Learning process of ultrasound-guided Ilio-fascial compartment block on a simulator: a feasibility study
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(2020) 13:57
International Journal of Emergency Medicine
EDUCATIONAL ADVANCES IN EMERGENCY MEDICINE
Open Access
Learning process of ultrasound-guided Iliofascial compartment block on a simulator: a feasibility study Julien Celi1*, Christophe A. Fehlmann1, Olivier T. Rutschmann1, Iris Pelieu-Lamps2, Roxane Fournier2, Mathieu Nendaz3, François Sarasin1 and Frédéric Rouyer1
Abstract Background: Ultrasound-guided fascia iliaca compartment block (US-FICB) is not part of the learning curriculum of the emergency physicians (EP) and is usually performed by anesthesiologists. However, several studies promote EP to use this procedure. The goal of this study was to assess the feasibility of a training concept for non-anesthesiologists for the US-FICB on a simulator based on a validating learning path. Method: This was a feasibility study. Emergency physicians and medical students received a 1-day training with a learning phase (theoretical and practical skills), followed by an assessment phase. The primary outcome at the assessment phase was the number of attempts before successfully completing the procedure. The secondary outcomes were the success rate at first attempt, the length of procedure (LOP), and the stability of the probe, corresponding to the visualization of the needle tip (and its tracking) throughout the procedure, evaluated on a Likert scale. Results: A total of 25 participants were included. The median number of attempts was 2.0 for emergency physicians and 2.5 for medical students, and this difference was not significant (p = 0.140). Seven participants (28%) succeeded at the first attempt of the procedure; the difference between emergency physicians and medical students was not significant (37% versus 21%; p = 0.409). The average LOP was 19.7 min with a significant difference between emergency physicians and medical students (p = 0.001). There was no significant difference regarding the stability of the probe between the two groups. Conclusion: Our 1-day training for non-anesthesiologists with or without previous skills in ultrasound seems to be feasible for learning the US-FICB procedure on a simulator. Keywords: Ultrasound-guided fascia iliaca bock, Learning process, Emergency physician
* Correspondence: [email protected] 1 Emergency Unit, Department of Acute Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 2, CH-1205 Geneva, Switzerland Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included
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