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

International Journal of Emergency Medicine

article

Celi, Julien¹  Fehlmann, Christophe A.¹  Rutschmann, Olivier T.¹  Pelieu-Lamps, Iris²  Fournier, Roxane²  Nendaz, Mathieu³  Sarasin, François¹  Rouyer, Frédéric¹ 

[1] Emergency Unit, Department of Acute Medicine, Geneva University Hospitals;Anesthesiology Unit, Department of Acute Medicine, Geneva University Hospitals;Unit of Development and Research in Medical Education, Faculty of Medicine, and Department of Medicine, Geneva University Hospitals

关键词: Ultrasound-guided fascia iliaca bock;    Learning process;    Emergency physician;   

DOI  :  10.1186/s12245-020-00317-6

学科分类：工业工程学

来源: Springer

【 摘 要 】

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.

【 授权许可】

CC BY|CC0