{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:18:38Z","timestamp":1783653518169,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":42,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Vet Emergen Crit Care"],"published-print":{"date-parts":[[2026,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To evaluate the effectiveness of teaching novice learners the competency of small\u2010bore wire\u2010guided thoracostomy tube (SBWGTT) placement using point\u2010of\u2010care ultrasound (POCUS)\u2010guided and blind, landmark\u2010guided techniques and assess the complications associated with each technique.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Crossover randomized study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Clinical skills teaching of second\u2010, third\u2010, and fourth\u2010year veterinary students.<\/jats:p>\n <\/jats:sec>\n \n Animals<\/jats:title>\n Sixteen canine cadavers of various breeds, ages, and sexes.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n Thirty second, third and fourth\u2010year DVM students were enrolled. Online and in\u2010person training was completed before collection of cadaver data. Each student was randomized into two of four cadaver groups: POCUS\u2010guided (U) and landmark\u2010guided (L) protocols for either pleural effusion (PE) or pneumothorax (PN). Students placed SBWGTTs into canine cadavers with iatrogenic pleural space pathology (10\u00a0mL\/kg of air and 10\u00a0mL\/kg of fluid infused into each hemithorax); results were recorded.<\/jats:p>\n <\/jats:sec>\n \n Measurements and Main Results<\/jats:title>\n \n Placement time, confidence in SBWGTT placement and ease of placement (using weighted scales), and complications (determined by necropsy) were recorded. Data were parametric. One SBWGTT was missing at necropsy. LPE SBWGTT placement (mean\u00a0\u00b1\u00a0SD: 5.2\u00a0\u00b1\u00a01.1\u00a0min) was faster than UPE (7.9\u00a0\u00b1\u00a02.8\u00a0min,\n p<\/jats:italic>\n \u00a0=\u00a00.0083) and UPN placement (9.0\u00a0\u00b1\u00a02.7\u00a0min,\n p<\/jats:italic>\n \u00a0=\u00a00.0001). LPN placement (4.6\u00a0\u00b1\u00a01.6\u00a0min) was faster than UPN (\n p<\/jats:italic>\n \u00a0<\u00a00.0001) and UPE placement (\n p<\/jats:italic>\n \u00a0=\u00a00.0009). Eleven SBWGTTs were placed extrapleurally with no difference among groups. Four UPE SBWGTTs had intrathoracic complications, which were not different between groups (\n p<\/jats:italic>\n \u00a0>\u00a00.05). Novices felt more confident that SBWGTTs were within the pleural space when using POCUS: UPN (mean\u00a0\u00b1\u00a0SD: 7.2\u00a0\u00b1\u00a02.4) versus LPN (4.4\u00a0\u00b1\u00a02.6,\n p<\/jats:italic>\n \u00a0=\u00a00.0232); LPE (4.6\u00a0\u00b1\u00a02.68) versus UPE (7.1\u00a0\u00b1\u00a02.9,\n p<\/jats:italic>\n \u00a0=\u00a00.0326).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n POCUS\u2010guided SBWGTT placement performed by novices was slower with similar complication rates and higher confidence scores.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/vec.70118","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T14:11:58Z","timestamp":1781273518000},"page":"336-350","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Teaching Clinical Competency: Evaluating POCUS\u2010Guided Versus Landmark Techniques for Thoracostomy Tube Placement in Canine Cadavers by Veterinary Students"],"prefix":"10.1111","volume":"36","author":[{"given":"Katrine E.","family":"Gillett","sequence":"first","affiliation":[{"name":"Faculty of Veterinary Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren R.","family":"Boysen","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cole N.","family":"Harding","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley J.","family":"Finch","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madison E.","family":"Hillstead","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Menard","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine University of Calgary Calgary Alberta 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