Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Feb 28:49:e20223099.
doi: 10.1590/0100-6991e-20223099. eCollection 2022.

Assembly and use of a low-cost paracentesis simulator for the teaching of puncture and drainage of ascites

[Article in English, Portuguese]
Breno Wellington Mesquita Silveira  1 , Luana Akemi Alves Araújo  1 , Lucas DE Souza Albuquerque  1 , Felipe DE Oliveira Vasconcelos  1 , Erick Batista DE Medeiros Lima  1 , Annya Costa Araújo DE Macedo Góes  1   2 , Lara Burlamaqui Veras  1   2
Affiliations

Assembly and use of a low-cost paracentesis simulator for the teaching of puncture and drainage of ascites

[Article in English, Portuguese]
Breno Wellington Mesquita Silveira et al. Rev Col Bras Cir. .

Abstract
in English, Portuguese

Objectives: to describe the assembly of a low-cost paracentesis simulator and evaluate its effectiveness, acceptance and impact on the learning of medical students.

Methodology: a paracentesis simulator was built using a mannequin and materials such as plastic bottles, Velcro, polyvinyl chloride sheets and silicone were used. A cross-sectional and experimental study was carried out with undergraduate medical students without previous practical experience with paracentesis, which sought to validate the model, evaluating its benefits in learning and obtaining technical skills.

Results: after using the simulator there was an increase of 82.4% in the level of confidence in performing paracentesis in a patient, with 98% of respondents considering that the model fulfilled the simulator function with satisfaction, and 100% considering it useful as a teaching tool.

Conclusion: the built simulator was effective as an educational resource, serving as an alternative to high-cost commercial models, allowing for greater accessibility in the use of this tool in medical education.

Objetivos:: descrever a montagem de simulador de paracentese de baixo custo e avaliar eficácia, aceitação e impacto no aprendizado de acadêmicos do curso de medicina.

Método:: um simulador de paracentese foi construído a partir de manequim e de materiais como garrafas plásticas, velcro, folhas de policloreto de vinila e silicone. Foi feito estudo transversal com estudantes da graduação do curso de medicina sem experiência real prévia com paracentese, que buscou validar o modelo, por meio da análise de benefícios no aprendizado e na obtenção de habilidades técnicas.

Resultados:: após o uso do simulador, observou-se aumento de 82,4% no nível de segurança na realização da paracentese em paciente, 98% dos pesquisados consideraram que o uso do modelo cumpriu com satisfação a função de simulador e 100% definiram-no útil como ferramenta de ensino.

Conclusão:: a montagem do simulador mostrou-se factível e eficaz como recurso educacional. Serviu como alternativa aos modelos comerciais de alto custo e permitiu maior acessibilidade do uso dessa ferramenta na educação médica.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: no.

Figures

Figure 1
Figure 1. Pre-simulation front view (top left figure), vision during aspiration (top right figure), dorsal external view (bottom left figure), internal dorsal view (bottom right figure).
Figure 2
Figure 2. Simulator layer scheme and comparison between simulator and abdominal wall layers.
See this image and copyright information in PMC

References

    1. Andrade DRd, Júnior, Galvão FHF, Santos SAd, Andrade DRd. Ascite estado da arte baseado em evidências. Rev. Assoc. Med. Bras. 2009;55(4):489–496. doi: 10.1590/S0104-42302009000400028. - DOI - PubMed
    1. Barsuk JH, Feinglass J, Kozmic SE, Hohmann SF, Ganger D, Wayne DB. Specialties performing paracentesis procedures at university hospitals implications for training and certification. J Hosp Med. 2014;9(3):162–168. doi: 10.1002/jhm.2153. - DOI - PubMed
    1. Mesquita DAK, Queiroz EF, Oliveira MA, Cunha CMQ, Maia FM, Correa RV. The old one technique in a new style developing procedural skills in paracentesis in a low cost simulator model. Arq. Gastroenterol. 2018;55(4):375–379. doi: 10.1590/S0004-2803.201800000-81. - DOI - PubMed
    1. De Gottardi A, Thévenot T, Spahr L, Morard I, Bresson-Hadni S, Torres F. Risk of complications after abdominal paracentesis in cirrhotic patients a prospective study. Clin Gastroenterol Hepatol. 2009;7(8):906–909. doi: 10.1016/j.cgh.2009.05.004. - DOI - PubMed
    1. Dourado ASS, Giannella TR. Ensino baseado em simulação na formação continuada de médicos análise das percepções de alunos e professores de um Hospital do Rio de Janeiro. Rev. bras. educ med. 2014;38(4):460–469. doi: 10.1590/S0100-55022014000400007. - DOI