The Effect of Operator Experience on Periprocedural Adverse Events Associated With Pericardiocentesis

Area of Science:

• Veterinary Cardiology
• Interventional Procedures
• Canine Health

Background:

• Pericardiocentesis is a common procedure for managing pericardial effusion in dogs.
• Understanding factors influencing procedural safety is crucial for improving patient outcomes.

Purpose of the Study:

• To evaluate the influence of operator experience on adverse events during canine pericardiocentesis.
• To assess if supervision mitigates adverse events in inexperienced operators.

Main Methods:

• Prospective observational study involving 45 dogs undergoing pericardiocentesis.
• Data collected on operator experience, procedural adverse events, and patient outcomes.
• Point-of-care ultrasound (POCUS) and ECG monitoring were utilized.

Main Results:

• 37.8% of dogs experienced adverse events, with 35.6% developing arrhythmias requiring treatment.
• Operator experience level (intern, resident, staff) or prior case volume did not correlate with adverse event occurrence.
• Supervision was provided for all procedures by interns or novice operators.

Conclusions:

• Operator experience was not found to be a significant factor in adverse event rates during pericardiocentesis.
• Adverse event rates observed in this study were higher than previously reported in veterinary literature.