Skip to main content

Obstetric Ultrasound-Guided Invasive Procedure Simulation

  • Chapter
  • First Online:
Comprehensive Healthcare Simulation: Obstetrics and Gynecology

Part of the book series: Comprehensive Healthcare Simulation ((CHS))

Abstract

Simulation is a necessary tool to help in the teaching and maintenance of skill for ultrasound guidance of a needle, catheter, or stent. We describe a “common core” approach to train residents or fellows to perform ultrasound-guided needle procedures. This approach can be utilized by all medical and surgical specialties and subspecialties to help their learners obtain significant skill with needle guidance even before performing actual procedures in the clinical setting. More importantly, these models can be utilized to refine specific skill maneuvers for areas of deficiency or to augment ongoing incremental improvement. We will discuss the utility of different curricular approaches and specific task trainers—both commercially available and self-constructed—for obstetric invasive ultrasound-guided needle procedures, including amniocentesis, transabdominal and transcervical chorionic villus sampling (CVS), percutaneous umbilical blood sampling (PUBS), and in utero stenting.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Leschot NJ, Verjaal M, Treffers PE. Risks of midtrimester amniocentesis; assessment in 3000 pregnancies. Br J Obstet Gynaecol. 1985;92:804–7.

    Article  CAS  Google Scholar 

  2. Verjaal M, Leschot NJ, Treffers PE. Risk of amniocentesis and laboratory findings in a series of 1500 prenatal diagnoses. Prenat Diagn. 1981;1:173–81.

    Article  CAS  Google Scholar 

  3. Nizard J, Duyme M, Ville Y. Teaching ultrasound-guided invasive procedures in fetal medicine: learning curves with and without an electronic guidance system. Ultrasound Obstet Gynecol. 2002;19:274–7.

    Article  CAS  Google Scholar 

  4. Wijnberger LD, van der Schouw YT, Christiaens GC. Learning in medicine: chorionic villus sampling. Prenat Diagn. 2000;20:241–6.

    Article  CAS  Google Scholar 

  5. Tongprasert F, Srisupundit K, Luewan S, Phadungkiatwattana P, Pranpanus S, Tongsong T. Midpregnancy cordocentesis training of maternal-fetal medicine fellows. Ultrasound Obstet Gynecol. 2010;36:65–8.

    Article  CAS  Google Scholar 

  6. AIUM practice parameter for the performance of selected ultrasound-guided procedures. http://www.aium.org/resources/guidelines/usGuidedProcedures.pdf. Cited 7 Mar 2017.

  7. Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306:978–88.

    CAS  PubMed  Google Scholar 

  8. Cooke DT, Jamshidi R, Guitron J, Karamichalis J. The virtual surgeon: using medical simulation to train the modern surgical resident. Bull Am Coll Surg. 2008;93:26–31.

    PubMed  Google Scholar 

  9. Ross AJ, Kodate N, Anderson JE, Thomas L, Jaye P. Review of simulation studies in anaesthesia journals, 2001–2010: mapping and content analysis. Br J Anaesth. 2012;109:99–109.

    Article  CAS  Google Scholar 

  10. McLaughlin S, Fitch MT, Goyal DG, Hayden E, Kauh CY, Laack TA, et al. Simulation in graduate medical education 2008: a review for emergency medicine. Acad Emerg Med. 2008;15:1117–29.

    Article  Google Scholar 

  11. Crofts JF, Bartlett C, Ellis D, Fox R, Draycott TJ. Documentation of simulated shoulder dystocia: accurate and complete? BJOG. 2008;115:1303–8.

    Article  CAS  Google Scholar 

  12. Crofts JF, Fox R, Ellis D, Winter C, Hinshaw K, Draycott TJ. Observations from 450 shoulder dystocia simulations: lessons for skills training. Obstet Gynecol. 2008;112:906–12.

    Article  Google Scholar 

  13. Draycott TJ, Crofts JF, Ash JP, Wilson LV, Yard E, Sibanda T, et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol. 2008;112:14–20.

    Article  Google Scholar 

  14. Goffman D, Heo H, Chazotte C, Merkatz IR, Bernstein PS. Using simulation training to improve shoulder dystocia documentation. Obstet Gynecol. 2008;112:1284–7.

    Article  Google Scholar 

  15. Goffman D, Heo H, Pardanani S, Merkatz IR, Bernstein PS. Improving shoulder dystocia management among resident and attending physicians using simulations. Am J Obstet Gynecol. 2008;199:294 e1–5.

    Article  Google Scholar 

  16. Daniels K, Parness AJ. Development and use of mechanical devices for simulation of seizure and hemorrhage in obstetrical team training. Simul Healthc. 2008;3:42–6.

    Article  Google Scholar 

  17. Hong A, Mullin PM, Al-Marayati L, Peyre SE, Muderspach L, Macdonald H, et al. A low-fidelity total abdominal hysterectomy teaching model for obstetrics and gynecology residents. Simul Healthc. 2012;7:123–6.

    Article  Google Scholar 

  18. Lentz GM, Mandel LS, Goff BA. A six-year study of surgical teaching and skills evaluation for obstetric/gynecologic residents in porcine and inanimate surgical models. Am J Obstet Gynecol. 2005;193:2056–61.

    Article  Google Scholar 

  19. Lentz GM, Mandel LS, Lee D, Gardella C, Melville J, Goff BA. Testing surgical skills of obstetric and gynecologic residents in a bench laboratory setting: validity and reliability. Am J Obstet Gynecol. 2001;184:1462–8; discussion 1468–70.

    Article  CAS  Google Scholar 

  20. Goff BA, VanBlaricom A, Mandel L, Chinn M, Nielsen P. Comparison of objective, structured assessment of technical skills with a virtual reality hysteroscopy trainer and standard latex hysteroscopy model. J Reprod Med. 2007;52:407–12.

    Google Scholar 

  21. Gurusamy K, Aggarwal R, Palanivelu L, Davidson BR. Systematic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery. Br J Surg. 2008;95:1088–97.

    Article  CAS  Google Scholar 

  22. Gurusamy KS, Aggarwal R, Palanivelu L, Davidson BR. Virtual reality training for surgical trainees in laparoscopic surgery. Cochrane Database Syst Rev. 2009;8:CD006575.

    Google Scholar 

  23. Savran MM, Sorensen SM, Konge L, Tolsgaard MG, Bjerrum F. Training and assessment of hysteroscopic skills: a systematic review. J Surg Educ. 2016;73:906–18.

    Article  Google Scholar 

  24. Hefler L, Grimm C, Kueronya V, Tempfer C, Reinthaller A, Polterauer S. A novel training model for the loop electrosurgical excision procedure: an innovative replica helped workshop participants improve their LEEP. Am J Obstet Gynecol. 2012;206:535 e1–4.

    Article  Google Scholar 

  25. Tongprasert F, Wanapirak C, Sirichotiyakul S, Piyamongkol W, Tongsong T. Training in cordocentesis: the first 50 case experience with and without a cordocentesis training model. Prenat Diagn. 2010;30:467–70.

    PubMed  Google Scholar 

  26. Amniocentesis and Chorionic Villus Sampling. Royal College of Obstetricians and Gynaecologists. https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_8.pdf. Accessed 9 Sep 2018.

  27. Nitsche JF, Shumard KM, Brost BC. Development and assessment of a novel task trainer and targeting tasks for ultrasound-guided invasive procedures. Acad Radiol. 24(6):700–8.

    Article  Google Scholar 

  28. Zubair I, Marcotte MP, Weinstein L, Brost BC. A novel amniocentesis model for learning stereotactic skills. Am J Obstet Gynecol. 2006;194:846–8.

    Article  Google Scholar 

  29. McWeeney DT, Schwendemann WD, Nitsche JF, Rose CH, Davies NP, Watson WJ, et al. Transabdominal and transcervical chorionic villus sampling models to teach maternal-fetal medicine fellows. Am J Perinatol. 2012;29:497–502.

    PubMed  Google Scholar 

  30. Wax JR, Cartin A, Pinette MG. The birds and the beans: a low-fidelity simulator for chorionic villus sampling skill acquisition. J Ultrasound Med. 2012;31:1271–5.

    Article  Google Scholar 

  31. Grace D, Thornburg LL, Grey A, Ozcan T, Pressman EK. Training for percutaneous umbilical blood sampling during Maternal Fetal Medicine fellowship in the United States. Prenat Diagn. 2009;29:790–3.

    Article  Google Scholar 

  32. Mcweeney D, Nitsche J, White W, Rose C, Davies N, Watson W, et al. Periumbilical blood sampling and intravascular transfusion model to teach maternal-fetal medicine fellows. Am J Obstet Gynecol. 2009;201:380.

    Google Scholar 

  33. Timor-Tritsch IE, Yeh MN. In vitro training model for diagnostic and therapeutic fetal intravascular needle puncture. Am J Obstet Gynecol. 1987;157:858–9.

    Article  CAS  Google Scholar 

  34. Angel JL, O'Brien WF, Michelson JA, Knuppel RA, Morales WJ. Instructional model for percutaneous fetal umbilical blood sampling. Obstet Gynecol. 1989;73:669–71.

    CAS  PubMed  Google Scholar 

  35. Nitsche JF, McWeeney DT, Schwendemann WD, Rose CH, Davies NP, Watson W, et al. In-utero stenting: development of a low-cost high-fidelity task trainer. Ultrasound Obstet Gynecol. 2009;34:720–3.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joshua F. Nitsche .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Nitsche, J.F., Brost, B.C. (2019). Obstetric Ultrasound-Guided Invasive Procedure Simulation. In: Deering, S., Auguste, T., Goffman, D. (eds) Comprehensive Healthcare Simulation: Obstetrics and Gynecology. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-319-98995-2_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98995-2_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98994-5

  • Online ISBN: 978-3-319-98995-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics