oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Vascular access training for REBOA placement: a feasibility study in a live tissue-simulator hybrid porcine model
Department of Surgery, Alrijne Hospital, Leiderdorp, The Netherlands.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Cardiothoracic and Vascular Surgery.
Department of Surgery, Haaglanden Medical Centre, The Hague, The Netherlands; Leiden University Medical Centre, Leiden, The Netherlands.
Department of Surgery, Alrijne Hospital, Leiderdorp, The Netherlands; Defense Healthcare Organization, Ministry of Defense, Utrecht, The Netherlands.
Show others and affiliations
2019 (English)In: Journal of the Royal Army Medical Corps, ISSN 0035-8665, E-ISSN 2052-0468, Vol. 165, no 3, p. 147-151Article in journal (Refereed) Published
Abstract [en]

Background: The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with severe haemorrhagic shock is increasing. Obtaining vascular access is a necessary prerequisite for REBOA placement in these situations.

Methods: During the EVTM workshop (September 2017, Orebro, Sweden), 21 individuals participated in this study, 16 participants and five instructors. A formalised curriculum was constructed including basic anatomy of the femoral region and basic training in access materials for REBOA placement in zone 1. Key skills: (1) preparation of endovascular toolkit, (2) achieving vascular access in the model and (3) bleeding control with REBOA. Scoring ranged from 0 to 5 for non-anatomical skills. Identification of anatomical structures was either sufficient (score=1) or insufficient (score=0). Five consultants performed a second identical procedure as a post test.

Results: Consultants had significantly better overall technical skills in comparison with residents (p=0.005), while understanding of surgical anatomy showed no difference. Procedure times differed significantly (p<0.01), with residents having a median procedure time of 3 min and 24 s, consultants 2:33 and instructors 1:09.

Conclusion: This comprehensive training model using a live tissue-simulator hybrid porcine model can be used for femoral access and REBOA placement training in medical personnel with different prior training levels. Higher levels of training are associated with faster procedure times. Further research in open and percutaneous access training is necessary to simulate real-life situations. This training method can be used in a multistep training programme, in combination with realistic moulage and perfused cadaver models.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 165, no 3, p. 147-151
National Category
General Practice Surgery
Identifiers
URN: urn:nbn:se:oru:diva-75245DOI: 10.1136/jramc-2018-000972ISI: 000471092200004PubMedID: 30228195Scopus ID: 2-s2.0-85053716869OAI: oai:DiVA.org:oru-75245DiVA, id: diva2:1338982
Note

Funding Agency:

Prytime Medical Devices, Inc. 

Available from: 2019-07-25 Created: 2019-07-25 Last updated: 2019-07-25Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Hörer, Tal M.

Search in DiVA

By author/editor
Hörer, Tal M.
By organisation
School of Medical SciencesÖrebro University Hospital
In the same journal
Journal of the Royal Army Medical Corps
General PracticeSurgery

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf