Aim of this study is to compare learning curves of single(1- Jedi grip: Pappin and Christie/ 2- Bedforth/ 3- on lock: Gupta and Berrill) and double operator ultrasound-guided peripheric nerve block techniques on a home-made gelatin-based phantom model.
Ultrasound-guided peripheral blocks are conventionaly performed by double operators. One operator controls both the ultrasound probe and peripheric block needle. Another assistant operator aspirate or injects local anesthetic. In this technique operator do not sense resistance in the syringe. Also this technique requires a well-done communication and coordination between operators. In order to eliminate disadvantages of this technique several single-operator grip techniques of the needle and syringe have been described(1- Jedi grip: Pappin and Christie/ 2- Bedforth/ 3- on lock: Gupta and Berrill). Single operator techniques allow the provider to perform independently. Aim of this study is to compare learning curves of single and double operator ultrasound-guided peripheric nerve block techniques on a home-made gelatin-based phantom model.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
50
resident reach the targeted area on the phantom model using ultrasoun guidance and independently or with asistance inject the solution
Ankara City Hospital
Ankara, Turkey (Türkiye)
Time to correct grip1
Time(sec) from start command to correct grip of the probe, needle and syringe for each technique
Time frame: during implementation of procedure on phantom model(first session)
image quality1
provided image quality by resident for each technique which is assessed by investigator by four point Liker Scale( 1- much worse 2- worse 3- better 4- much better)
Time frame: during implementation of procedure on phantom model(first session)
number of attempts1
number of attempts until correct needling to target area
Time frame: during implementation of procedure on phantom model(first session)
needling time 1
time to reach target area with block needle
Time frame: during implementation of procedure on phantom model(first session)
success of injection1
successful if injected water flows from hose of model/ unsuccessful if solution do not flow
Time frame: during implementation of procedure on phantom model(first session)
Time to correct grip2
Time(sec) from start command to correct grip of the probe, needle and syringe for each technique
Time frame: during implementation of procedure on phantom model(second session)
Time to correct grip3
Time(sec) from start command to correct grip of the probe, needle and syringe for each technique
Time frame: during implementation of procedure on phantom model(third session)
image quality2
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provided image quality by resident for each technique which is assessed by investigator by four point Liker Scale( 1- much worse 2- worse 3- better 4- much better)
Time frame: during implementation of procedure on phantom model(second session)
image quality3
provided image quality by resident for each technique which is assessed by investigator by four point Liker Scale( 1- much worse 2- worse 3- better 4- much better)
Time frame: during implementation of procedure on phantom model(third session)
number of attempts2
number of attempts until correct needling to target area
Time frame: during implementation of procedure on phantom model(second session)
number of attempts3
number of attempts until correct needling to target area
Time frame: during implementation of procedure on phantom model(third session)
needling time 2
time to reach target area with block needle
Time frame: during implementation of procedure on phantom model(second session)
needling time 3
time to reach target area with block needle
Time frame: during implementation of procedure on phantom model(third session)
success of injection2
successful if injected water flows from hose of model/ unsuccessful if solution do not flow
Time frame: during implementation of procedure on phantom model(second session)
success of injection3
successful if injected water flows from hose of model/ unsuccessful if solution do not flow
Time frame: during implementation of procedure on phantom model(third session)
NASA-TLX (NASA Task Load Index)
Resident assessment of each techniques for Mental Demand ,Physical Demand, Temporal Demand, Performance, Effort and Frustration
Time frame: during implementation of procedure on phantom model(third session)
Assesment of education
Residents assesment of pre-procedural education with a questtionarie. "Education was sufficient enough to safely perform peripheral block": 1. I absolutely agree 2. I approve 3. I am indecisive 4. I do not approve 5. Absolutely Disagree
Time frame: during education of techniques