A manikin-based evaluation of a teaching modality for ultrasound-guided infraclavicular longitudinal in-plane axillary vein cannulation in comparison with ultrasound-guided internal jugular vein cannulation: A pilot study

Sanjib Adhikary; Patrick McQuillan; Michael Fortunato; David Owen; Wai-Man Liu; Venkatesan Thiruvenkatarajan

doi:10.4103/joacp.JOACP_189_16

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ORIGINAL ARTICLE

Year : 2017 | Volume : 33 | Issue : 3 | Page : 337-341

A manikin-based evaluation of a teaching modality for ultrasound-guided infraclavicular longitudinal in-plane axillary vein cannulation in comparison with ultrasound-guided internal jugular vein cannulation: A pilot study

Sanjib Adhikary¹, Patrick McQuillan¹, Michael Fortunato¹, David Owen¹, Wai-Man Liu², Venkatesan Thiruvenkatarajan³
¹ Department of Anesthesiology and Perioperative Medicine, Penn State College of Medicine, Milton S. Hershey Medical Centre, Hershey, Pennsylvania, USA
² Department of Research Scool, Research School of Finance, Actuarial Studies and Statistics, The n National University, Canberra, South, Australia
³ Department of Anaesthesia, The Queen Elizabeth Hospital; Discipline of Acute Care Medicine, The University of Adelaide, Adelaide, South, Australia

Correspondence Address:
Venkatesan Thiruvenkatarajan
Department of Anaesthesia, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South 5011, Adelaide, South Australia
Australia

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/joacp.JOACP_189_16

Background and Aims: Ultrasound (US)-guided infraclavicular approach for axillary vein (AXV) cannulation has gained popularity in the last decade. Material and Methods: In this manikin study, we evaluated the feasibility of a training model for teaching AXV cannulation. The learning pattern with this technique was assessed among attending anesthesiologists and residents in training. Results: A faster learning pattern was observed for AXV cannulation among the attending anesthesiologists and residents in training, irrespective of their prior experience with US. It was evident that a training modality for this technique could be easily established with a phantom model and that hands-on training motivates trainees to embrace US-based central venous cannulation. Conclusion: A teaching model for US-guided infraclavicular longitudinal in-plane AXV cannulation can be established using a phantom model. A focused educational program would result in an appreciable change in preference in embracing US-based cannulation techniques among residents.

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