Evidence map›Paper›PMID 38553674›Full record

ArticleBMC medical education2024

A feasibility study of a handmade ultrasound-guided phantom for paracentesis.

Chien-Tai Huang, Chih-Hsien Lin, Shao-Yung Lin, Sih-Shiang Huang, Wan-Ching Lien

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04792203 (The Evaluation of the Ultrasound-guided Clinical Procedure Simulation Curriculum), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04792203 active not recruitingnot on this map

The Evaluation of the Ultrasound-guided Clinical Procedure Simulation Curriculum

TypeobservationalSponsorNational Taiwan University HospitalRan2021 to 2026Enrolled100ConditionsUltrasound Performance
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Learning Anatomy With Radiology: A Systematic Review.Clinical anatomy (New York, N.Y.) · 2026
    Pooled it
  2. Article
  3. Review
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

5 authors.

Chien-Tai HuangDepartment of Emergency Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu, Taiwan.
Chih-Hsien LinDepartment of Emergency Medicine, National Taiwan University Hospital, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Shao-Yung LinDepartment of Emergency Medicine, National Taiwan University Hospital, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Sih-Shiang HuangDepartment of Emergency Medicine, National Taiwan University Hospital, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Wan-Ching LienDepartment of Emergency Medicine, National Taiwan University Hospital, No.7, Chung-Shan South Road, Taipei, 100, Taiwan. wanchinglien@ntu.edu.tw.

Funding

Ministry of Science and Technology, Taiwan Most 110-2511-H-002 -009 -MY2
6 · The paper itself

Abstract

backgroundSimulation-based training is effective for ultrasound (US)-guided procedures. However, commercially developed simulators are costly. This study aims to evaluate the feasibility of a hand-made phantom for US-guided paracentesis.

methodsWe described the recipe to prepare an agar phantom. We collected the US performance data of 50 novices, including 22 postgraduate-year (PGY) residents and 28 undergraduate-year (UGY) students, who used the phantom for training, as well as 12 emergency residents with prior US-guided experience. We obtained the feedback after using the phantom with the Likert 5-point scale. The data were presented with medians and interquartile ranges (IQRs) and analyzed by the Wilcoxon rank sum test.

resultsWhile emergency residents demonstrated superior performance compared to trainees, all trainees exhibited acceptable proficiency (global rating of ≥ 3, 50/50 vs. 12/12, p = 1.000) and comparable needle steadiness [5 (5) vs. 5 (5), p = 0.223]. No significant difference in performance was observed between PGYs [5 (4-5)] and UGYs [5 (4-5), p = 0.825]. No significant differences were observed in terms of image stimulation, puncture texture, needle visualization, drainage simulation, and endurance of the phantom between emergency residents and trainees. However, experienced residents rated puncture texture and draining fluid as "neutral" (3/5 on the Likert scale). The cost of the paracentesis phantom is US$16.00 for at least 30 simulations, reducing it to US$6.00 without a container.

conclusionsThe paracentesis phantom proves to be a practical and cost-effective training tool. It enables novices to acquire paracentesis skills, enhances their US proficiency, and boosts their confidence. Nevertheless, further investigation is needed to assess its long-term impact on clinical performance in real patients.

trial registrationNCT04792203 at the ClinicalTrials.gov.

Indexed as

ParacentesisUltrasonography, InterventionalClinical CompetenceFeasibility StudiesHumansPhantoms, ImagingUltrasonographyParacentesisPhantomProcedureUltrasound

Identifiers

PMID38553674
PMCPMC10981280

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Registered trials

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.