Clinical trial NCT06708598: Learning Curve of Ultrasound-Guided Suprainguinal Fascia Iliaca Block: A Prospective Observational Study
Official title: Learning Curve of Ultrasound-Guided Suprainguinal Fascia Iliaca Block: A Prospective Observational Study
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Learning Curve
Suprainguinal Fasya Iliaca Block
Ultrasound-guided Regional Anesthesia (UGRA)
Lead sponsor: Samsun University
Sponsor class: OTHER
First posted: 2024-11-27
Enrollment: 10
Sex: ALL
Minimum age (years): 22
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Anesthesia residents with less than 2 years of anesthesia experience who have never performed a SIFIB before.

Brief summary: Competence in ultrasound-guided regional anesthesia (UGRA) requires practitioners to acquire cognitive and technical skills. Various difficulties have been identified in anesthesia residents' learning UGRA skills. There is currently no approved UGRA curriculum for residents, and the level of UGRA proficiency achieved during residency may vary significantly. However, no specific training criteria have been defined for this block. It is important to establish criteria to evaluate the adequacy of education.

Detailed description: Compared to other nerve localization techniques, the benefits of UGRA include higher nerve block success rates, faster onset times, reduced local anesthetic volumes, and a lower risk of local anesthetic-related complications. Most experts now consider ultrasound guidance as the standard of care for peripheral nerve blocks. Successfully performing a UGRA procedure requires a triad of three distinct but interrelated skills: image acquisition, anatomical interpretation, and hand-eye coordination.

In our clinic, we routinely perform various nerve block techniques under ultrasound guidance during the perioperative period, both for postoperative analgesia and as a primary anesthetic method. Specifically, in our clinic, the suprainguinal fascia iliaca block (SIFIB) is routinely applied for postoperative analgesia, particularly in orthopedic cases. Before performing a nerve block procedure, resident doctors in our clinic undergo standard training and subsequently perform blocks under the supervision and support of experienced specialists and academicians.

Eligibility criteria: Inclusion Criteria:

- Anesthesia residents with less than 2 years of anesthesia experience who have never performed a SIFIB before

Exclusion Criteria:

* Having previously performed a SIFIB

Primary outcomes:
measure: Block success
timeFrame: 20 minute
Secondary outcomes:
measure: Block performance time
timeFrame: 20 minute
Other outcomes:
Locations:
city: Samsun
country: Turkey
facility: SAMSUN UNIVERSITY Samsun Training and research hospital
state: Ilkadım
Study officials:
affiliation: Samsun University
name: Senay Canikli Adıgüzel
role: STUDY_DIRECTOR
References:
citation: Dang D, Kamal M, Kumar M, Paliwal B, Nayyar A, Bhatia P, Singariya G. Comparison of human cadaver and blue phantom for teaching ultrasound-guided regional anesthesia to novice postgraduate students of anesthesiology: A randomized controlled trial. J Anaesthesiol Clin Pharmacol. 2024 Apr-Jun;40(2):276-282. doi: 10.4103/joacp.joacp_234_22. Epub 2024 May 16.
citation: Kim TE, Tsui BCH. Simulation-based ultrasound-guided regional anesthesia curriculum for anesthesiology residents. Korean J Anesthesiol. 2019 Feb;72(1):13-23. doi: 10.4097/kja.d.18.00317. Epub 2018 Nov 27.
citation: Rossetti M, Allgower D, Hell K. [Azygoportal interruption, fundoplication and vagotomy in hemorrhagic esophageal varices]. Helv Chir Acta. 1977 Oct;44(4):481-4. German.