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Ultrasound-Guided Regional Anesthesia Simulation Training: A Systematic Review
Xiao Xu Chen1, Vatsal Trivedi, AbdulHadi A AlSaflan
1From the *Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, Ontario, Canada; †Department of Anesthesia and Pain Medicine, Dammam University, Dammam, Saudi Arabia; ‡Knowledge Translation Program, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto; §Epidemiology Division, Dalla Lana School of Public Health, University of Toronto, Toronto; ∥Department of Anesthesiology and Pain Medicine, University of Ottawa, The Ottawa Hospital; and **Department of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada.
Simulation training significantly enhances ultrasound-guided regional anesthesia (UGRA) knowledge and skills. While UGRA skills may transfer to clinical practice, more research is needed to confirm improved patient outcomes.
Area of Science:
- Medical Education
- Anesthesiology
- Medical Simulation
Background:
- Ultrasound-guided regional anesthesia (UGRA) is the standard of care.
- Simulation is widely used in UGRA training programs.
- Guidelines exist for UGRA education.
Purpose of the Study:
- To systematically review the effectiveness of simulation-based education for UGRA competence.
- To assess knowledge acquisition, skill development, and clinical transfer of UGRA skills.
Main Methods:
- Systematic review of studies from multiple databases (MEDLINE, EMBASE, CINAHL, Cochrane, ERIC).
- Inclusion criteria: simulation-based UGRA teaching with Kirkpatrick levels 2, 3, or 4 outcomes.
- Independent review, data abstraction, and quality appraisal by two authors.
Main Results:
- Simulation-enhanced training significantly improved UGRA knowledge and skills (Kirkpatrick level 2) compared to non-simulation methods.
- One study showed no difference in clinical transfer (Kirkpatrick level 3), but was prematurely stopped.
- Limited evidence suggests simulation may improve patient outcomes (Kirkpatrick level 4).
Conclusions:
- Simulation-based training is effective for improving UGRA knowledge and skills.
- Further research is needed to confirm the transfer of UGRA skills to clinical practice and impact on patient outcomes.
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