Evidence map›Paper›PMID 40051277›Full record

ArticleVascular specialist international2025

Simulation-based Central Venous Catheter Insertion Training Increases Comfort Amongst Residents.

David Chow, Tiffany Kippenberger, Fred Kobylarz, Jonathan Livezey, Andrew Anklowitz, Elisabeth Coffin, Jacqueline Simmons, Maeghan Ciampa, Joel Brockmeyer, Marcos Aranda

Abstract read
In one paragraph

Article in Vascular specialist international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  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

10 authors.

David ChowDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0009-0007-4776-2458
Tiffany KippenbergerDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0000-0002-3499-8943
Fred KobylarzDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0009-0007-7721-1163
Jonathan LivezeyDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0009-0000-7249-2727
Andrew AnklowitzDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0009-0006-2966-6086
Elisabeth CoffinDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0000-0003-2890-4143
Jacqueline SimmonsDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0009-0004-5705-6889
Maeghan CiampaDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0000-0002-3538-3502
Joel BrockmeyerDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0000-0001-7333-8721
Marcos ArandaDepartment of Surgery, Eisenhower Army Medical Center, Fort Eisenhower, GA, USA.ORCID https://orcid.org/0000-0003-1306-3177

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Central venous catheter (CVC) insertion is a fundamental skill required for trainees to become proficient. Simulation-based training (SBT) has been shown to improve trainees' CVC insertion performance effectively. However, implementing a CVC curriculum requires substantial costs and resources. Currently, there is a lack of validated CVC curricula that institutions can adopt as frameworks. This study aimed to evaluate the effectiveness of our institution's CVC simulation curriculum in improving residents' confidence and comfort with CVC insertion and management. Materials and Methods: First-year residents (n=118) participated in SBT between 2017 and 2023. Among them, 57 (48%) participants completed surveys before training and 6 months post-training to assess changes in comfort levels across various aspects of CVC insertion. Survey responses were analyzed to evaluate the overall changes in comfort by year and items. Results: Overall comfort increased from 42.1% before training to 81.3% after training (P<0.01), with notable improvements in nonprocedural aspects. Comfort with performing the unsupervised procedure increased by 16.7% (P<0.05) but remained low post-training (29.6%). Conclusion: These findings suggest that the curriculum effectively enhances residents' comfort, particularly in nonprocedural aspects, but only partially prepares them for unsupervised CVC insertions. This indicates a gap in procedural skill acquisition despite the overall positive trends. Implementing a similar CVC curriculum may help institutions reduce CVC insertion-associated complications.

Indexed as

Central venous catheterMedical educationPatient safetyProcedural skillsSimulation training

Identifiers

PMID40051277
PMCPMC11886359

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Registered trials

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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.