Mastering the Central Line Placement Techniques Through Effective Resident Training Environment

V V Protas

Abstract


Catheterization of the central vein is one of the fundamental procedures in anesthesiology. Mastering different methods of central venous access is an important part of resident training. At the initial stage residents should master the way of high medial access to the right internal jugular vein that is one of the simplest techniques with the lowest risk of complications for a patient. The operating room can be an optimal training environment where first independent puncture attempts are performed in a stable patient undergoing surgical intervention under general anesthesia. The next stage of training should involve access to other central veins as well performing the procedure in a conscious patient.


Keywords


central venous catheterization; practical skills

Full Text:

PDF

References


Chan A, Singh S, Dubrowski A, Pratt DD , Zalunardo N, Nair P, et al. Part versus whole: a randomized trial of central venous catheterization education. Adv Health Sci Educ Theory Pract [Internet]. 2015 Oct [cited 2015 Feb 1]; 20(4):1061-71. DOI: https://doi.org/10.1007/s10459-015-9586-0

Miranda JA, Trick WE, Evans AT, Charles-Damte M, Reilly BM, Clarke P. Firm-based trial to improve central venous catheter insertion practices. J Hosp Med [Internet]. 2007 May;2(3):135-42.DOI: https://doi.org/10.1002/jhm.168

Grover S, Currier PF, Elinoff JM, Mouchantaf KJ, Katz JT, McMahon GT. Development of a test to evaluate residents' knowledge of medical procedures. J Hosp Med [Internet]. 2009 Sept;4(7):430-2. DOI: https://doi.org/10.1002/jhm.507

Rodriguez-Paz JM, Kennedy M, Salas E, Wu AW, Sexton JB, Hunt EA, et al. Beyond "see one, do one, teach one": Toward a different training paradigm. Qual Saf Health Care[Internet]. 2009 Feb [cited 2009 Feb 09];18(1):63-8. DOI: https://doi.org/10.1136/qshc.2007.023903

Bayci AW, Mangla J, Jenkins CS, Ivascu FA, Robbins JM. Novel educational module for subclavian central venous catheter insertion using real-time ultrasound guidance. J Surg Educ [Internet]. 2015 Nov-Dec [cited 2015 Oct 15];72(6):1217-23 DOI: https://doi.org/10.1016/j.jsurg.2015.07.010




DOI: http://dx.doi.org/10.21802/acm.2018.1.2

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 V V Protas

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


IFNMU Logo

Free counters!