Simulation-Based Training for Ultrasound-Guided Perineural Catheter Insertion
| Status: | Completed |
|---|---|
| Conditions: | Chronic Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/8/2014 |
| Start Date: | August 2012 |
| End Date: | June 2014 |
| Contact: | Edward R. Mariano, MD, MAS (Clinical Research) |
| Email: | emariano@stanford.edu |
| Phone: | 650-493-5000 |
A Prospective Study to Determine the Efficacy of Simulation-based Training on Practicing Anesthesiologists' Acquisition of Ultrasound-guided Perineural Catheter Insertion Skills
This study will determine the efficacy of a teaching program incorporating hybrid simulation
in training practicing anesthesiologists on ultrasound (US)-guided continuous peripheral
nerve block (CPNB).
This study will also examine the extent of practice change following participation in a
regional anesthesia teaching program incorporating hybrid simulation. In addition, this
study will assess remaining obstacles to incorporating the use of US-guided perineural
catheters through identifying potential future interventions and "tool-kits" for setting up
perineural catheter programs.
in training practicing anesthesiologists on ultrasound (US)-guided continuous peripheral
nerve block (CPNB).
This study will also examine the extent of practice change following participation in a
regional anesthesia teaching program incorporating hybrid simulation. In addition, this
study will assess remaining obstacles to incorporating the use of US-guided perineural
catheters through identifying potential future interventions and "tool-kits" for setting up
perineural catheter programs.
Study subjects will complete a pre-course survey to assess prior experience then participate
in a standardized one-day workshop comprised of two sessions; 1) a didactic lecture and
model scanning session and 2) a simulation session. Quantitative and qualitative
assessments will be performed using video analysis by two blinded reviewers after equipment
orientation (baseline), following first session, and following second session. Performance
times, number of attempts, and composite scores for procedural performance and ergonomics
will be analyzed within and between groups. Every 3 months for one year, subjects will be
surveyed to assess implementation of PNB in practice and identify remaining barriers.
in a standardized one-day workshop comprised of two sessions; 1) a didactic lecture and
model scanning session and 2) a simulation session. Quantitative and qualitative
assessments will be performed using video analysis by two blinded reviewers after equipment
orientation (baseline), following first session, and following second session. Performance
times, number of attempts, and composite scores for procedural performance and ergonomics
will be analyzed within and between groups. Every 3 months for one year, subjects will be
surveyed to assess implementation of PNB in practice and identify remaining barriers.
Inclusion Criteria:
- Anesthesiologists in practice ten years or more; active board certification (American
Board of Anesthesiologists); active license to practice medicine in California; and
willingness to spend one full day (8 hours) participating in the standardized
workshop and undergo interval survey and interview follow-up for one year.
Exclusion Criteria:
- Formal training (e.g., post-graduate fellowship) in regional anesthesia; current
practice includes the routine performance of US-guided PNB (≥10 blocks per month); or
visual, hearing, or other communication impairment that would interfere with video
recording or require substantial deviation from the standardized teaching curriculum.
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VA Palo Alto Health Care System The VA Palo Alto Health Care System (VAPAHCS) consists...
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