Learning process of ultrasound-guided Ilio-fascial compartment block on a simulator: a feasibility study.

Emergency physician Learning process Ultrasound-guided fascia iliaca bock

Journal

International journal of emergency medicine
ISSN: 1865-1372
Titre abrégé: Int J Emerg Med
Pays: England
ID NLM: 101469435

Informations de publication

Date de publication:
30 Nov 2020
Historique:
received: 20 07 2020
accepted: 16 11 2020
entrez: 1 12 2020
pubmed: 2 12 2020
medline: 2 12 2020
Statut: epublish

Résumé

Ultrasound-guided fascia iliaca compartment block (US-FICB) is not part of the learning curriculum of the emergency physicians (EP) and is usually performed by anesthesiologists. However, several studies promote EP to use this procedure. The goal of this study was to assess the feasibility of a training concept for non-anesthesiologists for the US-FICB on a simulator based on a validating learning path. This was a feasibility study. Emergency physicians and medical students received a 1-day training with a learning phase (theoretical and practical skills), followed by an assessment phase. The primary outcome at the assessment phase was the number of attempts before successfully completing the procedure. The secondary outcomes were the success rate at first attempt, the length of procedure (LOP), and the stability of the probe, corresponding to the visualization of the needle tip (and its tracking) throughout the procedure, evaluated on a Likert scale. A total of 25 participants were included. The median number of attempts was 2.0 for emergency physicians and 2.5 for medical students, and this difference was not significant (p = 0.140). Seven participants (28%) succeeded at the first attempt of the procedure; the difference between emergency physicians and medical students was not significant (37% versus 21%; p = 0.409). The average LOP was 19.7 min with a significant difference between emergency physicians and medical students (p = 0.001). There was no significant difference regarding the stability of the probe between the two groups. Our 1-day training for non-anesthesiologists with or without previous skills in ultrasound seems to be feasible for learning the US-FICB procedure on a simulator.

Sections du résumé

BACKGROUND BACKGROUND
Ultrasound-guided fascia iliaca compartment block (US-FICB) is not part of the learning curriculum of the emergency physicians (EP) and is usually performed by anesthesiologists. However, several studies promote EP to use this procedure. The goal of this study was to assess the feasibility of a training concept for non-anesthesiologists for the US-FICB on a simulator based on a validating learning path.
METHOD METHODS
This was a feasibility study. Emergency physicians and medical students received a 1-day training with a learning phase (theoretical and practical skills), followed by an assessment phase. The primary outcome at the assessment phase was the number of attempts before successfully completing the procedure. The secondary outcomes were the success rate at first attempt, the length of procedure (LOP), and the stability of the probe, corresponding to the visualization of the needle tip (and its tracking) throughout the procedure, evaluated on a Likert scale.
RESULTS RESULTS
A total of 25 participants were included. The median number of attempts was 2.0 for emergency physicians and 2.5 for medical students, and this difference was not significant (p = 0.140). Seven participants (28%) succeeded at the first attempt of the procedure; the difference between emergency physicians and medical students was not significant (37% versus 21%; p = 0.409). The average LOP was 19.7 min with a significant difference between emergency physicians and medical students (p = 0.001). There was no significant difference regarding the stability of the probe between the two groups.
CONCLUSION CONCLUSIONS
Our 1-day training for non-anesthesiologists with or without previous skills in ultrasound seems to be feasible for learning the US-FICB procedure on a simulator.

Identifiants

pubmed: 33256593
doi: 10.1186/s12245-020-00317-6
pii: 10.1186/s12245-020-00317-6
pmc: PMC7706061
doi:

Types de publication

Journal Article

Langues

eng

Pagination

57

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Auteurs

Julien Celi (J)

Emergency Unit, Department of Acute Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 2, CH-1205, Geneva, Switzerland. julien.celi@hcuge.ch.

Christophe A Fehlmann (CA)

Emergency Unit, Department of Acute Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 2, CH-1205, Geneva, Switzerland.

Olivier T Rutschmann (OT)

Emergency Unit, Department of Acute Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 2, CH-1205, Geneva, Switzerland.

Iris Pelieu-Lamps (I)

Anesthesiology Unit, Department of Acute Medicine, Geneva University Hospitals, Geneva, Switzerland.

Roxane Fournier (R)

Anesthesiology Unit, Department of Acute Medicine, Geneva University Hospitals, Geneva, Switzerland.

Mathieu Nendaz (M)

Unit of Development and Research in Medical Education, Faculty of Medicine, and Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.

François Sarasin (F)

Emergency Unit, Department of Acute Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 2, CH-1205, Geneva, Switzerland.

Frédéric Rouyer (F)

Emergency Unit, Department of Acute Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 2, CH-1205, Geneva, Switzerland.

Classifications MeSH