An Educational Video Improves Technique in Performance of Pediatric Lumbar Punctures

Abstract

The video increased practitioners' comfort level with the performance of pediatric LPs and adherence to evidence-based best practices. It was not associated with an increased rate of successful LPs.

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

“…34 Other studies using similar educational frameworks have also demonstrated improved confidence or skill in a simulated environment but were unable to reliably show a clinical improvement with actual patients. [35][36][37][38] Even though our intervention was unable to globally improve clinical success rates, we did notice improvement in specific physician behaviors (Kirkpatrick level 3). 39,40 There was a notable increase in the use of preprocedural analgesia and the early stylet removal technique, both of which were emphasized in our intervention, because they have been associated in previous studies with improved procedural success.…”

Entrenamiento en punción lumbar utilizando estrategias educativas de simulación. Experiencia en una residencia de clínica pediátrica

“…Se trató de un autorreporte voluntario y, a pesar de sus limitaciones (solo obtuvimos respuesta del 61%), nuestros resultados de 91% de éxito son similares a lo publicado por Kessler y col., 18 que informaron un 94% de éxito en la obtención de LCR para aquellos que se entrenaron con simuladores, comparado con 47% en los que solo recibieron información audiovisual. Otros investigadores han explorado la utilidad del uso de videos educativos en el éxito de la PL 19 y, si bien observaron una mejoraría significativa en algunos aspectos técnicos, no encontraron diferencias y ambos grupos tuvieron solo un 50% de éxito. Finalmente, el entrenamiento de procedimientos que integran estrategias de simulación requiere de recursos para su implementación, espacios físicos adecuados, equipamiento e insumos específicos e instructores calificados no solo en los procedimientos, sino en las estrategias de simulación.…”

Lumbar puncture training using simulation-based educational strategies. Experience in a clinical pediatric residency

“…This was a voluntary self-report and, in spite of its limitations (response accounted only for 61%), our results show a 91% success rate, similar to what has been published by Kessler, et al, 18 who reported a 94% success rate for CSF collection among participants trained using simulation, compared to 47% among those who received audiovisual information only. Other researchers have investigated the use of educational videos in relation to LP success 19 and, although a significant improvement has been shown in certain technical aspects, no differences were observed and both groups had only a 50% success. Finally, the implementation of procedural training integrating simulation strategies requires resources, adequate space, specific equipment and supplies, and qualified trainers with experience not only in the procedures, but also in using simulation strategies.…”