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The Journal of Education in Perioperative Medicine : JEPM
|April 15, 2026
PubMed
Summary

Simulator training effectively teaches ultrasonography for neuraxial procedures in high BMI patients. Experimental courses with 3D visualization and deliberate practice improved procedural stepwise approaches compared to conventional methods.

Keywords:
graduate medical educationmixed-reality simulationsimulation trainingspinal anesthesiaultrasonography

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Area of Science:

  • Medical Education
  • Anesthesiology
  • Medical Simulation

Background:

  • Ultrasonography (US) is crucial for neuraxial procedures in patients with elevated body mass index (BMI).
  • Teaching US-assisted techniques in clinical settings is challenging due to time and patient factors.
  • Simulator-based training offers a potential solution to enhance learning and minimize patient discomfort.

Purpose of the Study:

  • To evaluate the effectiveness of simulator-based training for teaching US-assisted neuraxial procedures.
  • To compare a conventional training approach with an experimental approach incorporating 3D visualization and deliberate practice.

Main Methods:

  • 24 learners were randomized into two groups: conventional (C) and experimental (E).
  • Course C used human models for US techniques and simulators for practice.
  • Course E utilized simulators with 3D visualization and deliberate practice, excluding human models.

Main Results:

  • Both groups showed similar sonoanatomy identification and lumbar sonography assessment scores.
  • Experimental group learners demonstrated a significantly higher adherence to procedural steps before needle insertion (75% vs 16.7%).
  • Both groups achieved high rates of successful dural punctures on a high-BMI simulator.

Conclusions:

  • Simulator-based courses can effectively teach US-assisted neuraxial procedures without human models.
  • The experimental course, integrating 3D visualization and deliberate practice, superiorly improved stepwise procedural execution.