Improving Patient Safety With Ultrasonography Guidance During Internal Jugular Central Venous Catheter Placement by Novice Practitioners

Griswold-Theodorson, Sharon; Hannan, H.; Handly, Neal; Pugh, B.; Fojtik, John P.; Saks, Mark; Hamilton, Richard; Wagner, David K.

doi:10.1097/sih.0b013e3181b1b837

Cited by 22 publications

(23 citation statements)

References 24 publications

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“…The average number of attempts was 1.25 in Group 1 (SAG) and 1 -1.5 in other investigations (8,11,12,16,17,19,21). The results also demonstrated no statistically significant difference between the two study groups concerning the mean number of attempts.…”

Section: Discussionsupporting

confidence: 60%

“…Cannulation time was 98.1 seconds in Group 1 (SAG) in the current study and 58-281 seconds in the previous studies (9,12,13). Additionally, the two study groups were not significantly different in this regard, which might be due to the longer guidewire time in Group 2 (M-OG) in comparison to Group 1 (SAG), causing equal cannulation times in the two groups even with lesser access time in Group 2 (M-OG).…”

Section: Discussionmentioning

confidence: 59%

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Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Kamalipour¹,

Shahbazi²,

Derakhshan³

et al. 2015

Int Cardiovasc Res J

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A B S T R A C TBackground: Although some investigations have shown higher rates of successful first attempt and fewer attempts by using ultrasound-guided Internal Jugular Vein (IJV) catheterization, arterial puncture is still common. Objectives: The present study aimed to investigate US-guided catheterization of the right IJV via medial-oblique technique and also compare this technique to short-axis technique in open-heart surgery patients. Patients and Methods: In this randomized clinical trial, 80 patients referred to cardiac operating room of Namazi hospital, Shiraz, Iran from March to July 2014 were selected using census method. Block randomization with website was also done. Then, the patients were divided into two groups of 40, Short Axis Group (SAG) and Medial-Oblique Group (M-OG). For short-axis technique, patient's head was positioned at zero degree angulation with his trunk. For medial-oblique technique, on the other hand, patient's head was tilted to left to 45 degrees between the head and trunk. Sex, age, Body Mass Index (BMI), access time, guidewire time, cannulation time, total attempts for catheterization, first, second, and third attempt success, arterial puncture, hematoma, bleeding, and catheter malposition were recorded. The overlap between the carotid artery and IJV in zero-and 45-degree angulation was estimated through ultrasound print. After all, Kolmogorov-Smirnov test was used to assess normal distribution of the data. Then, the data were analyzed through Student's t-test, Mann-Whitney U test, and chi-square test. P < 0.05 was considered as statistically significant. Results:The results showed no significant differences between the two groups regarding the duration of different catheterization steps (P = 0.376). In all the cases in both groups, accessing the vein was successful with three attempts or less. There were no clinical complications of catheterization in the two groups. The mean of overlap was 23.60 ± 33.47 in zero-degree angulation between the head and trunk and 32.72 ± 36.38 in 45-degree angulation and this difference was statistically significant (P = 0.001). Conclusions:The results of the present study showed that both US-guided techniques under investigation had the same duration in different catheterization steps, total success rate, and primary mechanical complications, and could be used in clinics.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 59%

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Kamalipour¹,

Shahbazi²,

Derakhshan³

et al. 2015

Int Cardiovasc Res J

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“…McCrary et al [88] used a fresh cadaver model to teach ultrasound-guided breast biopsy to medical students on surgery clerkship. Two studies [84,85] used a randomised group methods to assess differences between ultrasound or landmark-based methods of teaching venous catheter placement. Griswold-Theodorson [85] found that students were safer and more successful when using ultrasound guidance, whereas Osborn et al [84] demonstrated no difference in success rates, although students' subjective ratings of knowledge gain and ease of use were greater in those who had undergone US-based teaching.…”

Section: Learning Category-incorporation Of Ultrasound Into Teaching mentioning

confidence: 99%

“…Procedures [82][83][84][85][86][87][88][89][90][91] Ultrasound has been used in conjunction with 'phantom' simulators [82][83][84][85] or cadavers [86,87] to teach invasive procedures such as venous and arterial line placement and nerve blocks. McCrary et al [88] used a fresh cadaver model to teach ultrasound-guided breast biopsy to medical students on surgery clerkship.…”

Section: Learning Category-incorporation Of Ultrasound Into Teaching mentioning

confidence: 99%

“…The evidence supports the use of simulators as well as several novel low-cost teaching tools for the less well-resourced educator. Ultrasound can also complement cadaver-based teaching, allowing invasive interventional skills (central line placement [85,86], pericardiocentesis [87], surgical biopsy [88]) to be taught on realistic anatomy without compromising patient safety. Where cadavers are not available, ultrasound simulators and phantoms can fulfil a similar role.…”

mentioning

confidence: 99%

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A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

et al. 2017

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Introduction Increasingly, medical schools are integrating Point of Care Ultrasound (POCUS) into their curricula. This review investigated the available literature on how best to integrate POCUS in the teaching of medical students and the benefits of doing so. Methods Given the heterogeneous literature that has emerged on POCUS education, a scoping review was conducted. Relevant medical databases, including PubMed, MEDLINE, PsycINFO, EMBASE and CINAHL, were searched between January 1980 and August 2016, using keywords identified by the authors. Inclusion criteria were as follows: prospective or retrospective studies, observational or intervention studies, and studies describing how medical students learn to use ultrasound. Results The literature search yielded 593 articles, of which 128 met the inclusion criteria. Studies that met the inclusion criteria were sub-categorised under the following headings: those that described or evaluated an ultrasound curriculum, those that employed ultrasound as a means of teaching another topic in the curriculum (i.e., anatomy, physical examination, physiology, invasive procedures), those that investigated the learning curve of ultrasound education and those that employed adjuncts or peer mentoring to teach ultrasound. Conclusions The reviewed literature indicates that the integration of ultrasound in undergraduate medical education is both feasible and beneficial to medical students. This article is intended to inform medical educators aiming to integrate ultrasound into their medical school curricula.

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Ultrasound Curricula in Undergraduate Medical Education: A Scoping Review

Tarique

Tang

Singh

et al. 2017

J of Ultrasound Medicine

118

134

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The clinical applications of point-of-care ultrasound (US) have expanded rapidly over the past decade. To promote early exposure to point-of-care US, there is widespread support for the integration of US curricula within undergraduate medical education. However, despite growing evidence and enthusiasm for point-of-care US education in undergraduate medical education, the curricular design and delivery across undergraduate medical education programs remain variable without widely adopted national standards and guidelines. This article highlights the educational and teaching applications of point-of-care US with a focus on outcomes. We then review the evidence on curricular design, delivery, and integration and the assessment of competency for point-of-care US in undergraduate medical education.

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Improving Patient Safety With Ultrasonography Guidance During Internal Jugular Central Venous Catheter Placement by Novice Practitioners

Cited by 22 publications

References 24 publications

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

Ultrasound Curricula in Undergraduate Medical Education: A Scoping Review

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