Anesthesia Education
Conditions
Brief summary
Expert-performance begins by focusing specifically on the end-product of training and experience in the hands of the expert. By defining expert behaviors and techniques, investigators can guide learners and non-expert practitioners by offering them models to emulate. At Toronto Western Hospital (TWH), there are more than ten expert attending regional anesthesiologists who routinely provide clinical patient care in the block room. The primary objective of this study is to qualitatively and quantitatively examine behavior of experts performing ultrasound guided regional anesthesia techniques to identify those which are consistent and unique, and which may underpin expert performance.
Interventions
None listed
Sponsors
University Health Network, Toronto
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* All elective patients coming to the regional BR at TWH aged 18-80
Exclusion criteria
* Any contraindication to USGRA (LA allergy, patient refusal, infection at injection site, etc.) * Inability to read or speak or comprehend English fluently
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Qualitative behaviors of experts performing UGRA techniques during pre-procedural discussion | 1 hour before procedure | Reviewers will identify behaviors exhibited by the expert operators during pre-procedural discussion |
| Qualitative behaviors of experts performing UGRA techniques during patient and equipment preparation | 0.5 hour before procedure | Reviewers will identify behaviors exhibited by the expert operators during patient and equipment preparation |
| Qualitative behaviours of experts performing UGRA techniques during ultrasound scanning of the target area; | 10 minutes before procedure | Reviewers will identify behaviors exhibited by the expert operators during ultrasound scanning of the target area; |
| Qualitative behaviours of experts performing UGRA techniques during needle advancement and local anesthetic deposition around the target nerve(s) | during procedure | Reviewers will identify behaviors exhibited by the expert operators during needle advancement and local anesthetic deposition around the target nerve(s). |
| Quantitative data on block effectiveness defined by blocks requiring top-up | 0-1 hour after procedure | number of top-up will be collected |
| Quantitative data on block effectiveness defined by blocks requiring conversion to GA | 0-1 hour after procedure | Incidence will be documented in case conversion to GA is needed |
| Quantitative data on time to surgical anesthesia | 0-1 hour after procedure | defined by final needle removal to surgical anesthesia |
| Quantitative data on time to block completion | 0-1 hour after procedure | defined by needle insertion to final needle removal |
Contacts
Primary ContactRongyu (Cindy) Jin
Outcome results
None listed