A randomized, controlled simulation study comparing single and double operator ultrasound-guided regional nerve block techniques using a gelatine-based home-made phantom


GÜVEN AYTAÇ B., Ünal Ş., Aytaç I.

Medicine (United States), cilt.101, sa.35, 2022 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 101 Sayı: 35
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1097/md.0000000000030370
  • Dergi Adı: Medicine (United States)
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database, Directory of Open Access Journals
  • Anahtar Kelimeler: Anesthesiology training, Bedforth grip, home-made phantom model, Jedi Grip, On-lock grip, single-operator ultrasound-guided regional nerve block
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: The aim of this study was to compare anesthesiology residents' acquisition of gripping and needling skills in either single-or double-operator ultrasound-guided nerve block using a hand-made phantom. Design: Prospective, randomized controlled study. Methods: After a tutorial session, 47 ultrasound-novice residents performed needling with double and single operator (Jedi, Bedforth, On-lock) grip techniques in each of the 3 interventional task sessions. Results: The time to perform the correct grip and needling decreased significantly between sessions for each technique (P<.001). While the double operator tasks required a shorter time than the single operator tasks in all 3 sessions (P<.001), there was no significant difference between the single-operator techniques. The number of needling attempts was similar between techniques and sessions. Participants rated the workload higher for the single-operator techniques on the National Aeronautics and Space Administration Task Load Index. Conclusion: Hands-on training of phantom models may be beneficial for the acquisition of single-operator grip skills.