Central venous catheterization simulation training
Abstract:
Objective: A standardized ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) using online- and simulation-based training was first designed and then large-scale deployed at a teaching hospital institution to improve CVC surgical education. To understand the impact that the standardized training might have on patient complications, this study focuses on identifying the impact of the integration of an iteratively designed US-IJCVC training on clinical complications at a teaching hospital.
Design and participants: A comparative study was conducted using TriNetX, a global health research network. Using Current Procedural Terminology (CPT) codes and the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes, we identified the total number of patients with a CVC and mechanical, infectious, and thrombosis complications with and without billable ultrasound between July 1 to June 30 in 2016, 2017, and 2022.
Setting: A teaching hospital institution in Pennsylvania.
Results: Results showed a correlation between years and complications indicating, (1) mechanical complications billable ultrasound, (2) infectious complications billable ultrasound, and (3) thrombosis complications billable ultrasound were significantly lower with the large-scale deployment. Results also showed that (4) mechanical, infectious, and thrombosis complications with and without billable ultrasound are within the range that prior work has reported.
Conclusion: These results indicate that there has been a decrease in mechanical, infectious, and thrombosis complications, which correlates with the US-IJCVC training large-scale deployment.
Reference:
Gonzalez-Vargas JM, Sinz E, Moore JZ, Miller SR. Clinical Outcomes of Standardized Central Venous Catheterization Simulation Training: A Comparative Analysis. J Surg Educ. 2024 Jan 25:S1931-7204(23)00435-X. doi: 10.1016/j.jsurg.2023.11.022. Epub ahead of print. PMID: 38278722.