Simulation-based training using a vessel phantom effectively improved first attempt success and dynamic needle-tip positioning ability for ultrasound-guided radial artery cannulation in real patients: An assessor-blinded randomized controlled study

Oh, Eun Jung; Lee, Jong‐Hwan; Kwon, Eunjin; Min, Jeong Jin

doi:10.1371/journal.pone.0234567

Cited by 19 publications

(28 citation statements)

References 29 publications

(34 reference statements)

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“…Furthermore, 53 articles were removed based on the exclusion criteria. Finally, seven RCTs [ 6 - 12 ] (866 participants) consisting of 12 articles were included in the qualitative and quantitative synthesis (meta-analysis). The characteristics of the individual studies included in this meta-analysis are presented in Table 1 .…”

Section: Reviewmentioning

confidence: 99%

“…Ultrasound was used in four of the studies [ 8 , 10 - 12 ]. Partial-task trainers were used in all studies.…”

Section: Reviewmentioning

confidence: 99%

“…Five studies [ 6 - 9 , 11 ] (n=750) compared CVC simulation-based education with traditional education. Of the remaining studies, one [ 10 ] (n=32) examined PICC, while the other (n=84) examined radial arterial catheterization [ 12 ]. Most of the studies had some concerns about the overall risk of bias, and one RCT [ 9 ] had a high overall risk of bias.…”

Section: Reviewmentioning

confidence: 99%

“…Six RCTs [ 7 - 12 ] that recruited 840 participants showed that simulation-based education might increase the overall success rate compared with traditional education (risk ratio: 1.08, 95% CI: 1.03 to 1.13; I 2 =0%; moderate certainty of evidence) (Figure 5 ).…”

Section: Reviewmentioning

confidence: 99%

“…Studies on radial artery catheters [ 12 ] and PICC [ 10 ] did not describe the outcome of adverse events. Hence, a subgroup analysis of adverse events could not be conducted.…”

Section: Reviewmentioning

confidence: 99%

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Outcomes of Simulation-Based Education for Vascular Access: A Systematic Review and Meta-Analysis

Okano¹,

Mayumi²,

Kataoka

et al. 2021

Cureus

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Simulation training is key to developing skills for vascular access. However, the efficacy of simulation-based education remains unclear. We conducted a well-designed and updated systematic review to investigate the efficacy of these programs. Randomized controlled trials (RCTs) were researched using the following databases from inception until July 26, 2020: MEDLINE, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), Education Resources Information Center (ERIC), Cumulative Index to Nursing and Allied Health Literature (CINAHL), ClinicalTrials.gov , and International Clinical Trials Registry Platform (ICTRP). RCTs included patients undergoing insertion of central venous catheters (CVCs), peripherally inserted central catheters (PICCs), and radial arterial catheters. We compared the group that received simulation training with the group that received traditional training. We also assessed the success rate, adverse events, and first-attempt success using a random-effects meta-analysis. The protocol was registered at Protocols.io ( dx.doi.org/10.17504/protocols.io.biu6keze ). Seven RCTs (n=866) were evaluated. The meta-analysis showed that simulation-based education increased the overall success rate compared with traditional education (risk ratio: 1.08, 95% CI: 1.03 to 1.13; six RCTs; 840 participants; I 2 =0%; moderate certainty of evidence). However, it was unclear whether or not simulation-based education had an effect on reducing adverse events when compared with traditional education (risk ratio: 1.00, 95% CI: 0.63 to 1.58; five studies; 750 participants; I 2 =37%; very low certainty of evidence) or on raising first-attempt success rates (risk ratio: 1.34, 95% CI: 0.93 to 1.94; three studies; 244 participants; I 2 =59%; very low certainty of evidence). Simulation-based education may help develop skills for successful vascular access. However, it is unclear whether simulation-based education actually reduces the incidence of adverse events. Fine control of the needle tip is probably necessary to prevent adverse events. Simulation-based education might be required in the future for outcome-based task training.

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Section: Reviewmentioning

confidence: 99%

“…Ultrasound was used in four of the studies [ 8 , 10 - 12 ]. Partial-task trainers were used in all studies.…”

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

“…Studies on radial artery catheters [ 12 ] and PICC [ 10 ] did not describe the outcome of adverse events. Hence, a subgroup analysis of adverse events could not be conducted.…”

Section: Reviewmentioning

confidence: 99%

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Outcomes of Simulation-Based Education for Vascular Access: A Systematic Review and Meta-Analysis

Okano¹,

Mayumi²,

Kataoka

et al. 2021

Cureus

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Ultrasound-guided vascular access in the neonatal intensive care unit: a nationwide survey

et al. 2022

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Ultrasound guided percutaneous vascular access (USG-PVA) is recommended by international practice guidelines but information regarding its use in the neonatal intensive care unit (NICU) is lacking. Our objective was to assess neonatologist's perceptions and current implementation of USG-PVA in Spain. This was a nationwide online survey. The survey was composed of 37 questions divided in 4 domains: 1) neonatologist's background, 2) NICU characteristics, 3) personal perspectives about USG-PVA and clinical experience in USG-PVA. One hundred and eighty survey responses from 59 NICUs (62% of Spanish NICUs) were analyzed. Most neonatologist (81%) perceive that competence in USG-PVA is indispensable or very useful in clinical practice. However, 64 (35.5%) have never used USG-PVA in real patients. Among neonatologists with some experience in USG-PVA most perform less than 5 procedures per year (59% in venous access and 80% in arterial access) and a 38% and 60% have never used USG for venous and arterial access respectively in very low birth weight infants (VLBWI). Spanish neonatologists report that residents/fellows training in USG-PVA is absent (52.2%) or unstructured (32%) in their units. The lack of adequate training is identi ed by a 60% of neonatologists as the most important barrier for implementation of USG-PVA and 87% would recommend that future neonatologists receive formal training. In conclusion, Spanish neonatologists perceive that USG-PVA is important in clinical practice but, currently these techniques are largely underused. Our results indicate that speci c training in USG-PVA should be implemented in the NICU.What'S Known -Ultrasound guided vascular access is recommended as the preferred method for central venous access and arterial line placement in children and adults -The degree of current implementation of ultrasound for vascular access in the NICU and the perceptions of neonatologist about its use are largely unknown.WHAT'S NEW -Most neonatologists consider that competence in ultrasound guided vascular access is an indispensable aid for clinical practice.-However, most neonatologists are not adequately trained in ultrasound guided vascular access and the technique is largely underused.

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Effectiveness of ultrasound-guided peripheral arterial cannulation in neonates, including very low birth weight infants who are conventionally difficult-to-cannulate: a case series

Okada,

Kido,

Takeuchi

et al. 2023

Eur J Pediatr

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Simulation-based training using a vessel phantom effectively improved first attempt success and dynamic needle-tip positioning ability for ultrasound-guided radial artery cannulation in real patients: An assessor-blinded randomized controlled study

Cited by 19 publications

References 29 publications

Outcomes of Simulation-Based Education for Vascular Access: A Systematic Review and Meta-Analysis

Outcomes of Simulation-Based Education for Vascular Access: A Systematic Review and Meta-Analysis

Ultrasound-guided vascular access in the neonatal intensive care unit: a nationwide survey

Effectiveness of ultrasound-guided peripheral arterial cannulation in neonates, including very low birth weight infants who are conventionally difficult-to-cannulate: a case series

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