Medical Modelling Design and Production of Ultrasound-Guided Internal Jugular Vein for Residency Training Medical Modelling Design

Main Article Content

Wangcha Chumtap
Nopphol Pausawasdi
Khamin Chinsakchai
Tanyaporn Nakornchai

Abstract

Objective: To develop an ultrasound-guided internal jugular vein model for residency training


Materials and Methods: The researcher invited seven medical professionals within the Faculty of Medicine Siriraj Hospital who had experience in ultrasound-guided internal jugular vein procedure with real patients and had at least 3 years of teaching and training as resident physicians, aged between 35 - 60 years, to test the performance and features of an ultrasound-guided internal jugular vein model. The objective was to test the properties of silicone rubber suitable for viewing ultrasound images before producing a mannequin. This model consisted of interesting three parts: subcutaneous fat, subcutaneous silicone rubber, skin, and blood vessels. The properties and performance of the model were tested according to the procedure using ultrasound-guided internal venous catheter insertion in the jugular, and a satisfaction assessment form from seven medical specialists was used to evaluate the model.


Results: All seven medical professionals tested the properties of silicone rubber and found that silicone rubber E is suitable for replacing the subcutaneous fat layer, silicone rubber F is suitable for replacing the skin, and J silicone rubber is suitable for replacing blood vessels. The test of the model's properties indicated a level of satisfaction at the "very satisfied" level. The evaluation of the model's effectiveness in the ultrasound-guided internal venous catheter insertion procedure was at the level of satisfaction, ranging from "good".


Conclusion: The researcher has successfully developed a qualified ultrasound-guided internal jugular vein model that can be effectively used for teaching and learning purposes.

Article Details

How to Cite
1.
Chumtap W, Pausawasdi N, Chinsakchai K, Nakornchai T. Medical Modelling Design and Production of Ultrasound-Guided Internal Jugular Vein for Residency Training: Medical Modelling Design. Siriraj Med Bull [Internet]. 2024 Jan. 1 [cited 2024 Nov. 5];17(1):29-37. Available from: https://he02.tci-thaijo.org/index.php/simedbull/article/view/263493
Section
Original Article

References

Rivera AM, Strauss KW, van Zundert AA, Mortier EP. Matching the peripheral intravenous catheter to the in- dividual patient. Acta Anaesthesiol Belg 2007;58:19-25.

Feldman R. Central venous access. In: Richman E,Simon M, editors. Emergency medicine procedure.United States: McGrawHill;2002.

Paula Ferrada. How To Do Internal Jugular Vein Cannulation, Ultrasound-Guided 2020 Available from: https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-central-vascular-procedures/how-to-do-internal-jugular-vein-cannulation,-ultrasound-guided.

Joshua Kolikof, Katherine Peterson, Annalee M. Baker. Central Venous Catheter. StatPearls. 2022.

อลิสสรา วณิชกุลบดี. บทบาทการใช้คลื่นเสียงความถี่สูงในห้องฉุกเฉิน.วชิรเวชสารและวารสารเวชศาสตร์เขตเมือง. 2016;60(4):297-308.

Young, M. P., Yuo, T. H., Manaker, S., & Hall, K. K. Overview of complications of central venous catheters and their prevention in adults.

KARAKITSOS, Dimitrios, et al. Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Critical Care, 2006, 10.6:1-8.

Schofer JM, Nomura JT, Bauman MJ, Sierzenski PR. Prospective durability testing of a vascular access phantom. The Western Journal of Emergency Medicine. 2010;11(4):302-305.

ÁLVAREZ, JM López, et al. Revision of Training Models on Ultrasound-Guided Vascular Access. Presentation of an Animal Model. Ultrasound Imaging: Current Topics, 2022, 117.

ยาใจ อภิบุณโยภาส. การใส่สายสวนหลอดเลือดดำส่วนกลาง. ธรรมศาสตร์เวชสาร 2557. 14;1:79-92.

Margaret Lin-Martore MD, Shruti Kant MBBS, Bridget C. O’Brien Ph.D. Procedural skill maintenance: Perspectives and motivations of pediatric emergency medicine faculty. AEM Education and Training 2021;5:4.

Phrampus PE. Simulation and integration into patient safety systems. Simul Healthcare. 2018;13(4):225–226.

EnvironMolds. What is Condensation Cure and Addition Cure Silicone? 2022 [cited 2022 Oct 1]. Available from: https://www.artmolds.com/condensation-addition-cured-silicone

Phadungsak Silakorn, M.sc., Wangcha Chumthap, BSc., Somchai Chongpipatchaiporn, B.Sc., Arsada Khunvut, B.Sc., Supenya Vsrothai, M.D. : Silicone Rubber Development for Medical Model Production. Siriraj Med J 2015; 67: 123-127.

Brick In The Yard Mold Supply. [cited 2018 February 11]. RTV Silicone Tutorial: Shore A Scale [Video file]. Available from: https://www.youtube.com/watch?v=Oj9fwv6BcUM

กรวีร์ เทพสัมฤทธิ์พร. Acute Venous Catheterization in General Practice. ม.ป.ป. 499-505.

LEE, Jeong Gil, et al. Effect of Trendelenburg position on right and left internal jugular vein cross-sectional area. Korean Journal of Anesthesiology, 2014, 67.5:305-309.

JUDICKAS, Šarūnas, et al. Is the Trendelenburg position the only way to better visualize internal jugular veins?. ACTA Medica Lituanica, 2018, 25.3:125.