Obstetric Ultrasound-Guided Invasive Procedure Simulation
Simulation is a necessary tool to help in the teaching and maintenance of skill for ultrasound guidance of a needle, catheter, or stent. We describe a “common core” approach to train residents or fellows to perform ultrasound-guided needle procedures. This approach can be utilized by all medical and surgical specialties and subspecialties to help their learners obtain significant skill with needle guidance even before performing actual procedures in the clinical setting. More importantly, these models can be utilized to refine specific skill maneuvers for areas of deficiency or to augment ongoing incremental improvement. We will discuss the utility of different curricular approaches and specific task trainers—both commercially available and self-constructed—for obstetric invasive ultrasound-guided needle procedures, including amniocentesis, transabdominal and transcervical chorionic villus sampling (CVS), percutaneous umbilical blood sampling (PUBS), and in utero stenting.
KeywordsSimulation Ultrasound guidance Amniocentesis Transabdominal or transcervical chorionic villus sampling (CVS) Percutaneous umbilical blood sampling (PUBS) In utero stenting Fetal diagnosis Fetal surgery
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