Arterial Line Placement Pitfalls Can Be Demonstrated and Visualized With an Inexpensive, Wearable Trainer
Radial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are successful on the first attempt only half of the time. Simulation can provide learners with procedure practice opportunities outside of clinical practice to in...
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Published in | The Journal of emergency medicine Vol. 62; no. 2; pp. 210 - 215 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
01.02.2022
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Abstract | Radial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are successful on the first attempt only half of the time. Simulation can provide learners with procedure practice opportunities outside of clinical practice to increase confidence and chances of success.
We set out to build an arterial line trainer that would be inexpensive and reusable, wearable, anatomically realistic, and echogenic to allow for ultrasound use. We also hoped to devise a clear option that would allow for demonstration of procedure pitfalls.
The arterial line trainer requires 4 hours of assembly time and costs $160. This includes enough material to make 48 tissue pads. The ballistics gel pad is echogenic; it can be customized with clear gel for direct anatomic visualization or dyed gel for more realism. The trainer also has a pulsatile artery for practice using anatomic landmarks. Visualization of the following important arterial line placement pitfalls is possible: suboptimal angle of approach, inadequate advancement of the catheter, and through-and-through vessel puncture.
Our inexpensive trainer can help physicians and physicians in training conceptualize, practice, and troubleshoot the pitfalls of arterial line placement. Training programs looking to help learners understand the mechanics of arterial line placement may find it a useful tool. |
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AbstractList | Radial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are successful on the first attempt only half of the time. Simulation can provide learners with procedure practice opportunities outside of clinical practice to increase confidence and chances of success.
We set out to build an arterial line trainer that would be inexpensive and reusable, wearable, anatomically realistic, and echogenic to allow for ultrasound use. We also hoped to devise a clear option that would allow for demonstration of procedure pitfalls.
The arterial line trainer requires 4 hours of assembly time and costs $160. This includes enough material to make 48 tissue pads. The ballistics gel pad is echogenic; it can be customized with clear gel for direct anatomic visualization or dyed gel for more realism. The trainer also has a pulsatile artery for practice using anatomic landmarks. Visualization of the following important arterial line placement pitfalls is possible: suboptimal angle of approach, inadequate advancement of the catheter, and through-and-through vessel puncture.
Our inexpensive trainer can help physicians and physicians in training conceptualize, practice, and troubleshoot the pitfalls of arterial line placement. Training programs looking to help learners understand the mechanics of arterial line placement may find it a useful tool. BACKGROUNDRadial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are successful on the first attempt only half of the time. Simulation can provide learners with procedure practice opportunities outside of clinical practice to increase confidence and chances of success. OBJECTIVESWe set out to build an arterial line trainer that would be inexpensive and reusable, wearable, anatomically realistic, and echogenic to allow for ultrasound use. We also hoped to devise a clear option that would allow for demonstration of procedure pitfalls. DISCUSSIONThe arterial line trainer requires 4 hours of assembly time and costs $160. This includes enough material to make 48 tissue pads. The ballistics gel pad is echogenic; it can be customized with clear gel for direct anatomic visualization or dyed gel for more realism. The trainer also has a pulsatile artery for practice using anatomic landmarks. Visualization of the following important arterial line placement pitfalls is possible: suboptimal angle of approach, inadequate advancement of the catheter, and through-and-through vessel puncture. CONCLUSIONSOur inexpensive trainer can help physicians and physicians in training conceptualize, practice, and troubleshoot the pitfalls of arterial line placement. Training programs looking to help learners understand the mechanics of arterial line placement may find it a useful tool. |
Author | Russell, Amy Park, Kimberly H. Bengiamin, Deena I. Young, Timothy P. Paradis, Olivia Bitterman, Lauren Ernest, Stacey |
Author_xml | – sequence: 1 givenname: Olivia orcidid: 0000-0003-2732-8973 surname: Paradis fullname: Paradis, Olivia – sequence: 2 givenname: Lauren orcidid: 0000-0002-5799-9367 surname: Bitterman fullname: Bitterman, Lauren – sequence: 3 givenname: Kimberly H. orcidid: 0000-0003-0522-9528 surname: Park fullname: Park, Kimberly H. – sequence: 4 givenname: Stacey surname: Ernest fullname: Ernest, Stacey – sequence: 5 givenname: Amy surname: Russell fullname: Russell, Amy – sequence: 6 givenname: Deena I. surname: Bengiamin fullname: Bengiamin, Deena I. – sequence: 7 givenname: Timothy P. orcidid: 0000-0002-3674-8622 surname: Young fullname: Young, Timothy P. |
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Cites_doi | 10.1097/ALN.0000000000000967 10.5301/jva.5000384 10.1056/NEJMvcm044149 10.1186/s12871-021-01244-6 10.1016/j.jemermed.2015.04.005 10.1136/emj.2008.061796 10.1002/msj.20127 10.1016/0953-7112(90)90008-P 10.1016/j.jcrc.2014.01.001 |
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Snippet | Radial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are successful on the... BACKGROUNDRadial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are... |
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SubjectTerms | arterial catheter Arteries Catheterization education Humans procedures simulation technical skills Ultrasonography, Interventional - methods Vascular Access Devices Wearable Electronic Devices |
Title | Arterial Line Placement Pitfalls Can Be Demonstrated and Visualized With an Inexpensive, Wearable Trainer |
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