Ultrasound-Guided Regional Anesthesia

Barrington, Michael J.; Wong, Daniel M.; Slater, Ben; Ivanusic, Jason J.; Ovens, Matthew

doi:10.1097/aap.0b013e3182475fba

Cited by 104 publications

(39 citation statements)

References 23 publications

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“…Quality-compromising behaviors have also been employed in studies investigating the learning curves of skills required for US-guided Regional Anesthesia [7,12]. For the purpose of our trial, we identified 8 behaviors that were applicable to tasks performed on the test phantom models: we used them as outcomes as well as key topics addressed by the instructor during the DL training.…”

Section: Discussionmentioning

confidence: 99%

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How Should Beginners Learn Ultrasound In-Plane Needle Techniques? A Randomized Comparison between Directed- and Self-Learning

Garza¹,

Chalermkitpanit

Leurcharusmee³

et al. 2015

J Anesthe Clinic Res

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Background: With ultrasound (US) guidance, the in-plane (IP) technique allows operators to track the needle in real time during its advancement towards the target nerve. While mastery of the IP technique is instrumental to the success (and safety) of peripheral nerve blocks, the optimal learning strategy for beginners has not been elucidated. In this randomized trial, using phantom gel models, we compared control-, self-and directed-learning for the acquisition of IP needle skills. We hypothesized that, compared to the 2 other groups, directed-learning would require a shorter performance time and fewer needle passes to complete the post-test.

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Section: Discussionmentioning

confidence: 99%

“…Although deliberate practice models have been described for Regional Anesthesia [6,7], a direct comparison between directed and self-learning has not been carried out. Thus, in this randomized trial, using phantom models, we compared self-and directed learning for the acquisition of IP needle skills in novice operators.…”

Section: Introductionmentioning

confidence: 99%

How Should Beginners Learn Ultrasound In-Plane Needle Techniques? A Randomized Comparison between Directed- and Self-Learning

Garza¹,

Chalermkitpanit

Leurcharusmee³

et al. 2015

J Anesthe Clinic Res

View full text Add to dashboard Cite

show abstract

“…The technique required for ultrasound utilization is certainly user dependent. Obtaining an ideal image of the target structure while maintaining visualization of the needle requires practice and experience [7]. This is particularly true when the target structure is deep and the needle insertion angle is more acute.…”

Section: Ultrasound Versus Conventional Imaging Techniquesmentioning

confidence: 99%

Ultrasound-Guided Pain Interventions - A Review of Techniques for Peripheral Nerves

Soneji

Peng

2013

Korean J Pain

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Ultrasound has emerged to become a commonly used modality in the performance of chronic pain interventions. It allows direct visualization of tissue structure while allowing real time guidance of needle placement and medication administration. Ultrasound is a relatively affordable imaging tool and does not subject the practitioner or patient to radiation exposure. This review focuses on the anatomy and sonoanatomy of peripheral non-axial structures commonly involved in chronic pain conditions including the stellate ganglion, suprascapular, ilioinguinal, iliohypogastric, genitofemoral and lateral femoral cutaneous nerves. Additionally, the review discusses ultrasound guided intervention techniques applicable to these structures.

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“…Computer-based VR simulation has been utilized effectively for training in a number of procedural domains, e.g. laparoscopic surgery [ 8 ] and colonoscopy [ 9 ]. Grottke et al [ 10 ] have previously described the development of a virtual reality (VR) simulator for regional anesthesia guided by peripheral nerve stimulation.…”

Section: Introductionmentioning

confidence: 99%

The effect of simulation-based training on initial performance of ultrasound-guided axillary brachial plexus blockade in a clinical setting – a pilot study

et al. 2014

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BackgroundIn preparing novice anesthesiologists to perform their first ultrasound-guided axillary brachial plexus blockade, we hypothesized that virtual reality simulation-based training offers an additional learning benefit over standard training. We carried out pilot testing of this hypothesis using a prospective, single blind, randomized controlled trial.MethodsWe planned to recruit 20 anesthesiologists who had no experience of performing ultrasound-guided regional anesthesia. Initial standardized training, reflecting current best available practice was provided to all participating trainees. Trainees were randomized into one of two groups; (i) to undertake additional simulation-based training or (ii) no further training. On completion of their assigned training, trainees attempted their first ultrasound-guided axillary brachial plexus blockade. Two experts, blinded to the trainees’ group allocation, assessed the performance of trainees using validated tools.ResultsThis study was discontinued following a planned interim analysis, having recruited 10 trainees. This occurred because it became clear that the functionality of the available simulator was insufficient to meet our training requirements. There were no statistically significant difference in clinical performance, as assessed using the sum of a Global Rating Score and a checklist score, between simulation-based training [mean 32.9 (standard deviation 11.1)] and control trainees [31.5 (4.2)] (p = 0.885).ConclusionsWe have described a methodology for assessing the effectiveness of a simulator, during its development, by means of a randomized controlled trial. We believe that the learning acquired will be useful if performing future trials on learning efficacy associated with simulation based training in procedural skills.Trial registrationClinicalTrials.gov identifier: NCT01965314. Registered October 17th 2013.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2253-14-110) contains supplementary material, which is available to authorized users.

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Ultrasound-Guided Regional Anesthesia

Abstract: Trainees became competent in ultrasound needle visualization at a variable rate. This study estimates that novices would require approximately 28 supervised trials with feedback before competency in ultrasound needle visualization is achieved.

Cited by 104 publications

References 23 publications

How Should Beginners Learn Ultrasound In-Plane Needle Techniques? A Randomized Comparison between Directed- and Self-Learning

How Should Beginners Learn Ultrasound In-Plane Needle Techniques? A Randomized Comparison between Directed- and Self-Learning

Ultrasound-Guided Pain Interventions - A Review of Techniques for Peripheral Nerves

The effect of simulation-based training on initial performance of ultrasound-guided axillary brachial plexus blockade in a clinical setting – a pilot study

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