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Related Concept Videos

Ultrasound I: Abdominal Ultrasonography01:20

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Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
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The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
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Related Experiment Video

Updated: Apr 27, 2026

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
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Standardised training program in spinal ultrasound for epidural insertion: protocol driven versus non-protocol driven

N C S Terblanche1, C Arzola, K E Wills

  • 1Department of Anaesthesia and Pain Medicine, Calvary Hospital, Bruce, Australian Capital Territory.

Anaesthesia and Intensive Care
|June 27, 2014
PubMed
Summary

Structured training significantly improved anaesthetists' spinal ultrasound skills. This program enhanced performance for epidural insertion guidance, regardless of teaching method, highlighting the value of practice and expert feedback.

Keywords:
anaesthesia educationfeedbacklearning curveslumbar vertebraeultrasonography

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Area of Science:

  • Medical Education
  • Anesthesiology
  • Point-of-Care Ultrasound

Background:

  • Spinal ultrasonography is crucial for guiding epidural insertion in obstetric patients.
  • Developing effective training programs is essential for anaesthetists' skill acquisition in this area.

Purpose of the Study:

  • To develop and evaluate a training program for anaesthetists in spinal ultrasonography.
  • To assess the impact of this training on the skill acquisition of novice anaesthetists.

Main Methods:

  • Eighteen anaesthetists participated in two workshops with practice and video-recorded assessments.
  • Participants were randomized to protocol-driven or non-protocol-driven teaching groups.
  • Expert raters assessed performance using global rating scales, checklists, and image quality scales.

Main Results:

  • Significant improvements in Global Rating Scale (GRS) scores were observed after the training program (mean increase of 6.01 points, P<0.001).
  • No significant difference in skill improvement was found between the protocol-driven and non-protocol-driven teaching groups (P=0.211).
  • High inter-rater agreement (Intraclass correlation coefficients 0.59–0.89) was demonstrated across assessment methods.

Conclusions:

  • Programmed spinal ultrasound training, incorporating expert guidance and feedback, effectively enhances anaesthetists' performance.
  • Both protocol-based and non-protocol-based training approaches yield significant skill improvements.