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2012, Number 4

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Cir Gen 2012; 34 (4)

Non-live biological model for the teaching of the venous cutdown technique to undergraduate medical students

Villalobos FSA, Barajas CJÁ, Tapia JJ, Jiménez CJL, Reyes AW, Montalvo-Javé EE
Full text How to cite this article

Language: Spanish
References: 13
Page: 271-275
PDF size: 124.50 Kb.


Key words:

Venous cutdown, surgical techniques, indications, contraindications, surgical skills, undergraduate teaching.

ABSTRACT

Objective: To provide teaching material useful for the medical student and the general physician to learn the venous cutdown technique in a non-live biological model.
Setting: Department of Surgery, School of Medicine, UNAM.
Design: Teaching model.
Material and method: Indications, contraindication, anatomical characteristics and technique to be considered will be provided. We use a pig foot as didactic model because it is accessible in terms of costs, availability, and can be reproduced easily by students. Due to its similarity with clinical events occurring in patients at the hospital level, we consider that it represents a good teaching method of surgical skills at the undergraduate level.
Conclusion: The current biological model is a viable option and representative of venous cutdown. The student learns to identify the patient that requires this procedure, once identified he will be able to perform the procedure adequately avoiding, as much as possible, any type of complication.


REFERENCES

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  3. Hollinshead WH. Textbook of Anatomy. 2nd ed. New York: Harper & Row; 1967. p. 442.

  4. Custalow CB, Kline JA, Marx JA, Baylor MR. Emergency department resuscitative procedures: Animal laboratory training improves procedural competency and speed. Acad Emerg Med 2002; 9: 575-586.

  5. Klofas E. A quicker saphenous vein cutdown and a better way to teach it. J Trauma 1997; 43: 985-987.

  6. Posner M, Moore EE. Distal greater saphenous vein cutdown—technique of choice for rapid volume resuscitation. J Emerg Med 1985; 3: 395-399.

  7. Shockley LW, Butzier DJ. A modified wire-guided technique for venous cutdown access. Ann Emerg Med 1990; 19: 393-395.

  8. Westfall MD, Price KR, Lambert M, Himmelman R, Kacey D, Dorevitch S, et al. Intravenous access in the critically ill trauma patient: A multicentered, prospective, randomized trial of saphenous cutdown and percutaneous femoral access. Ann Emerg Med 1994; 23: 541-545.

  9. Rhee KJ, Derlet RW, Beal SL. Rapid venous access using saphenous vein cutdown at the ankle. Am J Emerg Med 1989; 7: 263-766.

  10. Iserson KV, Criss EA. Pediatric venous cutdowns: utility in emergency situations. Pediatr Emerg Care 1986; 2: 231-234.

  11. Shiu MH. A method for conservation of veins in the surgical cutdown. Surg Gynecol Obstet 1972; 134: 315-316.

  12. Bogen JE. Local complications in 167 patients with indwelling venous catheters. Surg Gynecol Obstet 1960; 110: 112-114.

  13. Druskin MS, Siegel PD. Bacterial contamination of indwelling intravenous polyethylene catheters. JAMA 1963; 185: 966-968.




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Cir Gen. 2012;34