Online Regional Anesthesia Resources - Are They Effective?

NCT05290974 | Completed DMC

• 1 other identifier: MSH REB 22-0007-E
• Study Type: interventional
• Target: 23
• Locations: 1 country
• Sites: 1

Brief Summary

Anatomical-based ultrasound imaging has been one of the most rapidly advancing innovations in the field of regional anesthesia in recent years. The proper performance of ultrasound guided regional anesthesia (UGRA) is a useful competency for any anesthesiologist. However, there are some obstacles in regional anesthesia education for trainees. The increasing availability of UGRA related online information may have an important educational value for trainees and consultants. The objective of this study is to assess the impact of using educational material from The New York School of Regional Anesthesia (NYSORA) and Ultrasound for Regional Anesthesia (USRA) websites on image acquisition and anatomical interpretation learning process of novice trainees residents performing ultrasound guided supraclavicular brachial plexus block. We hypothesize that the use of those online educational materials will give learners non inferior ability and knowledge for image acquisition and anatomical interpretation of ultrasound image for supraclavicular brachial plexus block, when compared to conventional in person teaching.

Conditions

Education

Keywords

Regional Anesthesia; Ultrasonic Imaging

Outcome Measures

Primary Outcomes (1)

• Sonographic Proficiency Assessment Score for Supraclavicular Brachial Plexus Block

  Checklist for acquiring and interpreting the sonogram of key neural and nonneural structures relevant to ultrasound guided supraclavicular brachial plexus block

  Two weeks

Secondary Outcomes (1)

• Quality of the acquired image

  Two weeks

Study Arms (2)

In-person group

ACTIVE COMPARATOR

Conventional in-person standardized teaching

Other: Conventional in-person teaching on supraclavicular brachial plexus block

Online group

EXPERIMENTAL

Independent learning with online educational material

Other: Self exploring of available online material on supraclavicular brachial plexus block

Interventions

Self exploring of available online material on supraclavicular brachial plexus block OTHER

Potential new method of learning a specific regional anesthesia technique

Online group

Conventional in-person teaching on supraclavicular brachial plexus block OTHER

Conventional method of learning a specific regional anesthesia technique

In-person group

Eligibility Criteria

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

You may qualify if:

• First year anesthesiology residents, willing to be present for a standardized in-person teaching module or perform an independent study of standardized online material, with no more than one previously performed supraclavicular ultrasound guided block, and willing to undergo to an anonymous skill acquisition assessment.

You may not qualify if:

• Learner refusal to participate and decision to withdraw from the study.

Sponsors & Collaborators

• University of Toronto: lead

Study Sites (1)

Mount Sinai Hospital

Toronto, Ontario, M5G 1X5, Canada

Location

Related Publications (9)

• Barrington MJ, Kluger R. Ultrasound guidance reduces the risk of local anesthetic systemic toxicity following peripheral nerve blockade. Reg Anesth Pain Med. 2013 Jul-Aug;38(4):289-99. doi: 10.1097/AAP.0b013e318292669b.

  PMID: 23788067 BACKGROUND

• Marhofer P, Harrop-Griffiths W, Kettner SC, Kirchmair L. Fifteen years of ultrasound guidance in regional anaesthesia: part 1. Br J Anaesth. 2010 May;104(5):538-46. doi: 10.1093/bja/aeq069. Epub 2010 Apr 2.

  PMID: 20364022 BACKGROUND

• Chen XX, Trivedi V, AlSaflan AA, Todd SC, Tricco AC, McCartney CJL, Boet S. Ultrasound-Guided Regional Anesthesia Simulation Training: A Systematic Review. Reg Anesth Pain Med. 2017 Nov/Dec;42(6):741-750. doi: 10.1097/AAP.0000000000000639.

  PMID: 28759501 BACKGROUND

• Kim TE, Tsui BCH. Simulation-based ultrasound-guided regional anesthesia curriculum for anesthesiology residents. Korean J Anesthesiol. 2019 Feb;72(1):13-23. doi: 10.4097/kja.d.18.00317. Epub 2018 Nov 27.

  PMID: 30481945 BACKGROUND

• Smith HM, Kopp SL, Jacob AK, Torsher LC, Hebl JR. Designing and implementing a comprehensive learner-centered regional anesthesia curriculum. Reg Anesth Pain Med. 2009 Mar-Apr;34(2):88-94. doi: 10.1097/AAP.0b013e31819e734f. No abstract available.

  PMID: 19282705 BACKGROUND

• Ramirez AG, Hu Y, Kim H, Rasmussen SK. Long-Term Skills Retention Following a Randomized Prospective Trial on Adaptive Procedural Training. J Surg Educ. 2018 Nov;75(6):1589-1597. doi: 10.1016/j.jsurg.2018.03.007. Epub 2018 May 24.

  PMID: 29803772 BACKGROUND

• Tewfik GL, Work AN, Shulman SM, Discepola P. Objective validation of YouTube educational videos for the instruction of regional anesthesia nerve blocks: a novel approach. BMC Anesthesiol. 2020 Jul 9;20(1):168. doi: 10.1186/s12871-020-01084-w.

  PMID: 32646371 BACKGROUND

• Barrington MJ, Viero LP, Kluger R, Clarke AL, Ivanusic JJ, Wong DM. Determining the Learning Curve for Acquiring Core Sonographic Skills for Ultrasound-Guided Axillary Brachial Plexus Block. Reg Anesth Pain Med. 2016 Nov/Dec;41(6):667-670. doi: 10.1097/AAP.0000000000000487.

  PMID: 27685348 BACKGROUND

• Udani AD, Harrison TK, Mariano ER, Derby R, Kan J, Ganaway T, Shum C, Gaba DM, Tanaka P, Kou A, Howard SK; ADAPT (Anesthesiology-Directed Advanced Procedural Training) Research Group. Comparative-Effectiveness of Simulation-Based Deliberate Practice Versus Self-Guided Practice on Resident Anesthesiologists' Acquisition of Ultrasound-Guided Regional Anesthesia Skills. Reg Anesth Pain Med. 2016 Mar-Apr;41(2):151-7. doi: 10.1097/AAP.0000000000000361.

  PMID: 26866296 BACKGROUND

Study Officials

• Hermann dos Santos Fernandes, PhD

  University of Toronto

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PGME Learner - Clinical Fellow

Study Record Dates

• First Submitted: March 13, 2022
• First Posted: March 22, 2022
• Study Start: July 1, 2022
• Primary Completion: July 1, 2024
• Study Completion: July 1, 2024
• Last Updated: February 11, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: After publication of the study on scientific journal.

Locations

CA (1)