Journal of Anaesthesiology Clinical Pharmacology (Jan 2017)

A manikin-based evaluation of a teaching modality for ultrasound-guided infraclavicular longitudinal in-plane axillary vein cannulation in comparison with ultrasound-guided internal jugular vein cannulation: A pilot study

  • Sanjib Adhikary,
  • Patrick McQuillan,
  • Michael Fortunato,
  • David Owen,
  • Wai-Man Liu,
  • Venkatesan Thiruvenkatarajan

DOI
https://doi.org/10.4103/joacp.JOACP_189_16
Journal volume & issue
Vol. 33, no. 3
pp. 337 – 341

Abstract

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Background and Aims: Ultrasound (US)-guided infraclavicular approach for axillary vein (AXV) cannulation has gained popularity in the last decade. Material and Methods: In this manikin study, we evaluated the feasibility of a training model for teaching AXV cannulation. The learning pattern with this technique was assessed among attending anesthesiologists and residents in training. Results: A faster learning pattern was observed for AXV cannulation among the attending anesthesiologists and residents in training, irrespective of their prior experience with US. It was evident that a training modality for this technique could be easily established with a phantom model and that hands-on training motivates trainees to embrace US-based central venous cannulation. Conclusion: A teaching model for US-guided infraclavicular longitudinal in-plane AXV cannulation can be established using a phantom model. A focused educational program would result in an appreciable change in preference in embracing US-based cannulation techniques among residents.

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