Hospital de Sabadell

Methodology

  1. Theoretical introduction of concepts applied of each topic. Description of the technical aspects of different procedures, indication and techniques.
  2. Representative clinical cases for attendees to solve. In interactive electronic student self-assessment sessions.
  3. Hands-on sessions:
    • Principles to practice. Skills training: education and simulation
    • Participants rotating through 4 areas
    • 120 minutes for each topic
    • Small group training sessions close interaction with faculty
    • Participants will learn how to use or improve the skills with currently available devices for different procedures. Experienced tutors will discuss technical tips and tricks.
    • With Simulation Models, the attendee will learn:
      • How to perform the procedures
      • Manage procedural complications
      • Tips and tricks
  4. Surgery transmitted live from the operating room. On previously mapped vascular access.

Areas

  1. Vascular Access Ultrasonography
    • Review of the theory of the physical principles of ultrasound applied to different homodynamic models of vascular access.
    • Theoretical and practical sessions on ultrasound mapping and diagnosis of vascular access pathology. From the simple to the complex.
    • Hands-on practice with patients for presurgical mapping and fistula examination. With normal vascular access and with different types of pathology (stenosis, thrombosis, aneurysms, deep veins, etc.), giving students the opportunity to apply the theoretical knowledge they have acquired. Different models of ultrasound devices will be used.
  2. Hemodialysis Catheter
    • Review of techniques and approaches. Temporary and tunnelled catheter placement, from puncture to tunnel creation
    • From classroom simulation to the examinations done by students.
    • Hands-on sessions on study of cervical and femoral human anatomy in patients, ultrasound-guided venipuncture, ultrasound-guided puncture for central line placement on simulation models with review of techniques and approaches (human torso, phantom, and biological models such as turkey). Temporary and tunnelled catheter placement, from puncture to the tunnel creation.
  3. Endovascular Vascular Access Procedures
    • Review of the principles underlying the endovascular procedures used in different treatments of vascular access pathology.
    • Hands-on practice sessions aimed at vascular treatment of different pathologies with simulation models. Simulation models will be used for treating endovascular stenosis with transluminal angioplasty/stenting procedure, thrombosis with thrombectomy; collaterals with coils deployment, etc.
  4. Vascular Access Surgery
    • Review of the principles underlying the surgical procedures applied in arteriovenous fistula creation, both native and prosthetic and its surgical approach in complications.
    • Hands-on practical demonstration of various suture techniques for arterial and venous anastomoses. Vascular access reconstruction in different pathological conditions. Simulation models will be used.