From the simulation center to the bedside: Validating the efficacy of a dynamic haptic robotic trainer in internal jugular central venous catheter placement |
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| Institution: | 1. Department of Industrial and Manufacturing Engineering, Pennsylvania State University, University Park, PA, 16802, USA;2. Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA;3. Department of Mechanical and Nuclear Engineering, Pennsylvania State University, University Park, PA, 16802, USA;4. Penn State Heart and Vascular Institute, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA;5. School of Engineering Design, Technology, and Professional Programs, Pennsylvania State University, University Park, PA, 16802, USA;1. Department of Surgery, University of Toronto, Toronto, Canada;2. Division of General Surgery, St Michael''s Hospital, Toronto, Canada;3. Keenan Research Centre of the Li Ka Shing Knowledge Institute, St Michael''s Hospital, Toronto, Canada;4. Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;5. Division of Surgery, Department of Surgery and Cancer, Imperial College London, London, UK;1. Department of Cardiovascular Surgery, Acibadem University School of Medicine, Istanbul, Turkey;2. Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey;3. Department of Anesthesiology, Acibadem Maslak Hospital, Istanbul, Turkey;1. Faculty of Mechanical Engineering, Czech Technical University in Prague, Technicka 4, 166 07 Prague, Czech Republic;2. Third Faculty of Medicine, Charles University in Prague, Ruska 87, 100 00 Prague, Czech Republic;3. General University Hospital in Prague, U Nemocnice 2, 128 08 Prague, Czech Republic |
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| Abstract: | BackgroundThe objective of this study was to validate the transfer of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) placement skills from training on a Dynamic Haptic Robotic Trainer (DHRT), to placing US-IJCVCs in clinical environments. DHRT training greatly reduces preceptor time by providing automated feedback, standardizes learning experiences, and quantifies skill improvements.MethodsExpert observers evaluated DHRT-trained (N = 21) and manikin-trained (N = 36) surgical residents on US-IJCVC placement in the operating suite using a US-IJCVC evaluation form. Performance and errors by DHRT-trained residents were compared to traditional manikin-trained residents.ResultsThere were no significant training group differences between unsuccessful insertions (p = 0.404), assistance on procedure (p = 0.102), arterial puncture (p = 0.998), and average number of insertion attempts (p = 0.878). Regardless of training group, previous central line experience significantly predicted whether residents needed assistance on the procedure (p = 0.033).ConclusionThe results failed to show a statistical difference between DHRT- and manikin-trained residents. This study validates the transfer of skills from training on the DHRT system to performing US-IJCVC in clinical environments. |
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| Keywords: | Surgical education Central venous catheterization Simulation Transfer Validation |
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