دورية أكاديمية
Simulation-Based Training for Ultrasound-Guided Central Venous Catheter Placement in Pediatric Patients.
| العنوان: | Simulation-Based Training for Ultrasound-Guided Central Venous Catheter Placement in Pediatric Patients. |
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| المؤلفون: | Good RJ; Assistant Professor, Department of Pediatrics, Section of Pediatric Critical Care Medicine, University of Colorado Anschutz Medical Campus., Mashburn D; Senior Instructor, Department of Pediatrics, Section of Pediatric Critical Care Medicine, University of Colorado Anschutz Medical Campus., Jekich E; Senior Instructor, Department of Pediatrics, Section of Pediatric Critical Care Medicine, University of Colorado Anschutz Medical Campus., Miller K; Research Instructor, Department of Pediatrics, University of Colorado Anschutz Medical Campus., Leroue MK; Assistant Professor, Department of Pediatrics, Section of Pediatric Critical Care Medicine, University of Colorado Anschutz Medical Campus., Woods J; Assistant Professor, Department of Pediatrics, Section of Emergency Medicine, University of Colorado Anschutz Medical Campus., Czaja AS; Associate Professor, Department of Pediatrics, Section of Pediatric Critical Care Medicine, University of Colorado Anschutz Medical Campus. |
| المصدر: | MedEdPORTAL : the journal of teaching and learning resources [MedEdPORTAL] 2022 Sep 27; Vol. 18, pp. 11276. Date of Electronic Publication: 2022 Sep 27 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Association of American Medical Colleges Country of Publication: United States NLM ID: 101714390 Publication Model: eCollection Cited Medium: Internet ISSN: 2374-8265 (Electronic) Linking ISSN: 23748265 NLM ISO Abbreviation: MedEdPORTAL Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Washington, DC : Association of American Medical Colleges, [2005]- |
| مواضيع طبية MeSH: | Catheterization, Central Venous*/methods , Central Venous Catheters* , Simulation Training*, Child ; Clinical Competence ; Humans ; Ultrasonography, Interventional/methods |
| مستخلص: | Introduction: Central venous catheter (CVC) placement in pediatric patients is lifesaving but associated with complications. To standardize training and decrease complications, we developed a simulation-based ultrasound-guided CVC placement training program for pediatric critical care providers. Methods: We implemented our CVC placement training program with several groups of learners, including pediatric critical care medicine (PCCM) fellows, pediatric emergency medicine fellows, and PCCM advanced practice providers. Learners completed prework assignments and a knowledge test before participation. The session started with group activities including a learner-led CVC site-selection debate and a team-based competition to list the steps in CVC placement. Next, the learners rotated between four stations for deliberate practice on separate components of CVC placement. Finally, they performed CVC placement on a task trainer. Evaluation included assessment of learner confidence, a knowledge test, and measurement of procedure time before and after training. Results: Twenty-seven learners participated in the training. Learner confidence in CVC placement increased significantly after participation (median confidence level: 1.5 vs. 4.0, p < .001). Learner CVC knowledge also increased significantly after participation (median test score: 68% vs. 88%, p < .001). CVC placement procedure time, a marker for skill in CVC placement, decreased significantly after participation (median procedure time: 264 seconds vs. 146 seconds, p < .001). Discussion: Our simulation-based training program effectively increased knowledge, skill, and confidence in CVC placement for a variety of learners. Future work should evaluate the optimal frequency and structure of maintenance training and the impact of training on clinical outcomes. (© 2022 Good et al.) |
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| فهرسة مساهمة: | Keywords: Central Venous Catheter; Clinical/Procedural Skills Training; Pediatric Critical Care Medicine; Pediatric Emergency Medicine; Pediatrics; Simulation; Ultrasound Skills |
| تواريخ الأحداث: | Date Created: 20221017 Date Completed: 20221018 Latest Revision: 20221130 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9512948 |
| DOI: | 10.15766/mep_2374-8265.11276 |
| PMID: | 36249594 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2374-8265 |
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| DOI: | 10.15766/mep_2374-8265.11276 |