Arterial Line Placement Pitfalls Can Be Demonstrated and Visualized With an Inexpensive, Wearable Trainer

Arterial Line Placement Pitfalls Can Be Demonstrated and Visualized With an Inexpensive, Wearable Trainer

Radial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are successful on the first attempt only half of the time. Simulation can provide learners with procedure practice opportunities outside of clinical practice to in...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of emergency medicine Vol. 62; no. 2; pp. 210 - 215
Main Authors: Paradis, Olivia, Bitterman, Lauren, Park, Kimberly H., Ernest, Stacey, Russell, Amy, Bengiamin, Deena I., Young, Timothy P.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-02-2022
Subjects:
arterial catheter
Arteries
Catheterization
education
Humans
procedures
simulation
technical skills
Ultrasonography, Interventional - methods
Vascular Access Devices
Wearable Electronic Devices
education
arterial catheter
technical skills
simulation
procedures
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Radial arterial line placement is commonly performed in various clinical settings, including the emergency department. However, learners are successful on the first attempt only half of the time. Simulation can provide learners with procedure practice opportunities outside of clinical practice to increase confidence and chances of success. We set out to build an arterial line trainer that would be inexpensive and reusable, wearable, anatomically realistic, and echogenic to allow for ultrasound use. We also hoped to devise a clear option that would allow for demonstration of procedure pitfalls. The arterial line trainer requires 4 hours of assembly time and costs $160. This includes enough material to make 48 tissue pads. The ballistics gel pad is echogenic; it can be customized with clear gel for direct anatomic visualization or dyed gel for more realism. The trainer also has a pulsatile artery for practice using anatomic landmarks. Visualization of the following important arterial line placement pitfalls is possible: suboptimal angle of approach, inadequate advancement of the catheter, and through-and-through vessel puncture. Our inexpensive trainer can help physicians and physicians in training conceptualize, practice, and troubleshoot the pitfalls of arterial line placement. Training programs looking to help learners understand the mechanics of arterial line placement may find it a useful tool.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2021.10.017