Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000100015
Jornal Vascular Brasileiro
Innovation

Nova técnica para treinamento em acessos vasculares guiados por ultrassom utilizando modelo de tecido animal

New technique for ultrasound-guided vascular access training using an animal tissue model

Robson Barbosa de Miranda; Erica Patrício Nardino; Thatiane Gomes; Patrícia Farias

http://dx.doi.org/10.1590/S1677-54492012000100015 J Vasc Bras, vol.11, n1, p.83-87, 2012
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Resumo

A ultrassonografia Doppler deixou de ter seu uso apenas como método diagnóstico e vem galgando espaço nos procedimentos terapêuticos. Com maior aplicabilidade e uso de cateteres venosos centrais e procedimentos guiados por ultrassom, há preocupação com a melhora da eficácia e segurança durante o procedimento, assim como com a diminuição das potenciais complicações. Para isso, o treinamento da técnica em modelos (phantoms) é desejável. Os modelos industrializados para treinamento em acesso vascular guiado por ultrassom são caros e não reproduzem adequadamente a ecotextura e a densidade dos tecidos humanos. Na tentativa de treinar e aprimorar os profissionais para o uso do ultrassom em procedimentos de acessos vasculares, desenvolveu-se um modelo animal de baixo custo, fácil confecção e excelente aplicabilidade.

Palavras-chave

modelos animais,treinamento, ultrassonografia,Doppler, procedimentos cirúrgicos minimamente invasivos

Abstract

Duplex ultrasonography has not been used only as a noninvasive diagnostic method. Recently it has been applied for therapeutic procedures. Due to the increasing use and applicability of central venous catheters and eco-guided vascular procedures, there are concerns about improving results regarding accuracy and safety, reducing complication rates during those procedures. It would be desirable that training was accomplished using phantoms before actual procedures in human subjects. Industrialized phantoms are expensive and they do not reproduce human's ecographic density and texture. In order to train and improve ultrasound guided vascular access, we have developed a cheap animal tissue model, which is of easy preparation and applicability.

Keywords

models,animal, training, ultrasonography, Doppler, surgical procedures, minimally invasive

References

Ullman JI, Stoelting RK. Internal jugular vein location with the ultrasound Doppler blood flow detector. Anesth Analg. 1978;57(1):118.

Kopmann D. Ultrasound-guided central venous catheter placement: the new standard of care?. Crit Care Med. 2005;33:1875-7.

Kumar A, Chuan A. Ultrasound guided vascular access: efficacy and safety. Best Pract Res Clin Anaesthesiol. 2009;23:299-311.

Hind D, Calvert N, McWilliams R. Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ. 2003;327:361.

Lo N, Brull R, Perlas A. Evolution of ultrasound guided axillary brachial plexus blockade: retrospective analysis of 662 blocks. Can J Anaesth. 2008;55:408-13.

Garcia ACF, Birckholz L, Cassou MF. Tratamento não cirúrgico de pseudoaneurismas da artéria femoral. ACM Arq Catarin Med. 2002;31:47-50.

Gallieni M, Cozzolino M. Uncomplicated central vein catheterization of high risk patients with real time ultrasound guidance. Int J Artif Organs. 1995;18(3):117-21.

Karakitsos D, Labropoulos N, De Groot E. Real-time ultrasound-guided catheterization of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Crit Care. 2006;10:R162.

Orebaugh SL, Williams BA, Kentor ML. Ultrasound guidance with nerve stimulation reduces the time necessary for resident peripheral nerve blockade. Reg Anesth Pain Med. 2007;32:448-54.

Mark JA, Bradley T. The use of tissue models for vascular access training phase I of the procedural patient safety initiative. J Gen Intern Med. 2006;21:514-7.

Ault MJ, Rosen BT, Ault B. The use of tissue models for vascular access training: Phase I of the procedural patient safety initiative. J Gen Intern Med. 2006;21:514-7.

Miranda RB, Lopes JRA, Cavalcante RN, Kafejian O. Perviedade e complicações no seguimento de cateteres venosos totalmente implantáveis para quimioterapia. J Vasc Bras. 2008;7:316-20.

Conz PA, Dissegna D, Rodighiero M, La Greca . Cannulation of the internal jugular vein: comparison of the classic Seldinger technique and an ultrasound guided method. J Nephrol. 1997;10:311-3.

Seto AH, Abu-Fadel MS. Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access With Ultrasound Trial). JACC Cardiovasc Interv. 2010;3:751-8.

Calvert N, Hind D, McWilliams R, Davidson A, Beverley CA, Thomas SM. Ultrasound for central venous cannulation: economic evaluation of cost-effectiveness. Anaesthesia. 2004;59:1116-20.

Chapman GA, Johnson D, Bodenham AR. Visualization of needle position using ultrasonography. Anaesthesia. 2006;61:148-58.

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