Adela Badau, Irina-Mihaela Trifan
Promote Positive Behaviors in Preschoolers by Implementing an Innovative Educational Program for the Training and Development of Social and Emotional Skills (DeCo-S.E.)
International journal of environmental research and public health
lowrisk realistic simulation strategies needed train clinical learners perform handson invasive procedures followup study compares utility landmarkguided palpationbased ultrasoundguided teaching techniques subclavian central venous access using formalinembalmed cadavers subclavian veins 3 cadavers imaged ultrasound evaluate vein patency palpationbased venous access attempted twentythree firstyear medical students trained access subclavian vein using palpationbased techniques training involved ten minutes didactic orientation ten minutes handson practical instruction using cadavers participant confidence measured using 10point likert scale pre posttraining questionnaires objective skills testing participant included quantifying number skin punctures recording time elapsed first skin puncture fluid flashback syringe data analyzed using generalized linear model glm approach participant confidence significantly increased following training ultrasound palpation training groups across questionnaire items p0001 ultrasound group fewer skin punctures p0001 fewer failures 1 palpation group 6 participants ultrasound group confident palpation group ability locate vein select optimal site needle access p005 formalinembalmed cadavers provide safe stressfree effective means train students subclavian vein access using palpation ultrasoundbased techniques repeated practice accessing aspirating fluid cadaveric subclavian vein significantly increases trainee confidence essential factor physician performance may lead fewer complications introducing type lowrisk handson practice may beneficial trainees attempt subclavian vein access live patients