi Tanaka

Keyword(s):

Simulation Training ◽

Central Venous Catheterization ◽

Skill Assessment ◽

Ultrasound Guided ◽

Central Venous ◽

Venous Catheterization

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Evaluation of the proficiency in the skill for ultrasound-guided central venous catheterization on the simulation training using optical needle guide

10.26226/morressier.5af985f5101067001b3aaa65 ◽

2018 ◽

Author(s):

Mami Kikuchi ◽

Kazumi Tanaka

Keyword(s):

Simulation Training ◽

Central Venous Catheterization ◽

Ultrasound Guided ◽

Central Venous ◽

Venous Catheterization

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Vias para Nutrição Artificial na Criança (II): Acessos Parentéricos

Acta Médica Portuguesa ◽

10.20344/amp.5313 ◽

2014 ◽

Vol 27 (6) ◽

pp. 767

Author(s):

José Estevão-Costa

Keyword(s):

Parenteral Nutrition ◽

Central Venous Catheterization ◽

Venous Catheter ◽

Venous Access ◽

The Body ◽

Central Catheter ◽

Maintenance Care ◽

Central Venous ◽

Venous Catheterization

Parenteral nutrition is crucial when the use of the gastrointestinal tract is not feasible. This article addresses the main techniques for parenteral access in children, its indications, insertion details and maintenance, and complications. The type of venous access is mainly dictated by the expected duration of parenteral nutrition and by the body weight/stature. The peripheral access is viable and advantageous for parenteral nutrition of short duration (< 2 weeks); a tunneled central venous catheter (Broviac) is usually necessary in long-term parenteral nutrition (> 3 weeks); a peripherally introduced central catheter is an increasingly used alternative. Parenteral<br />accesses are effective and safe, but the morbidity and mortality is not negligible particularly in cases of short bowel syndrome. Most complications are related to the catheter placement and maintenance care, and can be largely avoided when the procedures are carried out by experienced staff under strict protocols.<br /><strong>Keywords:</strong> Child; Parenteral Nutrition; Catheterization, Central Venous; Catheterization, Peripheral.

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