The CIA Score: a Learner's Tool

NCT05153265 | Completed

• 1 other identifier: 48095
• Study Type: observational
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this project is to use a previously described scoring system - the CIA system - as a teaching tool to help learners assess the bleeding risk of peripheral nerve blocks. We will teach the CIA system to residents, then they will complete a survey in which they apply the system to various peripheral nerve blocks. We hypothesize that the CIA system will allow learners to reach the same consensus about bleeding risk as expert opinions.

Conditions

Anesthesia, Local

Keywords

regional anesthesia; peripheral nerve block; acute pain medicine

Outcome Measures

Primary Outcomes (1)

• CIA score by trainees

  The bleeding risk of each peripheral nerve block as assessed by trainees, using the CIA scoring system.

  2 months

Study Arms (2)

Residents

We plan to distribute a survey to the Stanford anesthesiology residents to determine their assessment of the bleeding risk of nerve blocks. The survey will list the most common nerve blocks and ask the resident anesthesiologists at Stanford whether the block is low/intermediate/high risk based on a scoring system of location relative to critical structures, compressibility, and whether bleeding or hematoma would be readily apparent.

Other: Survey

Attending physicians

We plan to distribute a survey to the Stanford anesthesiology attending physicians to determine their assessment of the bleeding risk of several different nerve blocks. The survey will list the most common nerve blocks and ask Stanford anesthesiologists whether the block is low/intermediate/high risk based on their experience with nerve blocks.

Other: Survey

Interventions

Survey OTHER

There will be no interventions for study participants. Participants will be asked to complete a survey.

Attending physicians; Residents

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Stanford Regional Anesthesia attending physicians and residents

You may qualify if:

• Regional Anesthesiologist and interested staff from Stanford

You may not qualify if:

• Non-regional anesthesiologists and non-interested staff at Stanford

Sponsors & Collaborators

• Stanford University: lead

Study Sites (1)

Stanford University

Stanford, California, 94305, United States

Location

Related Publications (2)

• Tsui BCH, Kirkham K, Kwofie MK, Tran Q, Wong P, Chin KJ, Sondekoppam RV. Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus. Can J Anaesth. 2019 Nov;66(11):1356-1384. doi: 10.1007/s12630-019-01466-w. Epub 2019 Aug 26.

  PMID: 31452012 BACKGROUND

• Tsui BCH. A systematic approach to scoring bleeding risk in regional anesthesia procedures. J Clin Anesth. 2018 Sep;49:69-70. doi: 10.1016/j.jclinane.2018.06.011. Epub 2018 Jun 15. No abstract available.

  PMID: 29909204 BACKGROUND

MeSH Terms

Interventions

Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor-Med Ctr Line

Study Record Dates

• First Submitted: November 29, 2021
• First Posted: December 10, 2021
• Study Start: November 23, 2021
• Primary Completion: December 23, 2021
• Study Completion: December 23, 2021
• Last Updated: March 16, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)