Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/52319
DC FieldValueLanguage
dc.contributor.authorPérez-Quevedo, O.en_US
dc.contributor.authorLópez-Álvarez, J. M.en_US
dc.contributor.authorLimiñana Cañal, Jose Mariaen_US
dc.contributor.authorLoro-Ferrer, J. F.en_US
dc.contributor.otherloro, juan-
dc.date.accessioned2018-11-25T19:17:37Z-
dc.date.available2018-11-25T19:17:37Z-
dc.date.issued2016en_US
dc.identifier.issn0210-5691en_US
dc.identifier.urihttp://hdl.handle.net/10553/52319-
dc.description.abstractCentral vascular cannulation is not a risk-free procedure, especially in pediatric patients. Newborn and infants are small and low-weighted, their vascular structures have high mobility because of tissue laxity and their vessels are superficial and with small diameter. These characteristics, together with the natural anatomical variability and poor collaboration of small children, make this technique more difficult to apply. Therefore, ultrasound imaging is increasingly being used to locate vessels and guide vascular access in this population.Objective: (a) To present a model that simulates the vascular system for training ultrasound guided vascular access in pediatrics patients; (b) to ultrasound-guided vascular cannulation in the model.Results: The model consisted of two components: (a) muscular component: avian muscle, (b) vascular component: elastic tube-like structure filled with fluid. 864 ecoguided punctures was realized in the model at different vessel depth and gauge measures were simulated, for two medical operators with different degree of experience. The average depth and diameter of vessel cannulated were 1.16 (0.42)cm and 0.43 (0.1)cm, respectively. The average number of attempts was of 1.22 (0.62). The percentage of visualization of the needle was 74%. The most frequent maneuver used for the correct location, was the modification of the angle of the needle and the relocation of the guidewire in 24% of the cases. The average time for the correct cannulations was 41 (35.8) s. The more frequent complications were the vascular perforation (11.9%) and the correct vascular puncture without possibility of introducing the guidewire (1.2%). The rate of success was 96%.Conclusions: The model simulates the anatomy (vascular and muscular structures) of a pediatric patient. It is cheap models, easily reproducible and a useful tool for training in ultrasound guided puncture and cannulation.en_US
dc.languageengen_US
dc.relation.ispartofMedicina Intensivaen_US
dc.sourceMedicina Intensiva[ISSN 0210-5691],v. 40, p. 364-370 (Enero 2016)en_US
dc.subject32 Ciencias médicasen_US
dc.subject320110 Pediatríaen_US
dc.subject.otherCentral Venous Accessen_US
dc.subject.otherCatheter Placementen_US
dc.subject.otherGuidelinesen_US
dc.subject.otherInsertionen_US
dc.subject.otherSimulatoren_US
dc.subject.otherGuidanceen_US
dc.subject.otherProgramen_US
dc.subject.otherTrialen_US
dc.titleDesign and application of model for training ultrasound-guided vascular cannulation in pediatric patientsen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.medin.2015.11.005en_US
dc.identifier.scopus84960862975-
dc.identifier.isi000381956500004-
dcterms.isPartOfMedicina Intensiva-
dcterms.sourceMedicina Intensiva[ISSN 0210-5691],v. 40 (6), p. 364-370-
dc.contributor.authorscopusid26641359500-
dc.contributor.authorscopusid36928919100-
dc.contributor.authorscopusid6602498353-
dc.contributor.authorscopusid8256199100-
dc.description.lastpage370en_US
dc.description.firstpage364en_US
dc.relation.volume40en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.identifier.wosWOS:000381956500004-
dc.contributor.daisngid17222618-
dc.contributor.daisngid15571070-
dc.contributor.daisngid5433650-
dc.contributor.daisngid15760648-
dc.identifier.investigatorRIDL-9319-2014-
dc.description.numberofpages7en_US
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Perez-Quevedo, O-
dc.contributor.wosstandardWOS:Lopez-Alvarez, JM-
dc.contributor.wosstandardWOS:Liminana-Canal, JM-
dc.contributor.wosstandardWOS:Loro-Ferrer, JF-
dc.date.coverdateEnero 2016en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr0,375-
dc.description.jcr1,231-
dc.description.sjrqQ2-
dc.description.jcrqQ4-
dc.description.scieSCIE-
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptGIR IUIBS: Bioquímica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Clínicas-
crisitem.author.orcid0000-0002-0517-8209-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameLimiñana Cañal, Jose Maria-
crisitem.author.fullNameLoro Ferrer, Juan Francisco-
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