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

Nix, Catherine; Margarido, Clarita B.; Awad, Imad T.; Avila, Arsenio; Cheung, Jeffrey J. H.; Dubrowski, Adam; McCartney, Colin J. L.

doi:10.1097/aap.0b013e3182a4ed7a

Cited by 55 publications

(47 citation statements)

References 81 publications

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“…4 In 2012, Cheung et al 5 published an assessment tool for ultrasound-guided regional anesthesia (UGRA) comprising a 22-item checklist and a 9-item GRS previously validated for surgical 6 and regional anesthesia skills. 1 The investigators established content validity of the assessment tool using the Delphi method and acknowledged the need to further evaluate the combined checklist and GRS tool for reliability and validity.…”

mentioning

confidence: 99%

Evaluation of a Task-Specific Checklist and Global Rating Scale for Ultrasound-Guided Regional Anesthesia

Wong

Watson²,

Kluger

et al. 2014

Regional Anesthesia and Pain Medicine

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Background and ObjectivesChecklists and global rating scales (GRSs) are used for assessment of anesthesia procedural skills. The purpose of this study was to evaluate the reliability and validity of a recently proposed assessment tool comprising a checklist and GRS specific for ultrasound-guided regional anesthesia.MethodsIn this prospective, fully crossed study, we videotaped 30 single-target nerve block procedures performed by anesthesia trainees. Following pilot assessment and observer training, videos were assessed in random order by 6 blinded, expert observers. Interrater reliability was evaluated with intraclass correlation coefficients (ICCs) based on a 2-way random-effects model that took into account both agreement and correlation between observer results. Construct validity and feasibility were also evaluated.ResultsThe ICC between assessors’ total scores was 0.44 (95% confidence interval, 0.27–0.62). All 6 observers scored “experienced trainees” higher than “inexperienced trainees” (median total score 76.7 vs 54.2, P = 0.01), supporting the test’s construct validity. The median time to assess the videos was 4 minutes 29 seconds.ConclusionsThis is the first study to evaluate the reliability and validity of a combined checklist and GRS for ultrasound-guided regional anesthesia using multiple observers and taking into account both absolute agreement and correlation in determining the ICC of 0.44 for interrater reliability. There was evidence to support construct validity.

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mentioning

confidence: 99%

Evaluation of a Task-Specific Checklist and Global Rating Scale for Ultrasound-Guided Regional Anesthesia

Wong

Watson²,

Kluger

et al. 2014

Regional Anesthesia and Pain Medicine

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“…However, interpreting ultrasound images and maintaining visibility of the needle tip can be challenging, particularly for trainees. 7,8 Imaging phantoms have been shown to be valuable training tools for improving visual-spatial awareness in ultrasound-guided procedures, 9,10 and several have been constructed for training in spinal ultrasound. For example, a simple imaging phantom was constructed by placing an anatomical spinal model in a water bath.…”

mentioning

confidence: 99%

Development of an Ultrasound Phantom for Spinal Injections With 3-Dimensional Printing

West

Mari

Khan

et al. 2014

Regional Anesthesia and Pain Medicine

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Ultrasound phantoms that are derived directly from patient anatomy have strong potential as learning tools for ultrasound-guided spinal insertions, and they could be used as preprocedural planning tools in cases involving pathologies, implants, or abnormal anatomies. Three-dimensional printing is a promising method for producing low-cost phantoms with designs that can be readily shared across clinical institutions.

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“…Training programs in ultrasound (particularly point of care ultrasound (POCUS)) are already well-established for postgraduate medical practitioners [1]. More recently, undergraduate medical programs are integrating ultrasound (US) into their curricula.…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

et al. 2017

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Introduction Increasingly, medical schools are integrating Point of Care Ultrasound (POCUS) into their curricula. This review investigated the available literature on how best to integrate POCUS in the teaching of medical students and the benefits of doing so. Methods Given the heterogeneous literature that has emerged on POCUS education, a scoping review was conducted. Relevant medical databases, including PubMed, MEDLINE, PsycINFO, EMBASE and CINAHL, were searched between January 1980 and August 2016, using keywords identified by the authors. Inclusion criteria were as follows: prospective or retrospective studies, observational or intervention studies, and studies describing how medical students learn to use ultrasound. Results The literature search yielded 593 articles, of which 128 met the inclusion criteria. Studies that met the inclusion criteria were sub-categorised under the following headings: those that described or evaluated an ultrasound curriculum, those that employed ultrasound as a means of teaching another topic in the curriculum (i.e., anatomy, physical examination, physiology, invasive procedures), those that investigated the learning curve of ultrasound education and those that employed adjuncts or peer mentoring to teach ultrasound. Conclusions The reviewed literature indicates that the integration of ultrasound in undergraduate medical education is both feasible and beneficial to medical students. This article is intended to inform medical educators aiming to integrate ultrasound into their medical school curricula.

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

Cited by 55 publications

References 81 publications

Evaluation of a Task-Specific Checklist and Global Rating Scale for Ultrasound-Guided Regional Anesthesia

Evaluation of a Task-Specific Checklist and Global Rating Scale for Ultrasound-Guided Regional Anesthesia

Development of an Ultrasound Phantom for Spinal Injections With 3-Dimensional Printing

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

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