Reliability and Quality of YouTube Videos on Ultrasound-Guided Brachial Plexus Block: A Programmatical Review

Abstract

Background: Ultrasound-guided regional anesthesia has gained popularity over the last decade. This study aimed to assess whether YouTube videos sufficiently serve as an adjunctive tool for learning how to perform an ultrasound-guided brachial plexus block (BPB). Methods: All YouTube videos were classified, based on their sources, as either academic, manufacturer, educational, or individual videos. The metrics, accuracy, utility, reliability (using the Journal of American Medical Association Score benchmark criteria (JAMAS)), and educational quality (using the Global Quality Score (GQS) and Brachial Plexus Block Specific Quality Score (BSQS)) were validated. Results: Here, 175 videos were included. Academic (1.19 ± 0.62, mean ± standard deviation), manufacturer (1.17 ± 0.71), and educational videos (1.15 ± 0.76) had better JAMAS accuracy and reliability than individual videos (0.26 ± 0.67) (p < 0.001). Manufacturer (11.22 ± 1.63) and educational videos (10.33 ± 3.34) had a higher BSQS than individual videos (7.32 ± 4.20) (p < 0.001). All sources weakly addressed the equipment preparation and post-procedure questions after BSQS analysis. Conclusions: The reliability and quality of ultrasound-guided BPB videos differ depending on their source. As YouTube is a useful educational platform for learners and teachers, global societies of regional anesthesiologists should set a standard for videos.

YouTube as a source of information and education on endometriosis

“…Although researchers representing various specialties have analyzed the accuracy of YouTube videos on various topics, controversy regarding the reliability of these videos due to the lack of peer review persists. [10][11][12][13][14] There is one study on endometriosis and YouTube analyzing endometrioma surgery video, [15] but there is no study on videos regarding general endometriosis. Because many endometriosis patients with increasing levels of anxiety, [16] it is important to use reliable YouTube videos with appropriate information from video uploaders who do not lack expertise.…”

Eficacia del bloqueo de plexo braquial en analgesia postoperatoria en cirugías traumatológicas del miembro superior

“…El abordaje supraclavicular del plexo braquial ecoguiado tiene una alta tasa de éxito; incluido el bloqueo del nervio cubital y musculocutáneo, que pueden pasarse por alto respectivamente, con el abordaje interescalénico y axilar [18]. Se permite un tiempo de inicio más rápido de bloqueo con una reducción de la dosis de anestésico local; entre los beneficios mayormente estudiados se encuentran: la reducción del dolor posoperatorio agudo y crónicos, náuseas y vómitos posoperatorios, y complicaciones pulmonares [19,20]. Además, el tiempo de estancia hospitalaria es una variable importante tanto clínico como económicamente.…”

“…Lo que se ha asociado al curso propio de recuperación posterior a la intervención quirúrgica. Dichos hallazgos concuerdan con reportes previos, en los que los pacientes requieren conceptos básicos de la técnica; especialmente, de su recuperación [19]. En otro estudio se valoró el conocimiento perioperatorio de los pacientes a partir del desarrollo de consentimiento informado y reporta un conocimiento pobre y deficiente; requiriéndose mayores estudios para obtener conclusiones sólidas frente a la variable en cuestión [28].…”