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A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees

This prospective crossover study compared the incidence of posterior vessel wall puncture between two approaches during ultrasound-guided simulated central venous cannulation by anaesthesiology trainees. Each phantom model, simulating a central vein and artery, was cannulated by 37 anaesthesiology t...

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Main Authors: Yap, KB, T, Shereen SP, Yeoh, CN, Liu, CY, Nadia MN,, O, Joanna SM
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2019
Online Access:http://journalarticle.ukm.my/15219/1/11_ms0284_pdf_75183.pdf
http://journalarticle.ukm.my/15219/
http://www.medicineandhealthukm.com/toc/14/1
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spelling my-ukm.journal.152192020-09-21T07:09:49Z http://journalarticle.ukm.my/15219/ A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees Yap, KB T, Shereen SP Yeoh, CN Liu, CY Nadia MN, O, Joanna SM This prospective crossover study compared the incidence of posterior vessel wall puncture between two approaches during ultrasound-guided simulated central venous cannulation by anaesthesiology trainees. Each phantom model, simulating a central vein and artery, was cannulated by 37 anaesthesiology trainees under ultrasound-guidance using the in-plane approach (IPA) and out-of-plane approach (OPA). Total procedural time and the time taken from starting image scanning until commencing puncture, was recorded. The number of attempts required to achieve successful venous cannulation was noted. Finally, the models were examined for posterior venous wall and arterial puncture. Total procedural time was shorter with the OPA (26.5 vs 50.3 seconds, p=0.001). The time taken from starting image scanning until commencing puncture was shorter for the OPA (2.2 vs 12.3 seconds, p<0.0001). The IPA resulted in significantly more attempts for cannulation. Twenty and eleven participants were successful within the first pass using the OPA and IPA, respectively (p=0.034). There was no difference in the incidence of posterior vessel wall puncture between these two techniques. The OPA resulted in less arterial puncture compared to the IPA (2 vs 9, p=0.022). The incidence of posterior vessel wall puncture between the IPA and OPA during ultrasound-guided simulated central venous cannulation by anaesthesiology trainees was comparable. Pusat Perubatan Universiti Kebangsaan Malaysia 2019 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15219/1/11_ms0284_pdf_75183.pdf Yap, KB and T, Shereen SP and Yeoh, CN and Liu, CY and Nadia MN, and O, Joanna SM (2019) A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees. Medicine & Health, 14 (1). pp. 135-144. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/14/1
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description This prospective crossover study compared the incidence of posterior vessel wall puncture between two approaches during ultrasound-guided simulated central venous cannulation by anaesthesiology trainees. Each phantom model, simulating a central vein and artery, was cannulated by 37 anaesthesiology trainees under ultrasound-guidance using the in-plane approach (IPA) and out-of-plane approach (OPA). Total procedural time and the time taken from starting image scanning until commencing puncture, was recorded. The number of attempts required to achieve successful venous cannulation was noted. Finally, the models were examined for posterior venous wall and arterial puncture. Total procedural time was shorter with the OPA (26.5 vs 50.3 seconds, p=0.001). The time taken from starting image scanning until commencing puncture was shorter for the OPA (2.2 vs 12.3 seconds, p<0.0001). The IPA resulted in significantly more attempts for cannulation. Twenty and eleven participants were successful within the first pass using the OPA and IPA, respectively (p=0.034). There was no difference in the incidence of posterior vessel wall puncture between these two techniques. The OPA resulted in less arterial puncture compared to the IPA (2 vs 9, p=0.022). The incidence of posterior vessel wall puncture between the IPA and OPA during ultrasound-guided simulated central venous cannulation by anaesthesiology trainees was comparable.
format Article
author Yap, KB
T, Shereen SP
Yeoh, CN
Liu, CY
Nadia MN,
O, Joanna SM
spellingShingle Yap, KB
T, Shereen SP
Yeoh, CN
Liu, CY
Nadia MN,
O, Joanna SM
A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees
author_facet Yap, KB
T, Shereen SP
Yeoh, CN
Liu, CY
Nadia MN,
O, Joanna SM
author_sort Yap, KB
title A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees
title_short A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees
title_full A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees
title_fullStr A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees
title_full_unstemmed A crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees
title_sort crossover study comparing in-plane and out-of-plane approaches for simulated ultrasound-guided central venous cannulation on phantom models by anaesthesiology trainees
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate 2019
url http://journalarticle.ukm.my/15219/1/11_ms0284_pdf_75183.pdf
http://journalarticle.ukm.my/15219/
http://www.medicineandhealthukm.com/toc/14/1
_version_ 1678593697735770112
score 13.211869

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