Learning Curve for the Ultrasound Anatomy of the Brachial Plexus in the Axillary Region

Abstract

Learning progression required the memorization of the ultrasound anatomy of the axillary region and acquisition of manual ability, and increasing success rates were associated with a significant reduction in the time to identify the structures.

A Scoping Review of the Evidence for Teaching Ultrasound-Guided Regional Anesthesia

“…32 Another 2 studies promote the supervised scanning of live models as a valuable tool to learning relevant sonoanatomy in advance of the performance of UGRA. 28,29 Program Design and Evaluation [32][33][34][35][36][37][38][39][40][41][42][43][44][45] There are many expert opinion articles regarding the subject of program design, but few publications detail the components of the program and trainee assessment. Smith et al 33 describe the move from an apprenticeship model to a learner-centered training model for the teaching of regional anesthesia at their institution.…”

“…14,15,28,29,40,44,45 We found the following gaps in the UGRA education literature: (1) follow-up studies demonstrating that learners improve with existing teaching methods and structure; (2) consensus on a validated method to assess learners' performance that would allow comparison across institutions; and (3) research examining trainer and trainee characteristics or attitudes to training in regional anesthesia.…”

Influencia de la posición en la visualización con ultrasonido del nervio ciático en la fosa poplítea por médicos en formación

“…A pesar de ello el 96,1% de los residentes consideraron que la posición si influye, 61,5% prefiriendo la posición prona y 57,7% desearían no enfrentarse a un paciente en supino. En este estudio, al igual que uno ya publicado [4] la experiencia previa de 6 o más bloqueos poplíteos realizados marca una diferencia significativa en el tiempo para alcanzar una imagen de buena calidad.…”

Evaluating outcomes in ultrasound-guided regional anesthesia

“…The definition of competency is still open to debate, and researchers are only beginning to characterize the learning curves associated with various ultrasound-guided techniques. 9 It should be recognized that different UGRA blocks have different levels of complexity and require different levels of skill. Optimal methods of instruction in the skills required for UGRA have also yet to be established and will no doubt evolve along with the ongoing development of more sophisticated models and simulators.…”

“…La définition de la compétence est encore débattue, et les chercheurs commencent seulement à déterminer les courbes d'apprentissage associées aux diverses techniques d'échoguidage. 9 Il faut garder à l'esprit que différents blocs par AREG ont différents niveaux de complexité et nécessitent dès lors différents niveaux de compétence. Il faut également déterminer quelles sont les méthodes optimales d'enseignement des compétences requises pour la réalisation d'une AREG; ces méthodes évolueront sans aucun doute de pair avec la mise au point de modèles et de simulateurs plus perfectionnés.…”