The construction and analysis of learning curve for ultrasound-guided internal jugular vein catheterization

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Author: Hai-Long ZHANG ¹ Xu LI ¹ Di WU ¹  Li-Qin ZHAO ²

Affiliation: 1. Department of Anesthesia, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China 2. Department of Anesthesia, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China

Keywords: Catheterization Central vein Ultrasonography Anesthesiology residents Learning curve Cumulative sum analysis

DOI: 10.12173/j.issn.1004-4337.202309011

Reference: Zhang HL, Li X, Wu D, Zhao LQ. The construction and analysis of learning curve for ultrasound-guided internal jugular vein catheterization[J]. Journal of Mathematical Medicine, 2023, 36(12): 955-960. DOI: 10.12173/j.issn.1004-4337.202309011[Article in Chinese]  Copied

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Abstract

Objective To construct the learning curve of ultrasound-guided internal jugular venocentesis catheterization for anesthesiology residents, so as to provide reference and basis for standardized training and qualification admission of ultrasound-guided internal jugular venocentesis catheterization.

Methods 10 first-year resident physicians without experience in internal jugular venocentesis catheterization who received standardized training in Department of Anesthesiology, Beijing Luhe Hospital, Capital Medical University were selected as the research subjects. After the previous training, each physician completed 25 cases of right internal jugular vein puncture using ultrasound guided in chronological order. The internal jugular vein puncture of each trainee was recorded, the learning curve was established by cumulative sum (CUSUM) method, and the minimum number of cases required to master the corresponding catheterization technique was calculated.

Results The learning curve function is y=0.002 2x³-0.120 1x²+2.040 3x-0.946 4, with the determination coefficient R²=0.978 7. When the slope of the curve is zero, the corresponding x value is 13.51.

Conclusion Learning curve analysis showed that anesthesiology residents needed to complete at least 14 puncture operations to master ultrasound-guided internal jugular vein catheterization. As a practical skill with a short learning curve, it is worth conducting in the standardized residency training programs of anesthesiology residents.

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