Central Venous Catheterization Using a Perfused Human Cadaveric Model: Application to Surgical Education

Objective The purpose of this article is to present a unique training model using a perfused human cadaver for central line placement training with the ultimate goal of reducing central venous catheter mechanical complications. Design The applicability of the fresh tissue cadaver model for central l...

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Bibliographic Details
Published in:Journal of surgical education 2015-01, Vol.72 (1), p.28-32
Main Authors: Varga, Stephen, MD, Smith, Jennifer, MD, Minneti, Michael, BA, Carey, Joseph, MD, Zakaluzny, Scott, MD, Noguchi, Thomas, MD, Demetriades, Demetrios, PhD, Talving, Peep, PhD
Format: Article
Language:English
Subjects:
Cadaver
cadaver model
Catheterization, Central Venous
central line education
General Surgery - education
Humans
Internship and Residency
Medical Knowledge
Models, Biological
Patient Care
Practice-Based Learning and Improvement
resident training
Surgery
surgical education
Teaching - methods
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Summary:Objective The purpose of this article is to present a unique training model using a perfused human cadaver for central line placement training with the ultimate goal of reducing central venous catheter mechanical complications. Design The applicability of the fresh tissue cadaver model for central line placement was assessed using a 10-item questionnaire with a 5-point Likert-type scale. Respondents were asked to rate their opinions as strongly agree, agree, neutral, disagree, or strongly disagree. Setting All participants received a didactic lecture followed by supervised practice on a commercially available simulator. The students were then relocated to the Fresh Tissue Dissection Laboratory where they practiced central vein catheterization on a fresh perfused human cadaver. Participants Course participants included 87 physicians from various medical specialties at different stages of training. Results Results of the survey demonstrated that 91% of the participating physicians found the perfused cadaveric model to be a true simulation of conditions that exist in live patients, and 98% reported that the use of this model promoted acquisition of technical skills. Conclusion The integration of central line placement training on perfused cadavers into residency and fellowship training provides an unparalleled realistic simulation to participants. Further study is needed to assess whether realistic simulation translates into objective end points such as decreased mechanical complications.
ISSN:1931-7204
1878-7452
DOI:10.1016/j.jsurg.2014.07.005