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Abstract

Background:

This study aims to evaluate the effectiveness of simulator-based repetitive training on the aseptic non-touch IV placement technique using an ultrasound-guided peripheral vascular access (USPVA) simulator among physicians working in the emergency department (ED), anesthesiology, and medical intensive care units (ICUs) at a tertiary training hospital.

Methods:

In this prospective randomized study, participants received theoretical training, then randomized into two groups and performed USPVA on the simulator. The simulated vessels were at 5, 10, and 15 mm depths with 2, 4, and 6 mm diameters, respectively. Finally, pre- and post-questionnaires and simulator data were analyzed.

Results:

A total of 36 physicians, (18 from ED, 9 from anesthesiology and 9 from ICU) participated in the study. Training on the simulator significantly improved the success rate of vascular access (62.5% (135/216)) compared to baseline values (31.9% (69/216); p < 0.001). There was a significant increase in the successful application of the aseptic non-touch technique after the training (96.2% (208/216)) compared to pre-training (42.5% (92/216); p < 0.001). The survey results showed that participants acquired new knowledge related to the aseptic non-touch technique through simulator-based training.

Conclusion:

This study demonstrates the successful implementation of aseptic non-touch technique for USPVA training for physicians using a mixed reality simulator.

Keywords

Aseptic non-touch technique difficult vascular access techniques and procedures high fidelity simulation training vascular access devices catheterization peripheral

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References

Landon

Ultrasound-guided PIV insertions and patient safety: how practice variations are putting patients at risk. Vasc Access Imperatives 2020; 2020: 1–6.

Sebbane

Claret

Lefebvre

, et al. Predicting peripheral venous access difficulty in the Emergency Department using body mass index and a clinical evaluation of venous accessibility. J Emerg Med 2013; 44(2): 299–305.

Oliveira

Lawrence

Ultrasound-guided peripheral intravenous access program for emergency physicians, nurses, and corpsmen (technicians) at a military hospital. Mil Med 2016; 181(3): 272–276.

Bahl

Johnson

Alsbrooks

, et al. Defining difficult intravenous access (DIVA): a systematic review. J Vasc Access 2023; 24(5): 904–910.

Ullman

Marsh

Mihala

, et al. Complications of central venous access devices: a systematic review. Pediatrics 2015; 136(5): e1331–e1344.

Shokoohi

Boniface

McCarthy

, et al. Ultrasound-guided peripheral intravenous access program is associated with a marked reduction in central venous catheter use in noncritically ill emergency department patients. Ann Emerg Med 2013; 61(2): 198–203.

Andersen

Holden

Vela

, et al. Point-of-care ultrasound in general practice: a systematic review. Ann Fam Med 2019; 17(1): 61–69.

Lorello

Cook

Johnson

, et al. Simulation-based training in anaesthesiology: a systematic review and meta-analysis. Br J Anaesth 2014; 112(2): 231–245.

Peters

Williamson

Eley

Ultrasound transducer disinfection for percutaneous procedures: a review of the evidence supporting guideline recommendations. Australas J Ultrasound Med 2024; 27(4): 242–250.

10.

Tan

Benedict

SLH

Gani

, et al. A quality improvement project: reducing bloodstream infection by improving adherence to the care bundle of peripheral vascular catheters at the COVID-19 treatment centre. Med J Malaysia 2022; 77(5): 590–596.

11.

The National Cancer Institute’s Division of Cancer Prevention. Clinical Trial Randomization Tool, https://ctrandomization.cancer.gov/tool/ (accessed 11 October 2022).

12.

UFHealth. Mixed-Reality Simulator of IV Access, https://simulation.health.ufl.edu/technology-development/augmented-reality-mixed-simulation/iv-access-simulator/ (2023, accessed 29 July 2023).

13.

Balachander

Rajesh

Pinto

, et al. Simulation training to improve aseptic non-touch technique and success during intravenous cannulation—effect on hospital-acquired blood stream infection and knowledge retention after 6 months: the snowball effect theory. J Vasc Access 2021; 22(3): 353–358.

14.

Lamperti

Bodenham

Pittiruti

, et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med 2012; 38(7): 1105–1117.

15.

Barsuk

Cohen

Caprio

, et al. Simulation-based education with mastery learning improves residents’ lumbar puncture skills. Neurology 2012; 79(2): 132–137.

16.

Barsuk

Cohen

Nguyen

, et al. Attending physician adherence to a 29-component central venous catheter bundle checklist during simulated procedures. Crit Care Med 2016; 44(10): 1871–1881.

17.

Varas

Achurra

León

, et al. Assessment of central venous catheterization in a simulated model using a motion-tracking device: an experimental validation study. Ann Surg Innov Res 2016; 10(1): 2.

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Aseptic non-touch technique training for ultrasound guided difficult peripheral vascular access: A prospective randomized study