A Training Program for Real-Time Ultrasound-Guided Catheterization of the Subclavian Vein

Area of Science:

• Medical Education
• Ultrasound-Guided Procedures
• Vascular Access

Background:

• Central venous catheters (CVCs) are essential for patient care.
• Subclavian CVC placement can be challenging and carries risks.
• Ultrasound guidance improves CVC placement success and safety.

Purpose of the Study:

• To develop and implement a comprehensive training program for subclavian central venous catheter (CVC) placement using real-time ultrasound guidance.
• To assess the effectiveness of simulation-based training in improving provider proficiency.

Main Methods:

• A prospective, simulation-based study was conducted at an academic medical center.
• 106 anesthesia providers and intensivists participated in a training program including didactic and hands-on simulation modules.
• Knowledge and procedural skills were assessed via pre/post tests and direct observation.

Main Results:

• 70 out of 106 participants successfully completed the training program.
• Participants correctly performed an average of 17.8 out of 20 procedural steps in simulation.
• Average times for needle insertion and wire insertion with ultrasound confirmation were achieved.

Conclusions:

• The training program successfully equipped participants with ultrasound-guided subclavian CVC placement skills.
• Improving competence and comfort with this technique is crucial, as many practitioners lack familiarity.
• This simulation-based training model can be adopted by other institutions to enhance procedural skills.