Assessment of a Low-Cost Ultrasound Pericardiocentesis Model

Introduction. The use of ultrasound during resuscitation is emphasized in the latest European resuscitation council guidelines of 2013 to identify treatable conditions such as pericardial tamponade. The recommended standard treatment of tamponade in various guidelines is pericardiocentesis. As ultra...

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Main Authors: Marco Campo dell'Orto, Dorothea Hempel, Agnieszka Starzetz, Armin Seibel, Ulf Hannemann, Felix Walcher, Raoul Breitkreutz
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2013/376415
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author Marco Campo dell'Orto
Dorothea Hempel
Agnieszka Starzetz
Armin Seibel
Ulf Hannemann
Felix Walcher
Raoul Breitkreutz
author_facet Marco Campo dell'Orto
Dorothea Hempel
Agnieszka Starzetz
Armin Seibel
Ulf Hannemann
Felix Walcher
Raoul Breitkreutz
author_sort Marco Campo dell'Orto
collection DOAJ
description Introduction. The use of ultrasound during resuscitation is emphasized in the latest European resuscitation council guidelines of 2013 to identify treatable conditions such as pericardial tamponade. The recommended standard treatment of tamponade in various guidelines is pericardiocentesis. As ultrasound guidance lowers the complication rates and increases the patient’s safety, pericardiocentesis should be performed under ultrasound guidance. Acute care physicians actually need to train emergency pericardiocentesis. Methods. We describe in detail a pericardiocentesis ultrasound model, using materials at a cost of about 60 euros. During training courses of focused echocardiography n=67, participants tested the phantom and completed a 16-item questionnaire, assessing the model using a visual analogue scale (VAS). Results. Eleven of fourteen questions were answered with a mean VAS score higher than 60% and thus regarded as showing the strengths of the model. Unrealistically outer appearance and heart shape were rated as weakness of the model. A total mean VAS score of all questions of 63% showed that participants gained confidence for further interventions. Conclusions. Our low-cost pericardiocentesis model, which can be easily constructed, may serve as an effective training tool of ultrasound-guided pericardiocentesis for acute and critical care physicians.
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spelling doaj-art-ee7d1884f0534024ab9ec68d1dca78ac2025-02-03T05:44:06ZengWileyEmergency Medicine International2090-28402090-28592013-01-01201310.1155/2013/376415376415Assessment of a Low-Cost Ultrasound Pericardiocentesis ModelMarco Campo dell'Orto0Dorothea Hempel1Agnieszka Starzetz2Armin Seibel3Ulf Hannemann4Felix Walcher5Raoul Breitkreutz6Abteilung Kardiologie, Kerckhoff Klinik Bad Nauheim, 61231 Bad Nauheim, GermanyII. Medizinische Klinik und Poliklinik, Universitätsmedizin Mainz, 55131 Mainz, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyFrankfurter Institut für Notfallmedizin und Simulationstraining, Fachbereich Medizin der Johann Wolfgang Goethe-Universität, Klinikum der Johann Wolfgang Goethe-Universität, 60528 Frankfurt am Main, GermanyIntroduction. The use of ultrasound during resuscitation is emphasized in the latest European resuscitation council guidelines of 2013 to identify treatable conditions such as pericardial tamponade. The recommended standard treatment of tamponade in various guidelines is pericardiocentesis. As ultrasound guidance lowers the complication rates and increases the patient’s safety, pericardiocentesis should be performed under ultrasound guidance. Acute care physicians actually need to train emergency pericardiocentesis. Methods. We describe in detail a pericardiocentesis ultrasound model, using materials at a cost of about 60 euros. During training courses of focused echocardiography n=67, participants tested the phantom and completed a 16-item questionnaire, assessing the model using a visual analogue scale (VAS). Results. Eleven of fourteen questions were answered with a mean VAS score higher than 60% and thus regarded as showing the strengths of the model. Unrealistically outer appearance and heart shape were rated as weakness of the model. A total mean VAS score of all questions of 63% showed that participants gained confidence for further interventions. Conclusions. Our low-cost pericardiocentesis model, which can be easily constructed, may serve as an effective training tool of ultrasound-guided pericardiocentesis for acute and critical care physicians.http://dx.doi.org/10.1155/2013/376415
spellingShingle Marco Campo dell'Orto
Dorothea Hempel
Agnieszka Starzetz
Armin Seibel
Ulf Hannemann
Felix Walcher
Raoul Breitkreutz
Assessment of a Low-Cost Ultrasound Pericardiocentesis Model
Emergency Medicine International
title Assessment of a Low-Cost Ultrasound Pericardiocentesis Model
title_full Assessment of a Low-Cost Ultrasound Pericardiocentesis Model
title_fullStr Assessment of a Low-Cost Ultrasound Pericardiocentesis Model
title_full_unstemmed Assessment of a Low-Cost Ultrasound Pericardiocentesis Model
title_short Assessment of a Low-Cost Ultrasound Pericardiocentesis Model
title_sort assessment of a low cost ultrasound pericardiocentesis model
url http://dx.doi.org/10.1155/2013/376415
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