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2015 ; 16
(ä): 209
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Teaching percutaneous renal biopsy using unfixed human cadavers
#MMPMID26652156
Oliver SW
; Patel RK
; Ali KA
; Geddes CC
; MacKinnon B
BMC Nephrol
2015[Dec]; 16
(ä): 209
PMID26652156
show ga
BACKGROUND: Percutaneous renal biopsy (PRB) is an important diagnostic procedure.
Despite advances in its safety profile there remains a small but significant risk
of bleeding complications. Traditionally, operators train to perform PRB through
tutor instruction and directly supervised PRB attempts on real patients. We
describe an approach to teaching operators to perform PRB using cadaveric
simulation. METHODS: We devised a full day course hosted in the Clinical Anatomy
Skills Centre, with places for nine candidates. Course faculty consisted of two
Consultant Nephrologists, two Nephrology trainees experienced in PRB, and one
Radiologist. Classroom instruction included discussion of PRB indications, risk
minimisation, and management of complications. Two faculty members acted as
models for the demonstration of kidney localisation using real-time ultrasound
scanning. PRB was demonstrated using a cadaveric model, and candidates then
practised PRB using each cadaver model. RESULTS: Written candidate feedback was
universally positive. Faculty considered the cadaveric model a realistic
representation of live patients, while the use of multiple cadavers introduced
anatomical variation. CONCLUSIONS: Our model facilitates safe simulation of a
high risk procedure. This might reduce serious harm associated with PRB and
improve patient safety, benefiting trainee operators and patients alike.