INTRODUCTION:Suprapubic catheter (SPC) insertion is a basic skill required of surgical trainees. It is likely a trainee's first attempt at the procedure, will be undertaken without direct supervision at night and without access to aids of catheterization. Unfortunately, lack of simulation models and unpredictability of when SPCs are required, make it difficult to acquire this skill. Therefore, junior doctors frequently persist with urethral catheterization, with an increased risk of urethral injury. Improper catheterization has been cited as the causative factor for urethral strictures. The aim of this study was to develop an SPC model and assess its influence on a trainee's confidence in this procedure.TECHNICAL CONSIDERATIONS:An SPC model needs to fulfill a number of criteria. It should have anatomic characteristics of a bladder and provide realistic visual and sensory feedback. Cost effective copies of the model, which are able to be rapidly cycled through simulations are needed for effective clinical workshops. Finally, a trainee's understanding and confidence in performing the procedure should increase after using it. This prototype model has 3 anatomic parts: the bladder, the anterior abdominal wall, and the housing abdominal box. The most crucial component is the bladder, which is a balloon with Mefix tape that prevents leaking and "popping" on trocar insertion.CONCLUSION:This SPC model can be readily replicated by most clinical school and easily added to surgical workshops to ensure that trainees have hands on experience with this procedure before being required to perform it on patients.
ANZ Journal of SurgeryVolume 83, Issue 11 p. 892-892 LETTER TO THE EDITOR Orientation of junior surgical staff to a surgical service Graeme Thompson FRACS, Graeme Thompson FRACS Surgery, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorJohn Mulder FRACP, FCICM, John Mulder FRACP, FCICM Intensive Care Unit, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorJanet Beer RN, CCRN, GradCert (Education and Training), Janet Beer RN, CCRN, GradCert (Education and Training) Simulation Centre, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorMatthew Croxford FRACS, Matthew Croxford FRACS Surgery, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorDavid Mai MBBS, David Mai MBBS Simulation Centre, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorTodd Mason, Todd Mason Simulation Centre, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this author Graeme Thompson FRACS, Graeme Thompson FRACS Surgery, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorJohn Mulder FRACP, FCICM, John Mulder FRACP, FCICM Intensive Care Unit, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorJanet Beer RN, CCRN, GradCert (Education and Training), Janet Beer RN, CCRN, GradCert (Education and Training) Simulation Centre, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorMatthew Croxford FRACS, Matthew Croxford FRACS Surgery, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorDavid Mai MBBS, David Mai MBBS Simulation Centre, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this authorTodd Mason, Todd Mason Simulation Centre, Western Health, Footscray, Victoria, AustraliaSearch for more papers by this author First published: 29 October 2013 https://doi.org/10.1111/ans.12376Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume83, Issue11November 2013Pages 892-892 RelatedInformation