Educational Methods to Improve Thoracic Epidural Block Proficiency for Residents: Video-Based Education Versus Bedside Education

Seering, Melinda; Campos, Javier H.

doi:10.1053/j.jvca.2020.07.042

Cited by 3 publications

(7 citation statements)

References 16 publications

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“…1 Performing a HTEA is difficult to master. 2 Published failure rates average from moderate to high. 3,4 Reduced caseloads further diminish training and competence proficiency, augmenting the problem.…”

Section: Sp17mentioning

confidence: 99%

“…8 Video-based learning systems have shown to provide some gains. 2 While online tools like Virtual Spine: lumbar anatomy, 3D model, vertebra, spinal cord, dura, meninges, cauda equina, ultrasound (utoronto.ca) have a profound influence on our anatomical knowledge, unfortunately there is currently not enough evidence on beneficial impact on performance.…”

Section: Sp17mentioning

confidence: 99%

“…Steve Coppens*, 1,2 Danny Feike Hoogma, 1 Rebekka Dreelinck, 1 Phillipe Van Loon. Introduction Research regarding Point of care ultrasound (POCUS) has been steadily growing since its introduction in critical care and emergency medicine more than a decade ago.…”

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confidence: 99%

“…Discussion General The most influential POCUS articles for regional anesthesiologists are the two special articles by a joint panel of regional anesthesiologists and pain specialists. 'American Society of Regional Anesthesia (ASRA) and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part I and II' 1,2 Haskins et al wrote a series of recommendations after a thorough literature research. What is particularly ingenious in these thoroughly fascinating papers is the links they make to regional anesthesia.…”

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confidence: 99%

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SP17 How to make your thoracic epidural work?

Coppens

Raudsepp²,

Hoogma

et al. 2022

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Section: Sp17mentioning

confidence: 99%

Section: Sp17mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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SP17 How to make your thoracic epidural work?

Coppens

Raudsepp²,

Hoogma

et al. 2022

Invited Speakers

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“…1 Adequate placement of a HTEA is difficult art to master. 2 Although published failure rates average from moderate to high, the lack of standardized definition of failure hampers a clear view on the problem. 3 Due to reduced caseloads since the (r)evolution of minimal invasive surgical techniques training and competence proficiency have also diminished seriously.…”

mentioning

confidence: 99%

#36929 Thoracic epidurals for eras in thoracic and abdominal surgery- still relevant?

Coppens,

Degroof,

Hoogma

et al. 2023

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Evaluation of a modified ultrasound-assisted technique for mid-thoracic epidural placement: a prospective observational study

Huang,

Chen,

Kou

et al. 2024

BMC Anesthesiol

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Background Although mid-thoracic epidural analgesia benefits patients undergoing major surgery, technical difficulties often discourage its use. Improvements in technology are warranted to improve the success rate on first pass and patient comfort. The previously reported ultrasound-assisted technique using a generic needle insertion site failed to demonstrate superiority over conventional landmark techniques. A stratified needle insertion site based on sonoanatomic features may improve the technique. Methods Patients who presented for elective abdominal or thoracic surgery requesting thoracic epidural analgesia for postoperative pain control were included in this observational study. A modified ultrasound-assisted technique using a stratified needle insertion site based on ultrasound images was adopted. The number of needle passes, needle skin punctures, procedure time, overall success rate, and incidence of procedure complications were recorded. Results One hundred and twenty-eight subjects were included. The first-pass success and overall success rates were 75% (96/128) and 98% (126/128), respectively. In 95% (122/128) of patients, only one needle skin puncture was needed to access the epidural space. The median [IQR] time needed from needle insertion to access the epidural space was 59 [47–122] seconds. No complications were observed during the procedure. Conclusions This modified ultrasound-assisted mid-thoracic epidural technique has the potential to improve success rates and reduce the needling time. The data shown in our study may be a feasible basis for a prospective study comparing our ultrasound-assisted epidural placements to conventional landmark-based techniques.

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Educational Methods to Improve Thoracic Epidural Block Proficiency for Residents: Video-Based Education Versus Bedside Education

Cited by 3 publications

References 16 publications

SP17 How to make your thoracic epidural work?

SP17 How to make your thoracic epidural work?

#36929 Thoracic epidurals for eras in thoracic and abdominal surgery- still relevant?

Evaluation of a modified ultrasound-assisted technique for mid-thoracic epidural placement: a prospective observational study

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