Evidence map›Paper›PMID 34664850›Full record

ArticleMedicine2021

A novel system for teaching the in-plane vascular access technique: A simulation study.

Mami Kikuchi, Takayuki Asao, Joho Tokumine, Alan Kawarai Lefor, Hisao Matsushima, Hideaki Andoh, Kazumi Tanaka, Masafumi Kanamoto, Yuki Ideno

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Mami KikuchiCenter of Regional Medical Research and Education, Gunma University Hospital, 3-39-15 Maebashi, Gunma, Japan.
Takayuki AsaoGunma University Center for Mathematics and Data Science, 4-2 Aramaki, Maebashi, Gunma, Japan.
Joho TokumineDepartment of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Sinkawa, Mitaka, Tokyo, Japan.ORCID 0000-0003-3481-2085
Alan Kawarai LeforDepartment of Surgery, Jichi Medical University, Shimotsuke, 3311-1 Yakushiji, Shimotsuke, Tochigi, Japan.
Hisao MatsushimaEmergency and Critical Care Center, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami Koshigaya, Koshigaya, Saitama, Japan.
Hideaki AndohAkita University Hospital Medical Simulation Center, 1-1-1 Hondou, Akita-City, Akita, Japan.
Kazumi TanakaMedical Quality and Safety Management Center, Gunma University Hospital, 3-39-22 Maebashi, Gunma, Japan.
Masafumi KanamotoIntensive Care Unit, Gunma University Hospital, 3-39-15 Maebashi, Gunma, Japan.
Yuki IdenoGunma University Center for Mathematics and Data Science, 4-2 Aramaki, Maebashi, Gunma, Japan.
Gunma University Hospital · JPGunma University · JPAkita University Hospital · JPDokkyo Medical University Saitama Medical Center · JPJichi Medical University · JPKyorin University · JP

Funding

Japan Agency for Medical Research and Development Grant Number JP15km0908001
6 · The paper itself

Abstract

abstractThe long-axis in-plane approach is amenable to ultrasound-guided central venous catheterization. However, the long-axis in-plane approach is considered difficult to learn because the needle should remain visible in the ultrasound beam during the procedure. We developed a novel competency-based modular system to acquire the skills for the long-axis in-plane approach. The purpose of this study is to evaluate the efficacy of this system.The study was approved by the local ethics committee. Participants performed ultrasound guided venous catheterization (pre-test), attended a 2-hour hands-on session with the teaching system and were then evaluated again (posttest). The teaching system is a simulator device consisting of an ultrasound probe, a simulated vessel, a needle, and an endoscope connected to a computer to visualize the image inside the simulated vessel. The success rate, visualization of the needle tip, and puncture accuracy were measured before and after training. The puncture accuracy was determined by evaluating the distance of the needle tip and needle shaft from the center of a simulated vessel. Primary outcomes were the success rate and the puncture accuracy. The secondary outcome was needle tip visualization. McNemar test was used to analyze success rate and needle tip visualization. Tukey test was used to analyze puncture accuracy. A P value <.05 was considered statistically significant.Forty-seven participants were enrolled in this study. The success rate was significantly increased (pre-test 79%, posttest 94%, P = .04). Ultrasound images from 42 participants were analyzed for puncture accuracy. Puncture accuracy significantly increased for needle tip distance (P = .03), but not shaft distance (P = .1). The needle tip visualization was significantly improved (P = .02).A novel competency-based teaching system was constructed in a step-by-step manner, which improved needle tip visualization and puncture accuracy, with a higher success rate.

Indexed as

Patient SimulationVascular Access DevicesEducation, Medical, ContinuingHumansTeachingUltrasonography

Identifiers

PMID34664850
PMCPMC8448066
OpenAlexW3201126091

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.