23 Participants Needed

Online vs In-Person Education for Regional Anesthesia Training

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Overseen ByHermann dos Santos Fermandes, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Toronto
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether medical students can learn to perform an ultrasound-guided nerve block using online materials instead of traditional in-person classes. The study focuses on students who are new to this technique. The online resources include videos and images that teach students how to use ultrasound to find the right spot for a nerve block.

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications. It seems unlikely, as the trial focuses on educational methods for medical students.

What safety data exists for supraclavicular brachial plexus block training methods?

The safety of supraclavicular brachial plexus block, particularly when guided by ultrasound, is well-documented. Studies show a low complication rate, with one large study reporting only 0.6% adverse events in 713 cases, none of which were clinically significant. Ultrasound guidance significantly reduces the risk of major complications like pneumothorax and nerve damage, making it a safe and efficient procedure. This technique is also considered safe for use in children, although there is limited data for those under six years old.12345

Is learning about supraclavicular brachial plexus block online a promising treatment?

Yes, learning about supraclavicular brachial plexus block online is promising because it allows students to access a wide range of resources at their own pace, potentially leading to a better understanding of the procedure. Online resources can provide detailed visual guides and explanations, which can be especially helpful for understanding complex techniques like ultrasound-guided blocks.678910

What data supports the idea that Online vs In-Person Education for Regional Anesthesia Training is an effective treatment?

The available research shows that using ultrasound guidance for supraclavicular brachial plexus block is effective because it reduces complications and increases success rates. While the studies focus on the use of ultrasound in performing the block, they highlight the importance of learning these techniques, which can be done through both online and in-person education. The research suggests that ultrasound guidance makes the procedure safer and more efficient, which supports the idea that learning these skills, whether online or in-person, is beneficial.267811

Who Is on the Research Team?

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Hermann dos Santos Fernandes, PhD

Principal Investigator

University of Toronto

Are You a Good Fit for This Trial?

This trial is for medical students who have done less than two ultrasound-guided supraclavicular blocks and are open to learning either through in-person teaching or by studying online materials independently. They must be willing to participate in an anonymous assessment of their skills.

Inclusion Criteria

I am a medical student willing to attend in-person teaching or study online.
Willing to undergo an anonymous skill acquisition assessment
I have had 2 or fewer ultrasound-guided blocks near my collarbone.

Exclusion Criteria

I have had ultrasound-guided nerve block near my collarbone more than twice.
I have chosen not to participate in this study.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Intervention

Participants are randomized into either the in-person teaching group or the online learning group. The in-person group receives standardized theoretical teaching, while the online group engages in self-directed learning using online materials.

1 week
1 visit (in-person for the in-person group)

Evaluation

Participants demonstrate the ultrasound-guided supraclavicular brachial plexus block technique they learned, evaluated by an experienced evaluator.

2 weeks
1 visit (in-person)

Follow-up

Participants are monitored for skill retention and effectiveness of the educational intervention.

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Conventional in-person teaching on supraclavicular brachial plexus block
  • Self exploring of available online material on supraclavicular brachial plexus block
Trial Overview The study aims to compare the effectiveness of self-study using online resources from NYSORA and USRA with traditional, in-person teaching methods for performing ultrasound-guided supraclavicular brachial plexus block, a regional anesthesia technique.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Online groupExperimental Treatment1 Intervention
Independent learning with online educational material
Group II: In-person groupActive Control1 Intervention
Conventional in-person standardized teaching

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Toronto

Lead Sponsor

Trials
739
Recruited
1,125,000+

Published Research Related to This Trial

A study analyzing 175 YouTube videos on ultrasound-guided brachial plexus blocks found that academic, manufacturer, and educational videos had significantly better accuracy and reliability compared to individual videos, indicating that source matters for effective learning.
Manufacturer and educational videos also scored higher in educational quality, suggesting that these types of videos are more beneficial for teaching the procedure, while all sources showed weaknesses in addressing equipment preparation and post-procedure care.
Reliability and Quality of YouTube Videos on Ultrasound-Guided Brachial Plexus Block: A Programmatical Review.Cho, NR., Cha, JH., Park, JJ., et al.[2021]
Ultrasound-guided supraclavicular brachial plexus block significantly reduces the risk of major complications, such as pneumothorax, compared to traditional methods.
The review highlights the effectiveness of ultrasonography in enhancing the safety and efficiency of regional anesthesia techniques, making it a valuable tool in modern medical practice.
Renaissance of supraclavicular brachial plexus block.Sadowski, M., Tułaza, B., Lysenko, L.[2019]
In a study of 120 patients undergoing ultrasound-guided supraclavicular blocks, using 30 ml of 1% mepivacaine achieved a 90% success rate, making it the recommended volume for optimal results.
Lower volumes of local anesthetic (20 ml) resulted in a significantly lower success rate (66.7%), while the highest volume (35 ml) was associated with a higher incidence of Horner's syndrome, indicating a trade-off between efficacy and safety.
Comparison of ultrasound-guided supraclavicular block according to the various volumes of local anesthetic.Jeon, DG., Kim, SK., Kang, BJ., et al.[2021]

Citations

Reliability and Quality of YouTube Videos on Ultrasound-Guided Brachial Plexus Block: A Programmatical Review. [2021]
Renaissance of supraclavicular brachial plexus block. [2019]
Comparison of ultrasound-guided supraclavicular block according to the various volumes of local anesthetic. [2021]
Ultrasound-guided supraclavicular brachial plexus block in pediatric patients -A report of four cases-. [2021]
Ultrasound guided supraclavicular block. [2019]
An Evaluation of Complications Following Ultrasound-Guided Regional Block Anesthesia in Outpatient Hand Surgery. [2022]
Efficacy and Safety of Ultrasound-Guided Supraclavicular Brachial Plexus Block during Angioplasty of Dysfunctional Arteriovenous Access: A Prospective, Randomized Single-Center Clinical Trial. [2020]
[Sopraclavicular techniques for brachial plexus block]. [2006]
Upper extremity surgery in younger children under ultrasound-guided supraclavicular brachial plexus block: a case series. [2021]
Low-volume ultrasound-guided supraclavicular block in a multicomorbid patient for emergency vascular surgery - In COVID-19 era. [2022]
A randomised comparative evaluation of supraclavicular and infraclavicular approaches to brachial plexus block for upper limb surgeries using both ultrasound and nerve stimulator. [2020]
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