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Critical Care: Ultrasound in the ICU |

Posterior Needle Misplacement Rate in Trainees Performing Simulated Central Venous Access

Lida Fatemi, MD; Jarrod Frizzell, MD; Joshua Duchesne, MD; Michel Boivin, MD
Author and Funding Information

University of New Mexico, Albuquerque, NM


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):466A. doi:10.1016/j.chest.2016.08.479
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SESSION TITLE: Ultrasound in the ICU

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Monday, October 24, 2016 at 04:30 PM - 05:30 PM

PURPOSE: Central venous catheterization (CVC) complications are increasingly recognized as preventable events. Pneumothorax from CVC placement is a “Hospital Acquired Condition” that is tracked by the Centers for Medicaid and Medicare services (CMS) and events seriously affect reimbursement. Ultrasound guidance has been proved to reduce mechanical complications from CVC placement. However, little is known about learner’s ability to track the needle tip during ultrasound placement. Effective needle tip guidance should eliminate mechanical complications of CVC placement. We designed a unique simulator to detect advancement of the needle past the depth of the target vessel. We then assessed for risk factors for excessive needle depth including experience, transducer position and use of a needle guide.

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