Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta
Purpose As resuscitative endovascular balloon occlusion of the aorta (REBOA) is performed in an extremely emergent situation, achieving competent clinical practice is mandatory. Although there are several educational courses that teach the REBOA procedure, there have been no reports evaluating the i...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0022.pdf |
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| author | Sung Wook Chang Dong Hun Kim Dae Sung Ma Ye Rim Chang |
| author_facet | Sung Wook Chang Dong Hun Kim Dae Sung Ma Ye Rim Chang |
| author_sort | Sung Wook Chang |
| collection | DOAJ |
| description | Purpose As resuscitative endovascular balloon occlusion of the aorta (REBOA) is performed in an extremely emergent situation, achieving competent clinical practice is mandatory. Although there are several educational courses that teach the REBOA procedure, there have been no reports evaluating the impact of training on clinical practice. Therefore, this study is aimed to evaluate the effects of the course on procedural performance during resuscitation and on clinical outcomes. Methods Patients who were managed at a regional trauma center in Dankook University Hospital from August 2016 to February 2018 were included and were grouped as precourse (August 2016–August 2017, n=9) and postcourse (September 2017–February 2018, n=9). Variables regarding injury, parameters regarding REBOA procedure, morbidity, and mortality were prospectively collected and reviewed for comparison between the groups. Results Demographics and REBOA variables did not differ between groups. The time required from arterial puncture to balloon inflation was significantly shortened from 9.0 to 5.0 minutes (P=0.003). There were no complications associated with REBOA after the course. Mortality did not show any statistical difference before and after the course. Conclusions The endovascular training for REBOA pilot course, which uses a modified form of flipped learning, realistic simulation of ultrasound-guided catheter insertion and balloon manipulation, and competence assessment, significantly improved procedural performance during resuscitation of trauma patients. |
| format | Article |
| id | doaj-art-8dff6024293441cc969cfdcf85dc8d0f |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-8dff6024293441cc969cfdcf85dc8d0f2025-01-16T05:39:35ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-03-013613710.20408/jti.2022.00221216Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aortaSung Wook Chang0Dong Hun Kim1Dae Sung Ma2Ye Rim Chang3 Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, KoreaPurpose As resuscitative endovascular balloon occlusion of the aorta (REBOA) is performed in an extremely emergent situation, achieving competent clinical practice is mandatory. Although there are several educational courses that teach the REBOA procedure, there have been no reports evaluating the impact of training on clinical practice. Therefore, this study is aimed to evaluate the effects of the course on procedural performance during resuscitation and on clinical outcomes. Methods Patients who were managed at a regional trauma center in Dankook University Hospital from August 2016 to February 2018 were included and were grouped as precourse (August 2016–August 2017, n=9) and postcourse (September 2017–February 2018, n=9). Variables regarding injury, parameters regarding REBOA procedure, morbidity, and mortality were prospectively collected and reviewed for comparison between the groups. Results Demographics and REBOA variables did not differ between groups. The time required from arterial puncture to balloon inflation was significantly shortened from 9.0 to 5.0 minutes (P=0.003). There were no complications associated with REBOA after the course. Mortality did not show any statistical difference before and after the course. Conclusions The endovascular training for REBOA pilot course, which uses a modified form of flipped learning, realistic simulation of ultrasound-guided catheter insertion and balloon manipulation, and competence assessment, significantly improved procedural performance during resuscitation of trauma patients.http://jtraumainj.org/upload/pdf/jti-2022-0022.pdfwounds and injuriesaortaballoon occlusioneducationoutcome assessment |
| spellingShingle | Sung Wook Chang Dong Hun Kim Dae Sung Ma Ye Rim Chang Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta Journal of Trauma and Injury wounds and injuries aorta balloon occlusion education outcome assessment |
| title | Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta |
| title_full | Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta |
| title_fullStr | Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta |
| title_full_unstemmed | Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta |
| title_short | Analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta |
| title_sort | analysis of procedural performance after a pilot course on endovascular training for resuscitative endovascular balloon occlusion of the aorta |
| topic | wounds and injuries aorta balloon occlusion education outcome assessment |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0022.pdf |
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