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ORIGINAL ARTICLE
Year : 2019  |  Volume : 30  |  Issue : 4  |  Page : 184-190

Sonography-assisted seldinger wire technique: A safe way of a suprapubic catheterization training program for rotating staff


1 Department of Surgery, Devision of Urology, Changhua Christian Hospital, Changhua, Taiwan
2 Epidemiology and Biostatics Center, Changhua Christian Hospital, Changhua, Taiwan
3 Department of Medical Education, Changhua Christian Hospital, Changhua, Taiwan

Correspondence Address:
Pao-Hwa Chen
Department of Surgery, Changhua Christian Hospital, Changhua
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/UROS.UROS_19_19

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Context: In Changhua Christian Hospital (CCH), the urology division is a branch of the surgical department. The urology residents in this division are, on average, off duty for 10 days/month; surgical residents from other divisions usually lack training to practice urology. Therefore, attending urology doctors or visiting urology staff members in CCH branches must be on call during off-duty periods in case a patient is indicated for suprapubic cystostomy. Aims:This study aims to promote a safe and efficient approach to train rotating residents to perform suprapubic catheterization. Subjects and Methods: On the basis of ultrasound-guided central venous catheter insertion, we designed training sessions for suprapubic cystostomy for rotating surgical residents during their urology course. Participants and Methods: From 2016 to 2018, senior residents or attending doctors of urology evaluated the clinical skills of rotating residents by using the direct observation of procedural skills tool before and after the training course. Statistical Analysis Used: Mann–Whitney U-test, Wilcoxon signed rank test, and multiple linear regression analysis. Results: The trainees were separated into different groups according to their sex, year of residency, and previous urology training in the postgraduate year (PGY). All groups had significant gain scores. Our multiple linear regression analysis revealed a relationship between previous urology training in the PGY and gain scores and between overall pretest score and gain scores. Conclusions: Real-time ultrasound-guided catheterization with a Seldinger wire is a safe and efficient approach to train rotating residents to perform suprapubic catheterization.


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