The impact of central line simulation before the ICU experience.

Full Abstract

BACKGROUND: This study was designed to evaluate whether resident performance of placing central lines improved after simulation training on newly available partial-task simulators. METHODS: This study was designed as a prospective, randomized controlled trial of standard training versus simulated training using CentralLine Man (SimuLab, Seattle, WA, USA). After receiving a lecture on central line placement, all junior residents on the trauma rotation were randomized on a monthly alternating schedule. Equivalency of groups was determined with a self-reported survey. All lines placed by the participants were monitored, and data were collected on performance and complications. RESULTS: The 2 groups (n = 34; 21 standard and 13 simulated) were equivalent at baseline. The simulated training group had a significantly higher level of comfort and ability than the standard training group. The simulated group outperformed the standard group on 12 of the 15 specific variables monitored, although this did not reach statistical significance. There were significantly more complications in the standard group. CONCLUSIONS: Simulation for central line placement using a partial-task simulator does positively impact resident performance.

Author information

Author/s: Britt, Rebecca C (RC); Novosel, T J (TJ); Britt, L D (LD); Sullivan, Maura (M);

Affiliation: Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA. brittrc(-atsign-)evms.edu

Journal and publication information

Publication Type: Comparative Study; Journal Article; Randomized Controlled Trial

Journal: American journal of surgery (Am J Surg), published in United States. (Language: eng)

Reference: 2009-Apr; vol 197 (issue 4) : pp 533-6

Dates: Created 2009/03/27; Completed 2009/04/14; Revised 2009/05/20;

PMID: 19249739, status: MEDLINE (last retrieval date: 5/20/2009, IMS Date: 20 May 2009 00:00:00)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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