From the simulation center to the bedside: Validating the efficacy of a dynamic haptic robotic trainer in internal jugular central venous catheter placement - 11/02/20

Abstract |
Background |
The objective of this study was to validate the transfer of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) placement skills from training on a Dynamic Haptic Robotic Trainer (DHRT), to placing US-IJCVCs in clinical environments. DHRT training greatly reduces preceptor time by providing automated feedback, standardizes learning experiences, and quantifies skill improvements.
Methods |
Expert observers evaluated DHRT-trained (N = 21) and manikin-trained (N = 36) surgical residents on US-IJCVC placement in the operating suite using a US-IJCVC evaluation form. Performance and errors by DHRT-trained residents were compared to traditional manikin-trained residents.
Results |
There were no significant training group differences between unsuccessful insertions (p = 0.404), assistance on procedure (p = 0.102), arterial puncture (p = 0.998), and average number of insertion attempts (p = 0.878). Regardless of training group, previous central line experience significantly predicted whether residents needed assistance on the procedure (p = 0.033).
Conclusion |
The results failed to show a statistical difference between DHRT- and manikin-trained residents. This study validates the transfer of skills from training on the DHRT system to performing US-IJCVC in clinical environments.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | DHRT-trained residents perform US-IJCVC as well as manikin-trained residents in clinical environments. |
• | Validation of transfer of US-IJCVC skills from training to bedside. |
• | Previous central line experience predicts residents need for procedural assistance on US-IJCVC. |
Keywords : Surgical education, Central venous catheterization, Simulation, Transfer, Validation
Mappa
Vol 219 - N° 2
P. 379-384 - febbraio 2020 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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