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    Performance of Ultrasound-guided Peripheral Nerve Blocks by Medical Students After One-day Training Session

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    1553117371-20190320-894-g1sx6y.pdf
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    Description:
    Final Published version
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    Author
    Situ-LaCasse, Elaine H
    Amini, Richard
    Bain, Victoria
    Acuña, Josie
    Samsel, Kara
    Weaver, Christina
    Valenzuela, Josephine
    Pratt, Landon
    Patanwala, Asad E
    Adhikari, Srikar
    Affiliation
    Univ Arizona, Coll Med, Dept Emergency Med
    Univ Arizona, Emergency Med
    Univ Arizona, Coll Pharm
    Issue Date
    2019-01-18
    Keywords
    point-of-care ultrasound
    peripheral nerve blocks
    medical student education
    ultrasound-guided procedures
    medical simulation
    medical education
    pain management
    pain management
    opioid addiction
    
    Metadata
    Show full item record
    Publisher
    CUREUS INC
    Citation
    Situ-Lacasse E H, Amini R, Bain V, et al. (January 18, 2019) Performance of Ultrasound-guided Peripheral Nerve Blocks by Medical Students After One-day Training Session. Cureus 11(1): e3911. doi:10.7759/cureus.3911
    Journal
    CUREUS
    Rights
    © Copyright 2019 Situ-LaCasse et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Introduction Ultrasound-guided peripheral nerve blocks (USGPNB) are performed by various specialists and are excellent, non-addicting pain control techniques. Alternative pain management approaches are needed to combat opiate abuse. Medical students should be aware of alternative pain management therapies before they begin clinical practice. Objective Our objective was to determine if medical students can identify peripheral nerves under ultrasound and perform a USGPNB after a one-day hands-on training session. Methods This was a cross-sectional study at an academic medical center. The study participants were third-year medical students with minimal prior ultrasound experience. Students were given an introductory lecture highlighting the opiate epidemic and benefits of USGPNB prior to the workshop. The one-day hands-on educational workshop consisted of learning basic sonographic anatomy, indications for USGPNB, and practicing needle guidance under ultrasound guidance. After the educational workshop, students' procedural competency was assessed by ultrasound-trained emergency medicine clinicians. Results A total of 94 participants were included in this study. The average pre-test score was 68.4% (95% confidence interval [CI]; 65.4% to 71.4%). After the one-day educational workshop, the post-test score was 92.8% (95% CI; 90.8% to 94.8%). The average hands-on evaluation score was 84.4% (95% CI; 81.6% to 87.3%). All students agreed that this educational session is a good start to learning about USGPNB, and they felt comfortable identifying the peripheral nerves using ultrasound. On a confidence scale of one (low) through 10 (high), 83% (95% CI; 75.9% to 90.15%) rated their confidence as >= 6. All except one student either agreed that this educational session helped them understand how USGPNB could be integrated into acute pain management. The majority (84% [95% CI; 77% to 91%]) agreed that the session will change how they manage patients' acute pain in their future medical practice. Conclusion Medical students can learn the sonographic anatomy of peripheral nerves and techniques of USGPNB after a one-day educational session.
    Note
    Open access journal
    ISSN
    2168-8184
    DOI
    10.7759/cureus.3911
    Version
    Final published version
    Additional Links
    https://www.cureus.com/articles/16464-performance-of-ultrasound-guided-peripheral-nerve-blocks-by-medical-students-after-one-day-training-session
    ae974a485f413a2113503eed53cd6c53
    10.7759/cureus.3911
    Scopus Count
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    UA Faculty Publications

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