Biomechanical analysis of expert anesthesiologists and novice residents performing a simulated central venous access procedure

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dc.article.numbere0250941
dc.catalogadoraba
dc.contributor.authorVillagrán Gutiérrez, Ignacio Andrés
dc.contributor.authorMoenne Vargas, Cristóbal Matías
dc.contributor.authorAguilera Siviragol, Victoria Ignacia
dc.contributor.authorGarcia, Vicente
dc.contributor.authorReyes, Jose Tomas
dc.contributor.authorRodriguez, Sebastian
dc.contributor.authorMiranda Mendoza, Constanza
dc.contributor.authorAltermatt, Fernando
dc.contributor.authorFuentes López, Eduardo
dc.contributor.authorDelgado Bravo, Mauricio Antonio
dc.contributor.authorNeyem, Andrés
dc.date.accessioned2023-08-29T15:19:07Z
dc.date.available2023-08-29T15:19:07Z
dc.date.issued2021
dc.description.abstractBackground Central venous access (CVA) is a frequent procedure taught in medical residencies. However, since CVA is a high-risk procedure requiring a detailed teaching and learning process to ensure trainee proficiency, it is necessary to determine objective differences between the expert’s and the novice’s performance to guide novice practitioners during their training process. This study compares experts’ and novices’ biomechanical variables during a simulated CVA performance. Methods Seven experts and seven novices were part of this study. The participants’ motion data during a CVA simulation procedure was collected using the Vicon Motion System. The procedure was divided into four stages for analysis, and each hand’s speed, acceleration, and jerk were obtained. Also, the procedural time was analyzed. Descriptive analysis and multilevel linear models with random intercept and interaction were used to analyze group, hand, and stage differences. Results There were statistically significant differences between experts and novices regarding time, speed, acceleration, and jerk during a simulated CVA performance. These differences vary significantly by the procedure stage for right-hand acceleration and left-hand jerk. Conclusions Experts take less time to perform the CVA procedure, which is reflected in higher speed, acceleration, and jerk values. This difference varies according to the procedure’s stage, depending on the hand and variable studied, demonstrating that these variables could play an essential role in differentiating between experts and novices, and could be used when designing training strategies.
dc.description.funderNational Commission for Scientific and Technological Research (CONICYT) under the Fund for the Promotion of Scientific and Technological Development (Fondo de Fomento al Desarrollo Cientifico y Tecnologico, FONDEF)
dc.description.funderNational Agency for Research and Development (ANID) under the Scholarship Program DOCTORADO BECAS CHILE/2020
dc.fechaingreso.objetodigital2023-08-29
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1371/journal.pone.0250941
dc.identifier.issn1932-6203
dc.identifier.pubmedidMEDLINE:33930076
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0250941
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74540
dc.identifier.wosidWOS:000664607000052
dc.information.autorucEscuela de Ingeniería; Villagrán Gutiérrez, Ignacio Andrés; S/I; 1039444
dc.information.autorucDepartamento de Ciencias de la Salud; Aguilera Siviragol, Victoria Ignacia; S/I; 1028185
dc.information.autorucEscuela de Ingeniería; Miranda Mendoza, Constanza; 0000-0002-9110-2832; 17168
dc.information.autorucEscuela de Medicina; Altermatt, Fernando; 0000-0002-0464-8643; 7381
dc.information.autorucDepartamento de Ciencias de la Salud; Fuentes López, Eduardo; 0000-0002-0141-0226; 1013849
dc.information.autorucDepartamento de Ciencias de la Salud; Delgado Bravo, Mauricio Antonio; 0000-0001-7858-2264; 1013611
dc.information.autorucEscuela de Ingeniería; Neyem, Andrés; 0000-0002-5734-722X; 1007638
dc.issue.numero4
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final8
dc.pagina.inicio1
dc.revistaPLOS ONE
dc.rightsacceso abierto
dc.subjectSkills
dc.subjectCatheterization
dc.subjectMetrics
dc.subjectVein
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods04 Quality Education
dc.subject.odspa04 Educación y calidad
dc.titleBiomechanical analysis of expert anesthesiologists and novice residents performing a simulated central venous access procedure
dc.typeartículo
dc.volumen16
sipa.codpersvinculados1039444
sipa.codpersvinculados1028185
sipa.codpersvinculados17168
sipa.codpersvinculados7381
sipa.codpersvinculados1013849
sipa.codpersvinculados1013611
sipa.codpersvinculados1007638
sipa.indexWoS
sipa.indexPubmed
sipa.trazabilidadWOS;18-03-2022
sipa.trazabilidadORCID;2023-08-21
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