A Prospective Randomized Study to Evaluate a New Learning Tool for Ultrasound-Guided Regional Anesthesia

被引:6
作者
Das Adhikary, Sanjib [1 ]
Karanzalis, Demetrius [1 ]
Liu, Wai-Man [2 ]
Hadzic, Admir [3 ]
McQuillan, Patrick M. [1 ]
机构
[1] Milton S Hershey Med Ctr, Dept Anesthesiol & Perioperat Med, Penn State Coll Med, Hershey, PA USA
[2] Australian Natl Univ, Res Sch Finance Actuarial Studies & Appl Stat, Acton, ACT, Australia
[3] Columbia Univ Coll Phys & Surg, Dept Anesthesia, New York, NY USA
关键词
Learning Tool; Needle Insertion; Regional Anesthesia; Ultrasound; AMERICAN-SOCIETY; PAIN-MEDICINE;
D O I
10.1093/pm/pnw287
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objective. To evaluate the effectiveness of a new learning tool for needle insertion accuracy skills during a simulated ultrasound-guided regional anesthesia procedure. Methods. Thirty participants were included in this randomized controlled study. After viewing a prerecorded video of a single, discreet, ultrasound-guided regional anesthesia task, all participants performed the same task three consecutive times (pretest), and needle insertion accuracy skills in a phantom model were recorded as baseline. All participants were then randomized into two groups, experimental and control. The experimental group practiced the task using the new tool, designed with two video cameras, a monitor, and an ultrasound machine where the images from the ultrasound and video of hand movements are viewed simultaneously on the monitor. The control group practiced the task without using the new tool. After the practice session, both groups repeated the same task and were evaluated in the same manner as in the pretest. Results. Participants in both group groups had similar baseline characteristics with respect to previous experience with ultrasound-guided regional anesthesia procedures. The experimental group had significantly better needle insertion accuracy scores (P < 0.01) than the control group. Using the new learning tool, inexperienced participants had better needle insertion accuracy scores (P < 0.01) compared with experienced participants. Conclusions. This study demonstrates that the use of this new learning tool results in short-term improvement in hand-eye, motor, and basic needle insertion skills during a simulated ultrasound-guided regional anesthesia procedure vs traditional practice methods. Skill improvement was greater in novices compared with experienced participants.
引用
收藏
页码:856 / 865
页数:10
相关论文
共 50 条
[41]   Analgesic efficacy of ultrasound-guided regional anesthesia: a meta-analysis [J].
Gelfand, Harold J. ;
Ouanes, Jean-Pierre P. ;
Lesley, Maggie R. ;
Ko, Phebe S. ;
Murphy, Jamie D. ;
Sumida, Shawn M. ;
Isaac, Gillian R. ;
Kumar, Kanupriya ;
Wu, Christopher L. .
JOURNAL OF CLINICAL ANESTHESIA, 2011, 23 (02) :90-96
[42]   Ultrasound-guided regional anesthesia (UGRA) in the emergency department: a scoping review [J].
Mahmood, Syed Mohammad J. ;
Bhana, Nikhil B. ;
Kong, Clarence ;
Theyyunni, Nik ;
Schaeffer, William J. ;
Kropf, Charles W. ;
Klekowski, Nicole T. ;
Munzer, Brendan W. ;
Rotter, Zachary B. ;
Hall, Ashley E. ;
Porath, Jonathan D. ;
Peterson, William J. ;
Tucker, Ryan, V .
PAIN MANAGEMENT, 2024, 14 (10-11) :571-578
[43]   Efficacy of Nalbuphine as an Adjuvant to Ropivacaine in Ultrasound-guided Supraclavicular Brachial Block A Prospective Randomized Controlled Study [J].
Kalika, Prakash ;
Xue, Rui ;
Zheng, Junwei ;
Xiao, Yun ;
Zhen, Ming ;
Ran, Ran .
CLINICAL JOURNAL OF PAIN, 2020, 36 (04) :267-272
[44]   Anesthesiologists ultrasound-guided regional anesthesia core curriculum: a Delphi consensus from Italian regional anesthesia experts [J].
De Cassai, Alessandro ;
Behr, Astrid ;
Bugada, Dario ;
Canzio, Danilo ;
Capelleri, Gianluca ;
Costa, Fabio ;
Danelli, Giorgio ;
De Angelis, Grazia ;
Del Buono, Romualdo ;
Fattorini, Fabrizio ;
Fusco, Pierfrancesco ;
Gori, Fabio ;
Manassero, Alberto ;
Pacini, Ilaria ;
Pascarella, Giuseppe ;
Pannunzi, Mauro Proietti ;
Russo, Gianluca ;
Russo, Raffaele ;
Santonastaso, Domenico Pietro ;
Scardino, Marco ;
Sepolvere, Giuseppe ;
Scimia, Paolo ;
Strumia, Alessandro ;
Tedesco, Mario ;
Tognu, Andrea ;
Torrano, Vito .
JOURNAL OF ANESTHESIA ANALGESIA AND CRITICAL CARE, 2024, 4 (01)
[45]   Ultrasound-Guided Regional Anesthesia-Current Strategies for Enhanced Recovery after Cardiac Surgery [J].
Balan, Cosmin ;
Bubenek-Turconi, Serban-Ion ;
Tomescu, Dana Rodica ;
Valeanu, Liana .
MEDICINA-LITHUANIA, 2021, 57 (04)
[46]   Acquisition of Technical Skills in Ultrasound-Guided Regional Anesthesia Using a High-Fidelity Simulator [J].
Cheung, Jeffrey J. H. ;
Chen, Ewen W. ;
Al-Allaq, Yaseen ;
Nikravan, Nasim ;
Mccartney, Colin J. L. ;
Dubrowski, Adam ;
Awad, Imad T. .
MEDICINE MEETS VIRTUAL REALITY 18, 2011, 163 :119-124
[47]   Ultrasound-Guided Nerve Block Anesthesia [J].
Re, Michela ;
Blanco, Javier ;
Gomez de Segura, Ignacio A. .
VETERINARY CLINICS OF NORTH AMERICA-FOOD ANIMAL PRACTICE, 2016, 32 (01) :133-+
[48]   Learnability of Ultrasound-Guided Locoregional Anesthesia for Carotid Endarterectomy [J].
Seybold, Benjamin ;
Gaier, Nils ;
Ofenloch, Andreas ;
Boeckler, Dittmar ;
Kalenka, Armin ;
Fiedler-Kalenka, Mascha O. .
JOURNAL OF CLINICAL MEDICINE, 2024, 13 (24)
[49]   Ultrasound-guided regional anesthesia: feasibility and effectiveness of teaching via telesimulation in Ethiopia [J].
Liu, Monica ;
Salmon, Margaret ;
Zaidi, Rene ;
Nagdev, Arun ;
Debebe, Finot ;
Muller, Mundenga Furaha ;
Ruhangaza, Cito Furaha ;
Emiru, Haimanot ;
Belachew, Yonas ;
Tumebo, Aklilu ;
Paoletti, Marcus ;
Okrainec, Allan ;
Chan, Vincent ;
Niazi, Ahtsham U. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2021, 46 (08) :722-726
[50]   Optimizing the safety and practice of ultrasound-guided regional anesthesia: the role of echogenic technology [J].
Hocking, Graham ;
Mitchell, Christopher H. .
CURRENT OPINION IN ANESTHESIOLOGY, 2012, 25 (05) :603-609