The impact of central line simulation before the ICU experience

BACKGROUND: This study was designed to evaluate whether resident performance of placing central lines improved after simulation training oil newly available partial-task-simulators. METHODS: This Study was designed as a prospective, randomized controlled trial of standard training Versus simulated training using CentralLine Mail (SimuLab, Seattle, WA, USA). After receiving a lecture oil central line placement, all junior residents oil the trauma rotation were randomized on a monthly alternating schedule. Equivalency Of groups wits determined with a self-reported survey. All lines placed by the participants were monitored, and data were collected on performance and complications. RESULTS: The 2 groups (n = 34: 21 standard and 13 simulated) were equivalent at baseline. The simulated training group had a significantly higher level of comfort and ability than the standard training group. The simulated group Outperformed the standard group Oil 12 of the 15 specific variables monitored. although this did not reach statistical significance. There were significantly more complications in the standard group. CONCLUSIONS: Simulation for central line placement using a partial-task simulator does positively impact resident performance. (C) 2009 Elsevier Inc. All rights reserved.