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Trainee educational curriculum to standardize central venous catheter repair.
Reppucci, Marina; Prendergast, Connor; Flynn, Katherine; Scarbro, Sharon; Derderian, S Christopher; Diaz-Miron, Jose.
Afiliación
  • Reppucci M; Department of General Surgery, The Mount Sinai Hospital, New York, NY, USA.
  • Prendergast C; Pediatric Surgery, Children's Hospital Colorado, 13213 E 16th Ave, Box 323, 80045, Aurora, CO, USA.
  • Flynn K; Pediatric Surgery, Children's Hospital Colorado, 13213 E 16th Ave, Box 323, 80045, Aurora, CO, USA.
  • Scarbro S; Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
  • Derderian SC; Pediatric Surgery, Children's Hospital Colorado, 13213 E 16th Ave, Box 323, 80045, Aurora, CO, USA.
  • Diaz-Miron J; Pediatric Surgery, Children's Hospital Colorado, 13213 E 16th Ave, Box 323, 80045, Aurora, CO, USA. jose.diaz-miron@childrenscolorado.org.
BMC Med Educ ; 23(1): 978, 2023 Dec 19.
Article en En | MEDLINE | ID: mdl-38115058
ABSTRACT

INTRODUCTION:

Children may require durable central venous catheters (CVCs) for various reasons. CVC-related integrity complications are common and can often be repaired at the bedside to increase lifetime. Variability in repair techniques can lead to complications, including the need for repeat repair and Central Line Associated Blood Stream Infection (CLABSI).

METHODS:

The impact of an educational curriculum to standardize tunneled CVC repairs for trainees on a pediatric surgery service was studied, focusing on comfort level with tunneled CVC repair and to determine the impact on complication rates. Rotating trainees studied a dedicated audiovisual educational curriculum comprised of a video, educational slides, and a practical component from November 2020 through January 2022. Experience and comfort level with tunneled CVC repairs were assessed before and after the rotation. CVCs repaired during the duration of the study were evaluated and compared to the period prior.

RESULTS:

Forty-nine individuals completed the pre- and post-training survey. Respondents (34.7%, n = 17) most commonly reported one year of surgical experience, and (79.6%, n = 39) had never observed or assisted in a repair previously. Following training, respondents felt more comfortable with all aspects of the CVC repair process (p < 0.001). There were no statistically significant differences in re-repair rates or CLABSI rates following the implementation of the curriculum.

CONCLUSIONS:

Tunneled CVC procedural repair variability can be standardized with a dedicated educational curriculum for rotating trainees, which improves knowledge and comfort with such procedures.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cateterismo Venoso Central / Infecciones Relacionadas con Catéteres / Catéteres Venosos Centrales Límite: Child / Humans Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cateterismo Venoso Central / Infecciones Relacionadas con Catéteres / Catéteres Venosos Centrales Límite: Child / Humans Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos