Adaptation of non-technical skills behavioural markers for delivery room simulation.

Background: Simulation in healthcare has proved to be a useful method in improving skills and increasing the safety of clinical operations. The debriefing session, after the simulated scenario, is the core of the simulation, since it allows participants to integrate the experience with the theoretical frameworks and the procedural guidelines. There is consistent evidence for the relevance of non-technical skills (NTS) for the safe and efficient accomplishment of operations.

Ultrasound localization of central vein catheter and detection of postprocedural pneumothorax: an alternative to chest radiography.

Objective: To determine the usefulness of ultrasound to evaluate central venous catheter misplacements and detection of pneumothorax, thus obviating postprocedural radiograph. After the insertion of a central venous catheter, chest radiograph is usually obtained to ensure correct positioning of the catheter tip and detect postprocedural complications.

Design: Prospective observational study.

Ultrasound-guided central venous cannulation in bariatric patients.

Background: Central venous catheterization may be difficult in morbidly obese patients because anatomic landmarks are often obscured.

Methods: We evaluated the efficacy and safety of ultrasound-guided central venous cannulation in 55 patients undergoing bariatric surgery. The usefulness of ultrasonic examination combined with intraatrial electrocardiogram as a diagnostic tool for catheter misplacement was studied.