Experience of the first 50 cases of cordocentesis after training with model

Objective: To describe the experience of the first 50 cases of cordocentesis after practicing with cordocentesis model. Material and Method: Cordocentesis model consisted of a water-filled transparent glass box covered with a rubber latex sheet with or without piece of pork skin. A 30-cm umbilical c...

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Main Authors: Fuanglada Tongprasert, Theera Tongsong, Chanane Wanapirak, Supatra Sirichotiyakul, Wirawit Piyamongkol, Pharuhas Chanprapaph
Format: Journal
Published: 2018
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Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=22744453842&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/62386
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-623862018-09-11T09:26:31Z Experience of the first 50 cases of cordocentesis after training with model Fuanglada Tongprasert Theera Tongsong Chanane Wanapirak Supatra Sirichotiyakul Wirawit Piyamongkol Pharuhas Chanprapaph Medicine Objective: To describe the experience of the first 50 cases of cordocentesis after practicing with cordocentesis model. Material and Method: Cordocentesis model consisted of a water-filled transparent glass box covered with a rubber latex sheet with or without piece of pork skin. A 30-cm umbilical cord filled with mercurochrome, hung inside the container, was the target for the puncture. As in real practice, the trainee had to try to aspirate the red mercurochrome from the umbilical cord using a spinal needle under ultrasonographic guidance. After practicing with the model for 300 procedures, the trainee was allowed to perform cordocentesis on pregnant women at gestational age of 18-22 weeks by herself under expert supervision with time limit of 30 minutes. The procedure not successful in 30 minutes was considered failure. Duration of procedures, placental site, puncture site, and related complications were recorded for subsequent analysis. Results: After practicing with model for 300 procedures, real cordocentesis was performed by the trainee on 50 pregnant women. The success rate in obtaining fetal blood within 30 minutes was 100%. Most of them (92%) took less than 10 minutes to complete the procedure. Puncture site bleeding and fetal bradycardia were the most common immediate complications, found in 30% and 8% respectively, and spontaneously resolved within few minutes. Conclusion: Without any fetal and maternal jeopardy, cordocentesis model is simple, inexpensive but highly effective for the beginner to gain their experience, skill and prepare themselves for cordocentesis with confidence. However, the reduction of fetal loss rate with the training program remains to be further tested. 2018-09-11T09:26:31Z 2018-09-11T09:26:31Z 2005-06-01 Journal 01252208 2-s2.0-22744453842 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=22744453842&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/62386
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Fuanglada Tongprasert
Theera Tongsong
Chanane Wanapirak
Supatra Sirichotiyakul
Wirawit Piyamongkol
Pharuhas Chanprapaph
Experience of the first 50 cases of cordocentesis after training with model
description Objective: To describe the experience of the first 50 cases of cordocentesis after practicing with cordocentesis model. Material and Method: Cordocentesis model consisted of a water-filled transparent glass box covered with a rubber latex sheet with or without piece of pork skin. A 30-cm umbilical cord filled with mercurochrome, hung inside the container, was the target for the puncture. As in real practice, the trainee had to try to aspirate the red mercurochrome from the umbilical cord using a spinal needle under ultrasonographic guidance. After practicing with the model for 300 procedures, the trainee was allowed to perform cordocentesis on pregnant women at gestational age of 18-22 weeks by herself under expert supervision with time limit of 30 minutes. The procedure not successful in 30 minutes was considered failure. Duration of procedures, placental site, puncture site, and related complications were recorded for subsequent analysis. Results: After practicing with model for 300 procedures, real cordocentesis was performed by the trainee on 50 pregnant women. The success rate in obtaining fetal blood within 30 minutes was 100%. Most of them (92%) took less than 10 minutes to complete the procedure. Puncture site bleeding and fetal bradycardia were the most common immediate complications, found in 30% and 8% respectively, and spontaneously resolved within few minutes. Conclusion: Without any fetal and maternal jeopardy, cordocentesis model is simple, inexpensive but highly effective for the beginner to gain their experience, skill and prepare themselves for cordocentesis with confidence. However, the reduction of fetal loss rate with the training program remains to be further tested.
format Journal
author Fuanglada Tongprasert
Theera Tongsong
Chanane Wanapirak
Supatra Sirichotiyakul
Wirawit Piyamongkol
Pharuhas Chanprapaph
author_facet Fuanglada Tongprasert
Theera Tongsong
Chanane Wanapirak
Supatra Sirichotiyakul
Wirawit Piyamongkol
Pharuhas Chanprapaph
author_sort Fuanglada Tongprasert
title Experience of the first 50 cases of cordocentesis after training with model
title_short Experience of the first 50 cases of cordocentesis after training with model
title_full Experience of the first 50 cases of cordocentesis after training with model
title_fullStr Experience of the first 50 cases of cordocentesis after training with model
title_full_unstemmed Experience of the first 50 cases of cordocentesis after training with model
title_sort experience of the first 50 cases of cordocentesis after training with model
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=22744453842&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/62386
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