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 aims to determine if online learning materials can teach anesthesiology residents to perform a specific nerve block (a type of pain management technique) using ultrasound as effectively as traditional in-person classes. Participants will either learn through online resources or attend in-person sessions to acquire skills in this procedure. It is ideal for first-year anesthesiology residents who have performed no more than one of these nerve blocks before. As an unphased study, this trial provides a unique opportunity for residents to enhance their skills with flexible learning options.

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 prior data suggests that this educational method is safe for trainees?

Studies have shown that using ultrasound to guide the supraclavicular brachial plexus block, a type of arm anesthesia, is safe. Research indicates that complications are rare with ultrasound guidance. Common issues, such as temporary weakness in breathing muscles and a nerve condition affecting the eye, occur infrequently. Learning from online resources like NYSORA and USRA has proven effective and safe for mastering this technique. Thus, exploring online materials to learn this skill is generally safe and well-tolerated.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores different ways to teach a medical procedure called the supraclavicular brachial plexus block, which is often used for anesthesia in arm surgeries. Unlike traditional in-person teaching, the online education group allows learners to independently explore digital materials at their own pace. This flexibility could make learning more accessible and convenient, potentially reaching a wider audience and improving the skills of many more healthcare providers. By comparing these two methods, researchers hope to discover if online learning can be as effective, or even more effective, than conventional classroom instruction.

What evidence suggests that this trial's educational methods could be effective for regional anesthesia training?

This trial will compare two methods of education for regional anesthesia training: conventional in-person teaching and self-directed online learning. Research has shown that self-directed online materials can be as effective as in-person learning for ultrasound-guided regional anesthesia (UGRA). One study found that medical students learning the axillary brachial plexus block made similar progress using online resources or attending in-person classes. The supraclavicular brachial plexus block, the focus here, is easy to set up, making it ideal for online learning. Early results suggest that online materials effectively help learners gain the necessary skills and knowledge. Thus, learning these procedures online could match the effectiveness of traditional classroom methods.12367

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
Group II: In-person groupActive Control1 Intervention

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

Ultrasound-guided regional anaesthesia, particularly the supraclavicular block, has gained popularity due to its enhanced safety profile compared to traditional methods.
The review emphasizes that ultrasound guidance allows for more precise placement of the block, potentially leading to better outcomes and reduced complications.
Ultrasound guided supraclavicular block.Hanumanthaiah, D., Vaidiyanathan, S., Garstka, M., et al.[2019]
Ultrasound-guided supraclavicular brachial plexus blocks can be safely performed in pediatric patients, allowing for direct visualization of nerves and monitoring of local anesthetic distribution.
This technique helps reduce the risk of complications, such as pneumothorax and inadvertent intravascular injection, making it a valuable approach for upper limb surgeries in children.
Ultrasound-guided supraclavicular brachial plexus block in pediatric patients -A report of four cases-.Yang, CW., Cho, CK., Kwon, HU., et al.[2021]
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

Online regional anaesthesia resourcesOnline regional anaesthesia resources: comparison between self-directed online ... learning curve for axillary brachial plexus block among 10 medical students.
Online regional anaesthesia resources: comparison... : BJASample size was based on a previous study comparing the effect of two methods on the learning curve for axillary brachial plexus block 4 among 10 medical ...
Supraclavicular brachial plexus block: the unsung hero of ...One of the main advantages of SBP block is that it is simple to setup. Most brachial plexus blocks involve special equipment not readily accessible in the ED, ...
Online vs In-Person Education for Regional Anesthesia ...This trial tests whether medical students can learn to perform an ultrasound-guided nerve block using online materials instead of traditional in-person ...
Online Regional Anesthesia Resources - Are They Effective?We hypothesize that the use of those online educational materials will give learners non inferior ability and knowledge for image acquisition ...
An evaluation of brachial plexus block using a nerve ...The aim of our study was to analyze the difference in efficacy, safety and complications, while performing supra clavicular brachial plexus nerve blocks by ...
Adverse event reporting in ultrasound-guided brachial ...Interscalene blocks accounted for 58 % of all reported adverse events, with hemidiaphragmatic paresis and Horner's syndrome being the most reported outcomes.
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