Universität zu Köln

Brascher, Anne-Kathrin ORCID: 0000-0002-2621-5689, Blunk, James Allen, Bauer, Katrin, Feldmann, Robert, Jr. and Benrath, Justus (2014). Comprehensive Curriculum for Phantom-Based Training of Ultrasound-Guided Intercostal Nerve and Stellate Ganglion Blocks. Pain Med., 15 (10). S. 1647 - 1657. OXFORD: OXFORD UNIV PRESS. ISSN 1526-4637

Full text not available from this repository.

Abstract

ObjectiveUltrasound (US)-guided pain procedures become increasingly important due to their numerous advantages. Solid proficiency is necessary, however, to minimize complications and guarantee adequate performance. To enable beginners to learn the relevant skills in the technique of US-guided stellate ganglion (SGB) and intercostal nerve block (ICB), a training curriculum was developed and tested using self-made phantoms. DesignThe curriculum comprised an introduction to the didactics of US, SGB, and ICB, a demonstration of the techniques by an expert user, as well as hands-on training of needle guidance using a gel pad and two phantoms. SubjectsThree groups of participants with different levels of expertise with US-guided procedures took part in the curriculum: 12 medical students with no prior experience, 12 anesthesiologists with some experience, and five senior anesthesiologists who already applied these techniques on a regular basis. MethodsParticipants evaluated the curriculum via questionnaire, and their performance of time until adequate puncture, attempts required for adequate puncture, number of corrections, and unintentional punctures was assessed. ResultsThe medical students significantly increased their speed during both nerve blocks and reduced the number of attempts and corrections necessary to perform adequate ICB. The anesthesiologists with some experience also increased their speed in both blocks. The participants rated the curriculum as good to very good. ConclusionsThe combination of theoretical teaching, expert demonstration, and hands-on training on phantoms proved useful in acquiring skills needed for US-guided procedures such as SGB and ICB, and can potentially improve graduate and post-graduate medical education.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Brascher, Anne-Kathrin UNSPECIFIED orcid.org/0000-0002-2621-5689 UNSPECIFIED Blunk, James Allen UNSPECIFIED UNSPECIFIED UNSPECIFIED Bauer, Katrin UNSPECIFIED UNSPECIFIED UNSPECIFIED Feldmann, Robert, Jr. UNSPECIFIED UNSPECIFIED UNSPECIFIED Benrath, Justus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-426576
DOI:	10.1111/pme.12365
Journal or Publication Title:	Pain Med.
Volume:	15
Number:	10
Page Range:	S. 1647 - 1657
Date:	2014
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1526-4637
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language JOINT COMMITTEE RECOMMENDATIONS; REGIONAL ANESTHESIA; MEDICAL-EDUCATION; AMERICAN SOCIETY; EUROPEAN-SOCIETY; LEARNING-CURVE; PAIN MEDICINE; SIMULATION; RESIDENTS; THERAPY Multiple languages Anesthesiology; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42657