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A porcine training model for ultrasound diagnosis of pneumothoraces.
MedLine Citation:
PMID:  20619570     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Ultrasound for the evaluation of pneumothoraces has been extensively studied. Several medical specialties have recognized the benefit of this technique; however, a training model has not been established.
OBJECTIVE: Using a porcine model, we attempt to establish a model for the training of ultrasound diagnosis of pneumothoraces.
METHODS: Two pigs were anesthetized on two separate occasions. A pneumothorax was introduced each time. Participants were blinded to the study design and were not aware of the number of pneumothoraces present. A brief training lecture was given before performing the ultrasound, and the results of each lung examination were recorded. The data were collected and analyzed for the accuracy of assessment.
RESULTS: A total of 18 individuals participated in the study, with six individuals participating on both days. Ninety-six lung ultrasound examinations were completed; 69% of the lung examinations were correctly diagnosed on the first day and 94% on the second. Participants correctly diagnosed a pneumothorax 50% of the time at the first laboratory and 100% of the time at the second. Participants who attended both laboratories increased their ability to diagnose a pneumothorax from 66% to 100%.
CONCLUSION: We believe this porcine model can be used for the training of ultrasound diagnosis of pneumothoraces. Participants who completed two training sessions improved their accuracy from 66% to 100% in the diagnosis of pneumothoraces. Study participants rated the educational experience highly on a post-laboratory questionnaire, and feel they will be more comfortable using it in a real-life situation.
Authors:
Amy J Bloch; Scott A Bloch; Lalainia Secreti; N Heramba Prasad
Publication Detail:
Type:  Journal Article     Date:  2010-07-09
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  41     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  176-81     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Emergency Medicine, State University of New York Upstate Medical University, Syracuse, New York.
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