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Ultrasound I: Abdominal Ultrasonography01:20

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Related Experiment Video

Updated: Aug 6, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Assessment Tools for the Evaluation of Simulation-Based Competency In Ultrasound-Guided Regional Anesthesia: An

Gail L Beutler Crawford1, Bill Johnson2, Hallie Evans3

  • 1works for Main Street Anesthesia as the CRNA Director for Presbyterian Rust Medical Center in Albuquerque, New Mexico, and is an Adjunct Professor at Samuel Merritt University.

AANA Journal
|March 23, 2023
PubMed
Summary

Assessing ultrasound-guided regional anesthesia (UGRA) skills in simulation is crucial. The Regional Anesthesia Procedural Skills tool and McLeod checklist are recommended for evaluating UGRA competency due to their validity and reliability.

Keywords:
assessment toolnerve blockregional anesthesiasimulationultrasound

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Area of Science:

  • Medical Education
  • Anesthesiology
  • Simulation Technology

Background:

  • Novice anesthesia providers find ultrasound-guided regional anesthesia (UGRA) challenging due to complex skill requirements.
  • Simulation is vital for improving clinical competency and patient safety in UGRA.
  • A standardized method for assessing UGRA competency in simulation is currently lacking.

Approach:

  • An integrative review was conducted to identify the most accurate, reliable, and feasible methods for evaluating UGRA competency in simulation.
  • Nineteen articles were included based on strict inclusion and exclusion criteria.
  • The review focused on the validity and reliability of assessment tools, along with multirater agreement, internal/external reliability, and feasibility.

Key Points:

  • Hand motion analysis and eye motion tracking show potential but are limited by cost and training.
  • The Regional Anesthesia Procedural Skills tool and McLeod checklist demonstrate skill discrimination, high interrater agreement, and feasibility.
  • The Naik Global Rating Scale is effective for assessing nontechnical professional attributes.

Conclusions:

  • The Regional Anesthesia Procedural Skills tool and McLeod checklist are highly recommended for simulation-based UGRA competency assessment.
  • These tools offer superior validity and reliability compared to other reviewed methods.
  • Effective assessment tools are essential for advancing UGRA training and ensuring patient safety.