Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/52319
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dc.contributor.authorPérez-Quevedo, O.
dc.contributor.authorLópez-Álvarez, J. M.
dc.contributor.authorLimiñana-Cañal, J. M.
dc.contributor.authorLoro-Ferrer, J. F.
dc.contributor.otherloro, juan
dc.date.accessioned2018-11-25T19:17:37Z-
dc.date.available2018-11-25T19:17:37Z-
dc.date.issued2016
dc.identifier.issn0210-5691
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. (C) 2015 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.
dc.publisher0210-5691
dc.relation.ispartofMedicina Intensiva
dc.sourceMedicina Intensiva[ISSN 0210-5691],v. 40, p. 364-370
dc.subject.otherCentral Venous Access
dc.subject.otherCatheter Placement
dc.subject.otherGuidelines
dc.subject.otherInsertion
dc.subject.otherSimulator
dc.subject.otherGuidance
dc.subject.otherProgram
dc.subject.otherTrial
dc.titleDesign and application of model for training ultrasound-guided vascular cannulation in pediatric patients
dc.typeinfo:eu-repo/semantics/Articlees
dc.typeArticlees
dc.identifier.doi10.1016/j.medin.2015.11.005
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.lastpage370
dc.description.firstpage364
dc.relation.volume40
dc.type2Artículoes
dc.identifier.wosWOS:000381956500004
dc.contributor.daisngid17222618
dc.contributor.daisngid15571070
dc.contributor.daisngid5433650
dc.contributor.daisngid15760648
dc.identifier.investigatorRIDL-9319-2014
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 2016
dc.identifier.ulpgces
dc.description.sjr0,375
dc.description.jcr1,231
dc.description.sjrqQ2
dc.description.jcrqQ4
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptBioquímica Farmacológica-
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.fullNameLoro Ferrer, Juan Francisco-
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