The effect of simulation-based training on initial performance of ultrasound-guided axillary brachial plexus blockade in a clinical setting – a pilot study
Identifieur interne : 003813 ( Ncbi/Checkpoint ); précédent : 003812; suivant : 003814The effect of simulation-based training on initial performance of ultrasound-guided axillary brachial plexus blockade in a clinical setting – a pilot study
Auteurs : Owen O Ullivan [Irlande (pays)] ; Gabriella Iohom [Irlande (pays)] ; Brian D. O Onnell [Irlande (pays)] ; George D. Shorten [Irlande (pays)]Source :
- BMC Anesthesiology [ 1471-2253 ] ; 2014.
Abstract
In preparing novice anesthesiologists to perform their first ultrasound-guided axillary brachial plexus blockade, we hypothesized that virtual reality simulation-based training offers an additional learning benefit over standard training. We carried out pilot testing of this hypothesis using a prospective, single blind, randomized controlled trial.
We planned to recruit 20 anesthesiologists who had no experience of performing ultrasound-guided regional anesthesia. Initial standardized training, reflecting current best available practice was provided to all participating trainees. Trainees were randomized into one of two groups; (i) to undertake additional simulation-based training or (ii) no further training. On completion of their assigned training, trainees attempted their first ultrasound-guided axillary brachial plexus blockade. Two experts, blinded to the trainees’ group allocation, assessed the performance of trainees using validated tools.
This study was discontinued following a planned interim analysis, having recruited 10 trainees. This occurred because it became clear that the functionality of the available simulator was insufficient to meet our training requirements. There were no statistically significant difference in clinical performance, as assessed using the sum of a Global Rating Score and a checklist score, between simulation-based training [mean 32.9 (standard deviation 11.1)] and control trainees [31.5 (4.2)] (p = 0.885).
We have described a methodology for assessing the effectiveness of a simulator, during its development, by means of a randomized controlled trial. We believe that the learning acquired will be useful if performing future trials on learning efficacy associated with simulation based training in procedural skills.
ClinicalTrials.gov identifier:
The online version of this article (doi:10.1186/1471-2253-14-110) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/1471-2253-14-110
PubMed: 25844062
PubMed Central: 4384236
Affiliations:
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O Onnell</name><affiliation><nlm:aff id="Aff46">Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton, Cork Ireland</nlm:aff><wicri:noCountry code="subfield">Cork Ireland</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff47">Department of Anaesthesia and Intensive Care Medicine, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Anaesthesia and Intensive Care Medicine, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff48">ASSERT for Health Centre, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>ASSERT for Health Centre, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Shorten, George D" sort="Shorten, George D" uniqKey="Shorten G" first="George D" last="Shorten">George D. Shorten</name><affiliation><nlm:aff id="Aff46">Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton, Cork Ireland</nlm:aff><wicri:noCountry code="subfield">Cork Ireland</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff47">Department of Anaesthesia and Intensive Care Medicine, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Anaesthesia and Intensive Care Medicine, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff48">ASSERT for Health Centre, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>ASSERT for Health Centre, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Anesthesiology</title><idno type="eISSN">1471-2253</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In preparing novice anesthesiologists to perform their first ultrasound-guided axillary brachial plexus blockade, we hypothesized that virtual reality simulation-based training offers an additional learning benefit over standard training. We carried out pilot testing of this hypothesis using a prospective, single blind, randomized controlled trial.</p></sec><sec><title>Methods</title><p>We planned to recruit 20 anesthesiologists who had no experience of performing ultrasound-guided regional anesthesia. Initial standardized training, reflecting current best available practice was provided to all participating trainees. Trainees were randomized into one of two groups; (i) to undertake additional simulation-based training or (ii) no further training. On completion of their assigned training, trainees attempted their first ultrasound-guided axillary brachial plexus blockade. Two experts, blinded to the trainees’ group allocation, assessed the performance of trainees using validated tools.</p></sec><sec><title>Results</title><p>This study was discontinued following a planned interim analysis, having recruited 10 trainees. This occurred because it became clear that the functionality of the available simulator was insufficient to meet our training requirements. There were no statistically significant difference in clinical performance, as assessed using the sum of a Global Rating Score and a checklist score, between simulation-based training [mean 32.9 (standard deviation 11.1)] and control trainees [31.5 (4.2)] (p = 0.885).</p></sec><sec><title>Conclusions</title><p>We have described a methodology for assessing the effectiveness of a simulator, during its development, by means of a randomized controlled trial. We believe that the learning acquired will be useful if performing future trials on learning efficacy associated with simulation based training in procedural skills.</p></sec><sec><title>Trial registration</title><p>ClinicalTrials.gov identifier:
<ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov/ct2/show/NCT01965314?term=NCT01965314&rank=1">NCT01965314</ext-link>. Registered October 17th 2013.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/1471-2253-14-110) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="O Ullivan, O" uniqKey="O Ullivan O">O O’Sullivan</name></author><author><name sortKey="Shorten, Gd" uniqKey="Shorten G">GD Shorten</name></author><author><name sortKey="Aboulafia, A" uniqKey="Aboulafia A">A Aboulafia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murin, S" uniqKey="Murin S">S Murin</name></author><author><name sortKey="Stollenwerk, Ns" uniqKey="Stollenwerk N">NS Stollenwerk</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frank, Jr" uniqKey="Frank J">JR Frank</name></author><author><name sortKey="Snell, Ls" uniqKey="Snell L">LS Snell</name></author><author><name sortKey="Cate, Ot" uniqKey="Cate O">OT Cate</name></author><author><name sortKey="Holmboe, Es" uniqKey="Holmboe E">ES Holmboe</name></author><author><name sortKey="Carraccio, C" uniqKey="Carraccio C">C Carraccio</name></author><author><name sortKey="Swing, Sr" uniqKey="Swing S">SR Swing</name></author><author><name sortKey="Harris, P" uniqKey="Harris P">P Harris</name></author><author><name sortKey="Glasgow, Nj" uniqKey="Glasgow N">NJ Glasgow</name></author><author><name sortKey="Campbell, C" uniqKey="Campbell C">C Campbell</name></author><author><name sortKey="Dath, D" uniqKey="Dath D">D Dath</name></author><author><name sortKey="Harden, Rm" uniqKey="Harden R">RM Harden</name></author><author><name sortKey="Iobst, W" uniqKey="Iobst W">W Iobst</name></author><author><name sortKey="Long, Dm" uniqKey="Long D">DM Long</name></author><author><name sortKey="Mungroo, R" uniqKey="Mungroo R">R Mungroo</name></author><author><name sortKey="Richardson, Dl" uniqKey="Richardson D">DL Richardson</name></author><author><name sortKey="Sherbino, J" uniqKey="Sherbino J">J Sherbino</name></author><author><name sortKey="Silver, I" uniqKey="Silver I">I Silver</name></author><author><name sortKey="Taber, S" uniqKey="Taber S">S Taber</name></author><author><name sortKey="Talbot, M" uniqKey="Talbot M">M Talbot</name></author><author><name sortKey="Harris, Ka" uniqKey="Harris K">KA Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steadman, Rh" uniqKey="Steadman R">RH Steadman</name></author><author><name sortKey="Huang, Ym" uniqKey="Huang Y">YM Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cook, Da" uniqKey="Cook D">DA Cook</name></author><author><name sortKey="Hatala, R" uniqKey="Hatala R">R Hatala</name></author><author><name sortKey="Brydges, R" uniqKey="Brydges R">R Brydges</name></author><author><name sortKey="Zendejas, B" uniqKey="Zendejas B">B Zendejas</name></author><author><name sortKey="Szostek, Jh" uniqKey="Szostek J">JH Szostek</name></author><author><name sortKey="Wang, At" uniqKey="Wang A">AT Wang</name></author><author><name sortKey="Erwin, Pj" uniqKey="Erwin P">PJ Erwin</name></author><author><name sortKey="Hamstra, Sj" uniqKey="Hamstra S">SJ Hamstra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grottke, O" uniqKey="Grottke O">O Grottke</name></author><author><name sortKey="Ntouba, A" uniqKey="Ntouba A">A Ntouba</name></author><author><name sortKey="Ullrich, S" uniqKey="Ullrich S">S Ullrich</name></author><author><name sortKey="Liao, W" uniqKey="Liao W">W Liao</name></author><author><name sortKey="Fried, E" uniqKey="Fried E">E Fried</name></author><author><name sortKey="Prescher, A" uniqKey="Prescher A">A Prescher</name></author><author><name sortKey="Deserno, Tm" uniqKey="Deserno T">TM Deserno</name></author><author><name sortKey="Kuhlen, T" uniqKey="Kuhlen T">T Kuhlen</name></author><author><name sortKey="Rossaint, R" uniqKey="Rossaint R">R Rossaint</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kulcsar, Z" uniqKey="Kulcsar Z">Z Kulcsár</name></author><author><name sortKey="O Mahony, E" uniqKey="O Mahony E">E O'Mahony</name></author><author><name sortKey="Lovquist, E" uniqKey="Lovquist E">E Lövquist</name></author><author><name sortKey="Aboulafia, A" uniqKey="Aboulafia A">A Aboulafia</name></author><author><name sortKey="Sabova, D" uniqKey="Sabova D">D Sabova</name></author><author><name sortKey="Ghori, K" uniqKey="Ghori K">K Ghori</name></author><author><name sortKey="Iohom, G" uniqKey="Iohom G">G Iohom</name></author><author><name sortKey="Shorten, G" uniqKey="Shorten G">G Shorten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sultan, Sf" uniqKey="Sultan S">SF Sultan</name></author><author><name sortKey="Shorten, G" uniqKey="Shorten G">G Shorten</name></author><author><name sortKey="Iohom, G" uniqKey="Iohom G">G Iohom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barrington, Mj" uniqKey="Barrington M">MJ Barrington</name></author><author><name sortKey="Wong, Dm" uniqKey="Wong D">DM Wong</name></author><author><name sortKey="Slater, B" uniqKey="Slater B">B Slater</name></author><author><name sortKey="Ivanusic, Jj" uniqKey="Ivanusic J">JJ Ivanusic</name></author><author><name sortKey="Ovens, M" uniqKey="Ovens M">M Ovens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seymour, Ne" uniqKey="Seymour N">NE Seymour</name></author><author><name sortKey="Gallagher, Ag" uniqKey="Gallagher A">AG Gallagher</name></author><author><name sortKey="Roman, Sa" uniqKey="Roman S">SA Roman</name></author><author><name sortKey="O Brien, Mk" uniqKey="O Brien M">MK O'Brien</name></author><author><name sortKey="Bansal, Vk" uniqKey="Bansal V">VK Bansal</name></author><author><name sortKey="Andersen, Dk" uniqKey="Andersen D">DK Andersen</name></author><author><name sortKey="Satava, Rm" uniqKey="Satava R">RM Satava</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, J" uniqKey="Park J">J Park</name></author><author><name sortKey="Macrae, H" uniqKey="Macrae H">H MacRae</name></author><author><name sortKey="Musselman, Lj" uniqKey="Musselman L">LJ Musselman</name></author><author><name sortKey="Rossos, P" uniqKey="Rossos P">P Rossos</name></author><author><name sortKey="Hamstra, Sj" uniqKey="Hamstra S">SJ Hamstra</name></author><author><name sortKey="Wolman, S" uniqKey="Wolman S">S Wolman</name></author><author><name sortKey="Reznick, Rk" uniqKey="Reznick R">RK Reznick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shorten, Gd" uniqKey="Shorten G">GD Shorten</name></author><author><name sortKey="O Sullivan, O" uniqKey="O Sullivan O">O O'Sullivan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekstrom, Rb" uniqKey="Ekstrom R">RB Ekstrom</name></author><author><name sortKey="French, Jw" uniqKey="French J">JW French</name></author><author><name sortKey="Harman, Hh" uniqKey="Harman H">HH Harman</name></author><author><name sortKey="Dermen, D" uniqKey="Dermen D">D Dermen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sites, Bd" uniqKey="Sites B">BD Sites</name></author><author><name sortKey="Chan, Vw" uniqKey="Chan V">VW Chan</name></author><author><name sortKey="Neal, Jm" uniqKey="Neal J">JM Neal</name></author><author><name sortKey="Weller, R" uniqKey="Weller R">R Weller</name></author><author><name sortKey="Grau, T" uniqKey="Grau T">T Grau</name></author><author><name sortKey="Koscielniak Nielsen, Zj" uniqKey="Koscielniak Nielsen Z">ZJ Koscielniak-Nielsen</name></author><author><name sortKey="Ivani, G" uniqKey="Ivani G">G Ivani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Sullivan, O" uniqKey="O Sullivan O">O O'Sullivan</name></author><author><name sortKey="Aboulafia, A" uniqKey="Aboulafia A">A Aboulafia</name></author><author><name sortKey="Iohom, G" uniqKey="Iohom G">G Iohom</name></author><author><name sortKey="O Donnell, Bd" uniqKey="O Donnell B">BD O'Donnell</name></author><author><name sortKey="Shorten, Gd" uniqKey="Shorten G">GD Shorten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sultan, S" uniqKey="Sultan S">S Sultan</name></author><author><name sortKey="Iohom, G" uniqKey="Iohom G">G Iohom</name></author><author><name sortKey="Saunders, J" uniqKey="Saunders J">J Saunders</name></author><author><name sortKey="Shorten, G" uniqKey="Shorten G">G Shorten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Landis, Jr" uniqKey="Landis J">JR Landis</name></author><author><name sortKey="Koch, Gg" uniqKey="Koch G">GG Koch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Motola, I" uniqKey="Motola I">I Motola</name></author><author><name sortKey="Devine, La" uniqKey="Devine L">LA Devine</name></author><author><name sortKey="Chung, Hs" uniqKey="Chung H">HS Chung</name></author><author><name sortKey="Sullivan, Je" uniqKey="Sullivan J">JE Sullivan</name></author><author><name sortKey="Issenberg, Sb" uniqKey="Issenberg S">SB Issenberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sinitsky, Dm" uniqKey="Sinitsky D">DM Sinitsky</name></author><author><name sortKey="Fernando, B" uniqKey="Fernando B">B Fernando</name></author><author><name sortKey="Berlingieri, P" uniqKey="Berlingieri P">P Berlingieri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cook, Da" uniqKey="Cook D">DA Cook</name></author><author><name sortKey="Hamstra, Sj" uniqKey="Hamstra S">SJ 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sortKey="Thompson, Jr" uniqKey="Thompson J">JR Thompson</name></author><author><name sortKey="Leonard, Ac" uniqKey="Leonard A">AC Leonard</name></author><author><name sortKey="Doarn, Cr" uniqKey="Doarn C">CR Doarn</name></author><author><name sortKey="Roesch, Mj" uniqKey="Roesch M">MJ Roesch</name></author><author><name sortKey="Broderick, Tj" uniqKey="Broderick T">TJ Broderick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cash, Cj" uniqKey="Cash C">CJ Cash</name></author><author><name sortKey="Sardesai, Am" uniqKey="Sardesai A">AM Sardesai</name></author><author><name sortKey="Berman, Lh" uniqKey="Berman L">LH Berman</name></author><author><name sortKey="Herrick, Mj" uniqKey="Herrick M">MJ Herrick</name></author><author><name sortKey="Treece, Gm" uniqKey="Treece G">GM Treece</name></author><author><name sortKey="Prager, Rw" uniqKey="Prager R">RW Prager</name></author><author><name sortKey="Gee, Ah" uniqKey="Gee A">AH Gee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosenberg, Ad" uniqKey="Rosenberg A">AD Rosenberg</name></author><author><name sortKey="Popovic, J" uniqKey="Popovic J">J Popovic</name></author><author><name sortKey="Albert, Db" uniqKey="Albert D">DB Albert</name></author><author><name sortKey="Altman, Ra" uniqKey="Altman R">RA Altman</name></author><author><name sortKey="Marshall, Mh" uniqKey="Marshall M">MH Marshall</name></author><author><name sortKey="Sommer, Rm" uniqKey="Sommer R">RM Sommer</name></author><author><name sortKey="Cuff, G" uniqKey="Cuff G">G Cuff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Ullivan, O" uniqKey="O Ullivan O">O O’Sullivan</name></author><author><name sortKey="O Onnell, Bd" uniqKey="O Onnell B">BD O’Donnell</name></author><author><name sortKey="Iohom, G" uniqKey="Iohom G">G Iohom</name></author><author><name sortKey="Shorten, Gd" uniqKey="Shorten G">GD Shorten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gilpin, K" uniqKey="Gilpin K">K Gilpin</name></author><author><name sortKey="Pybus, D" uniqKey="Pybus D">D Pybus</name></author><author><name sortKey="Vuylsteke, A" uniqKey="Vuylsteke A">A Vuylsteke</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Irlande (pays)</li></country></list><tree><country name="Irlande (pays)"><noRegion><name sortKey="O Ullivan, Owen" sort="O Ullivan, Owen" uniqKey="O Ullivan O" first="Owen" last="O Ullivan">Owen O Ullivan</name></noRegion><name sortKey="Iohom, Gabriella" sort="Iohom, Gabriella" uniqKey="Iohom G" first="Gabriella" last="Iohom">Gabriella Iohom</name><name sortKey="Iohom, Gabriella" sort="Iohom, Gabriella" uniqKey="Iohom G" first="Gabriella" last="Iohom">Gabriella Iohom</name><name sortKey="O Onnell, Brian D" sort="O Onnell, Brian D" uniqKey="O Onnell B" first="Brian D" last="O Onnell">Brian D. O Onnell</name><name sortKey="O Onnell, Brian D" sort="O Onnell, Brian D" uniqKey="O Onnell B" first="Brian D" last="O Onnell">Brian D. O Onnell</name><name sortKey="O Ullivan, Owen" sort="O Ullivan, Owen" uniqKey="O Ullivan O" first="Owen" last="O Ullivan">Owen O Ullivan</name><name sortKey="Shorten, George D" sort="Shorten, George D" uniqKey="Shorten G" first="George D" last="Shorten">George D. Shorten</name><name sortKey="Shorten, George D" sort="Shorten, George D" uniqKey="Shorten G" first="George D" last="Shorten">George D. Shorten</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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