This ultrasound compatible model is a multifaceted trainer that facilitates training in thoracentesis and pericardiocentesis. The combined model allows trainees to use the clear ultrasound image provided to accurately perform both procedures.
The Thoracentesis Trainer accommodates mid-scapular line access and mid-axillary line access, whilst the strap-on units allow for the use of a simulated patient in a training scenario.
The ability to pierce the pericardial sac using ultrasound guidance provides learners with the platform to repeatedly practice patient safety during the pericardiocentesis procedure.
Overview
Excellent ultrasound image
Anatomically correct puncture sites reproduce realistic needle-top resistance and sensation
Clear feedback on successful or unsuccessful procedures
Strap-on units enhance the learning of patient positioning and professional-to-patient communication
Durable and replaceable puncture pads
Realism
Thoracentesis
Palpable ribs
Pericardiocentesis
Realistic needle tip feeling when the needle pierces the pericardial sac
Confirmation of ventricles, ribs, pericardium, liver and main artery under ultrasound scanning
Versatility
Two sites for access: right mid-scapular line and left mid-axillary line on the Thoracentesis Trainer
Volume of pleural effusion can be controlled on the Thoracentesis Trainer to set different levels of challenges
The upper torso manikin can be set in different positions to learn patient positioning for both procedures
Anatomy
Left Xiphisternal junction (Larrey’s point)
Anatomical parts include ribs, pleura, soft tissue and diaphragm
Mid-axillary line: 6-9th ribs
Mid-scapular line: 8-11th ribs
Skills Gained
Thoracentesis
Recognition of anatomical landmarks using ultrasound
Assessment of level and volume of pleural effusion
Determination of insertion site
Needle insertion and collection of fluid
Patient positioning
Pericardiocentesis
Ability to practice both the subxiphoid approach and parasternal approach
Visualization of pericardial fluid using ultrasound scanning
Landmark palpation
Identification of ‘Larrey’s point’ for needle insertion
Needle insertion to the pericardial space
Aspiration of pericardial effusion
Patient positioning
References
ICM Curriculum: Supporting Excellence for a CCT in Intensive Care Medicine, The Faculty of Intensive Care Medicine, 2021.
Drainage of fluid.
Trauma & Orthopaedic Surgery Curriculum, Intercollegiate Surgical Curriculum Programme, 2021
Draining of fluid
