NCT03728491

Brief Summary

The use of thoracic ultrasound has expanded widely within the las couple of years, and several studies have proved a high diagnostic accuracy for many of the most common causes of respiratory failure and dyspnoea. The ultrasound scan is a bed-side, and dynamic examination, which demands sufficient theoretical and practical knowledge and competence by the operator, but so far, no studies have explored the effect of simulation-based training for gaining adequate competence compared to traditional hands-on training on healthy figurants. The aim of this study is to examine whether TUS training on a simulator is superior to training on healthy figurants. Secondly, to examine whether the choice of hands-on training has an effect on the number of examinations performed by the trainees from baseline to 4 months follow-up.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2018

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 20, 2018

Completed
1 month until next milestone

Study Start

First participant enrolled

October 31, 2018

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 2, 2018

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2019

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2019

Completed
Last Updated

March 25, 2019

Status Verified

March 1, 2019

Enrollment Period

11 months

First QC Date

September 20, 2018

Last Update Submit

March 21, 2019

Conditions

Keywords

Medical EducationSimulation-based trainingUltrasonographyThoracic imaging

Outcome Measures

Primary Outcomes (1)

  • Difference in LUS-OSAUS score

    Difference in assessment score (Lung Ultrasound Objective Structured Assessment of Ultrasound Skills score) between the three groups (total score). The scale comprises 17 items with a score from 1-5 in each. Minimum 17, maximum 85, meaning that a score of 85 point is the best possible ultrasound examination.

    3 months (on the day of practical assessment, maximum 3 months after inclusion)

Secondary Outcomes (2)

  • Time used for hands-on training

    3 months (on the day of practical assessment, maximum 3 months after inclusion)

  • Number of performed examinations

    4 months after day of practical assessment

Study Arms (3)

Healthy Figurant

EXPERIMENTAL

Hands-on training on healthy figurants for gaining competence in TUS

Device: Healthy figurants

Simulator

EXPERIMENTAL

Hands-on training on US Mentor simulator for gaining competence in TUS

Device: Simulator

Controls

NO INTERVENTION

Controls with no hands-on training

Interventions

SimulatorDEVICE

US Mentor simulator, lung module, provided by 3D Healthcare Systems

Also known as: US Mentor, by 3D Healthcare Systems
Simulator

Medical students or volunteers without any pathology in thorax

Healthy Figurant

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Physicians with no previous experience in thoracic ultrasound

You may not qualify if:

  • Physicians with relation to the trial or study
  • Physicians with previous experience in thoracic ultrasound
  • Physicians who do not provide written consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Regional Center for Technical Simulation

Odense C, 5000, Denmark

RECRUITING

Related Publications (21)

  • Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T; International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012 Apr;38(4):577-91. doi: 10.1007/s00134-012-2513-4. Epub 2012 Mar 6.

    PMID: 22392031BACKGROUND
  • Al Deeb M, Barbic S, Featherstone R, Dankoff J, Barbic D. Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis. Acad Emerg Med. 2014 Aug;21(8):843-52. doi: 10.1111/acem.12435.

    PMID: 25176151BACKGROUND
  • Minimum training requirements for the practice of Medical Ultrasound in Europe. Ultraschall Med. 2010 Aug;31(4):426-7. doi: 10.1055/s-0030-1263214. Epub 2010 Aug 19. No abstract available.

    PMID: 20725892BACKGROUND
  • Lichtenstein D. Lung ultrasound in the critically ill. Curr Opin Crit Care. 2014 Jun;20(3):315-22. doi: 10.1097/MCC.0000000000000096.

    PMID: 24758984BACKGROUND
  • Skaarup SH, Laursen CB, Bjerrum AS, Hilberg O. Objective and Structured Assessment of Lung Ultrasound Competence. A Multispecialty Delphi Consensus and Construct Validity Study. Ann Am Thorac Soc. 2017 Apr;14(4):555-560. doi: 10.1513/AnnalsATS.201611-894OC.

    PMID: 28145770BACKGROUND
  • Oveland NP, Lossius HM, Aagaard R, Connolly J, Sloth E, Knudsen L. Animal laboratory training improves lung ultrasound proficiency and speed. J Emerg Med. 2013 Sep;45(3):e71-8. doi: 10.1016/j.jemermed.2013.03.029. Epub 2013 May 15.

    PMID: 23684474BACKGROUND
  • Greenstein YY, Littauer R, Narasimhan M, Mayo PH, Koenig SJ. Effectiveness of a Critical Care Ultrasonography Course. Chest. 2017 Jan;151(1):34-40. doi: 10.1016/j.chest.2016.08.1465. Epub 2016 Sep 16.

    PMID: 27645689BACKGROUND
  • Heiberg J, Hansen LS, Wemmelund K, Sorensen AH, Ilkjaer C, Cloete E, Nolte D, Roodt F, Dyer R, Swanevelder J, Sloth E. Point-of-Care Clinical Ultrasound for Medical Students. Ultrasound Int Open. 2015 Nov;1(2):E58-66. doi: 10.1055/s-0035-1565173. Epub 2015 Nov 6.

    PMID: 27689155BACKGROUND
  • Madsen ME, Konge L, Norgaard LN, Tabor A, Ringsted C, Klemmensen AK, Ottesen B, Tolsgaard MG. Assessment of performance measures and learning curves for use of a virtual-reality ultrasound simulator in transvaginal ultrasound examination. Ultrasound Obstet Gynecol. 2014 Dec;44(6):693-9. doi: 10.1002/uog.13400. Epub 2014 Nov 9.

    PMID: 24789453BACKGROUND
  • Jensen K, Bjerrum F, Hansen HJ, Petersen RH, Pedersen JH, Konge L. A new possibility in thoracoscopic virtual reality simulation training: development and testing of a novel virtual reality simulator for video-assisted thoracoscopic surgery lobectomy. Interact Cardiovasc Thorac Surg. 2015 Oct;21(4):420-6. doi: 10.1093/icvts/ivv183. Epub 2015 Jul 10.

    PMID: 26162895BACKGROUND
  • Pedersen P, Palm H, Ringsted C, Konge L. Virtual-reality simulation to assess performance in hip fracture surgery. Acta Orthop. 2014 Aug;85(4):403-7. doi: 10.3109/17453674.2014.917502. Epub 2014 Apr 30.

    PMID: 24786902BACKGROUND
  • Havelock T, Teoh R, Laws D, Gleeson F; BTS Pleural Disease Guideline Group. Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010 Aug;65 Suppl 2:ii61-76. doi: 10.1136/thx.2010.137026. No abstract available.

    PMID: 20696688BACKGROUND
  • Reznek M, Harter P, Krummel T. Virtual reality and simulation: training the future emergency physician. Acad Emerg Med. 2002 Jan;9(1):78-87. doi: 10.1111/j.1553-2712.2002.tb01172.x.

    PMID: 11772675BACKGROUND
  • McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ. 2010 Jan;44(1):50-63. doi: 10.1111/j.1365-2923.2009.03547.x.

    PMID: 20078756BACKGROUND
  • Sanchez-de-Toledo J, Renter-Valdovinos L, Esteves M, Fonseca C, Villaverde I, Rosal M. Teaching Chest Ultrasound in an Experimental Porcine Model. Pediatr Emerg Care. 2016 Nov;32(11):768-772. doi: 10.1097/PEC.0000000000000432.

    PMID: 25875997BACKGROUND
  • Adhikari S, Zeger W, Wadman M, Walker R, Lomneth C. Assessment of a human cadaver model for training emergency medicine residents in the ultrasound diagnosis of pneumothorax. Biomed Res Int. 2014;2014:724050. doi: 10.1155/2014/724050. Epub 2014 Mar 25.

    PMID: 24790999BACKGROUND
  • Lee KH, Ahn JH, Jung RB, Hong CK, Shin TY, Kim YS, Ha YR. Evaluation of a novel simulation method of teaching B-lines: hand ultrasound with a wet foam dressing material. Clin Exp Emerg Med. 2015 Jun 30;2(2):89-94. doi: 10.15441/ceem.15.020. eCollection 2015 Jun.

    PMID: 27752578BACKGROUND
  • Breitkreutz R, Dutine M, Scheiermann P, Hempel D, Kujumdshiev S, Ackermann H, Seeger FH, Seibel A, Walcher F, Hirche TO. Thorax, trachea, and lung ultrasonography in emergency and critical care medicine: assessment of an objective structured training concept. Emerg Med Int. 2013;2013:312758. doi: 10.1155/2013/312758. Epub 2013 Nov 27.

    PMID: 24369503BACKGROUND
  • Dinh VA, Giri PC, Rathinavel I, Nguyen E, Hecht D, Dorotta I, Nguyen HB, Chrissian AA. Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study. Crit Care Res Pract. 2015;2015:675041. doi: 10.1155/2015/675041. Epub 2015 Aug 5.

    PMID: 26346694BACKGROUND
  • Maul H, Scharf A, Baier P, Wustemann M, Gunter HH, Gebauer G, Sohn C. Ultrasound simulators: experience with the SonoTrainer and comparative review of other training systems. Ultrasound Obstet Gynecol. 2004 Oct;24(5):581-5. doi: 10.1002/uog.1119.

    PMID: 15386609BACKGROUND
  • Mendiratta-Lala M, Williams T, de Quadros N, Bonnett J, Mendiratta V. The use of a simulation center to improve resident proficiency in performing ultrasound-guided procedures. Acad Radiol. 2010 Apr;17(4):535-40. doi: 10.1016/j.acra.2009.11.010. Epub 2010 Jan 25.

    PMID: 20097583BACKGROUND

MeSH Terms

Conditions

Respiratory InsufficiencyDyspneaPleural EffusionPulmonary EdemaPneumothorax

Condition Hierarchy (Ancestors)

Respiration DisordersRespiratory Tract DiseasesSigns and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and SymptomsPleural DiseasesLung Diseases

Study Officials

  • Pia Iben B Pietersen, MD

    Odense University Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Pia Iben Pietersen, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
SEQUENTIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, phd-student

Study Record Dates

First Submitted

September 20, 2018

First Posted

November 2, 2018

Study Start

October 31, 2018

Primary Completion

October 1, 2019

Study Completion

November 1, 2019

Last Updated

March 25, 2019

Record last verified: 2019-03

Data Sharing

IPD Sharing
Will not share

Locations