Single and Double Operator Techniques in Ultrasound-guided Peripheral Nerve Block Learning Curve

NCT04487366 | Unknown

• 1 other identifier: E1/20-804
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Aim of this study is to compare learning curves of single(1- Jedi grip: Pappin and Christie/ 2- Bedforth/ 3- on lock: Gupta and Berrill) and double operator ultrasound-guided peripheric nerve block techniques on a home-made gelatin-based phantom model.

Conditions

Single-handed Ultrasound-guided Regional Anaesthesia Grip; Single-operator Ultrasound-guided Peripheric Nerve Block; Anesthesiology Training; Jedi Grip

Keywords

Jedi Grip; single-operator ultrasound-guided regional anaesthesia grip; Single-handed ultrasound-guided regional anaesthesia; 'On lock' grip; Anesthesiology training

Outcome Measures

Primary Outcomes (15)

• Time to correct grip1

  Time(sec) from start command to correct grip of the probe, needle and syringe for each technique

  during implementation of procedure on phantom model(first session)

• image quality1

  provided image quality by resident for each technique which is assessed by investigator by four point Liker Scale( 1- much worse 2- worse 3- better 4- much better)

  during implementation of procedure on phantom model(first session)

• number of attempts1

  number of attempts until correct needling to target area

  during implementation of procedure on phantom model(first session)

• needling time 1

  time to reach target area with block needle

  during implementation of procedure on phantom model(first session)

• success of injection1

  successful if injected water flows from hose of model/ unsuccessful if solution do not flow

  during implementation of procedure on phantom model(first session)

• Time to correct grip2

  Time(sec) from start command to correct grip of the probe, needle and syringe for each technique

  during implementation of procedure on phantom model(second session)

• Time to correct grip3

  Time(sec) from start command to correct grip of the probe, needle and syringe for each technique

  during implementation of procedure on phantom model(third session)

• image quality2

  provided image quality by resident for each technique which is assessed by investigator by four point Liker Scale( 1- much worse 2- worse 3- better 4- much better)

  during implementation of procedure on phantom model(second session)

• image quality3

  provided image quality by resident for each technique which is assessed by investigator by four point Liker Scale( 1- much worse 2- worse 3- better 4- much better)

  during implementation of procedure on phantom model(third session)

• number of attempts2

  number of attempts until correct needling to target area

  during implementation of procedure on phantom model(second session)

• number of attempts3

  number of attempts until correct needling to target area

  during implementation of procedure on phantom model(third session)

• needling time 2

  time to reach target area with block needle

  during implementation of procedure on phantom model(second session)

• needling time 3

  time to reach target area with block needle

  during implementation of procedure on phantom model(third session)

• success of injection2

  successful if injected water flows from hose of model/ unsuccessful if solution do not flow

  during implementation of procedure on phantom model(second session)

• success of injection3

  successful if injected water flows from hose of model/ unsuccessful if solution do not flow

  during implementation of procedure on phantom model(third session)

Secondary Outcomes (2)

• NASA-TLX (NASA Task Load Index)

  during implementation of procedure on phantom model(third session)

• Assesment of education

  during education of techniques

Study Arms (4)

Double Operator Ultrasound-Guided Regional Anesthesia

ACTIVE COMPARATOR

resident control block needle and ultrasound probe and asistant operator inject the solution. resident reach the target area created in the phantom model using a block needle with ultrasound guidance

Other: reaching targeted area on the phantom model

Jedi Grip

ACTIVE COMPARATOR

resident control block needle, ultrasound probe and syringe independently with jedi grip; reach the target area created in the phantom model using a block needle with ultrasound guidance; inject and aspirate the solution.

Other: reaching targeted area on the phantom model

On-lock grip

ACTIVE COMPARATOR

resident control block needle, ultrasound probe and syringe independently with on-lock grip; reach the target area created in the phantom model using a block needle with ultrasound guidance; inject the solution.

Other: reaching targeted area on the phantom model

Bedforth alternative grip

ACTIVE COMPARATOR

resident control block needle, ultrasound probe and syringe independently with bedforth's alternative grip; reach the target area created in the phantom model using a block needle with ultrasound guidance; inject the solution.

Other: reaching targeted area on the phantom model

Interventions

reaching targeted area on the phantom model OTHER

resident reach the targeted area on the phantom model using ultrasoun guidance and independently or with asistance inject the solution

Bedforth alternative grip; Double Operator Ultrasound-Guided Regional Anesthesia; Jedi Grip; On-lock grip

Eligibility Criteria

• Age: 24 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- To be a junior resident of anesthesiology(\< 2 years )

You may not qualify if:

• Refusal of resident

Sponsors & Collaborators

• Ankara City Hospital Bilkent: lead

Study Sites (1)

Ankara City Hospital

Ankara, 06600, Turkey (Türkiye)

Location

Related Publications (5)

• Pappin D, Christie I. The Jedi Grip: a novel technique for administering local anaesthetic in ultrasound-guided regional anaesthesia. Anaesthesia. 2011 Sep;66(9):845. doi: 10.1111/j.1365-2044.2011.06845.x. No abstract available.

  PMID: 21831086 BACKGROUND

• Gupta P, Berrill A. 'On lock' - a further single-operator ultrasound-guided regional anaesthesia grip. Anaesthesia. 2017 Oct;72(10):1289. doi: 10.1111/anae.14050. No abstract available.

  PMID: 28891057 BACKGROUND

• Bedforth N, Townsley P, Maybin J, Eisenberg E. Single-handed ultrasound-guided regional anaesthesia. Anaesthesia. 2011 Sep;66(9):846. doi: 10.1111/j.1365-2044.2011.06864.x. No abstract available.

  PMID: 21831088 BACKGROUND

• Miyake S. Factors influencing mental workload indexes. J UOEH. 1997 Dec 1;19(4):313-25. doi: 10.7888/juoeh.19.313.

  PMID: 9431583 BACKGROUND

• Guven Aytac B, Unal S, Aytac I. A randomized, controlled simulation study comparing single and double operator ultrasound-guided regional nerve block techniques using a gelatine-based home-made phantom. Medicine (Baltimore). 2022 Sep 2;101(35):e30368. doi: 10.1097/MD.0000000000030370.

  PMID: 36107586 DERIVED

Study Officials

• İsmail Aytac

  Ankara City Hospital Anesthesiology Department

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 17, 2020
• First Posted: July 27, 2020
• Study Start: July 1, 2020
• Primary Completion: September 15, 2020
• Study Completion: October 1, 2020
• Last Updated: July 27, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)