A randomised controlled trial comparing meat‐based with human cadaveric models for teaching ultrasound‐guided regional anaesthesia. (19th March 2016)

• Record Type: Journal Article
• Authors: Chuan, A.; Lim, Y. C.; Aneja, H.; Duce, N. A.; Appleyard, R.; Forrest, K.; Royse, C. F.
• Is Part Of: Anaesthesia. Volume 71:Number 8(2016:Aug.)
• Page Start: 921
• Page End: 929
• Publication Date: 2016-03-19
• Subjects: education -- training -- ultrasound‐guided regional anaesthesia; Anesthesia -- Periodicals; 617.96
• DOI: 10.1111/anae.13446
• Languages: English
• ISSNs: 0003-2409

Abstract

Summary: The aim of this prospective, blinded, randomised controlled study was to compare novices' acquisition of the technical skills of ultrasound‐guided regional anaesthesia using either a meat phantom model or fresh‐frozen human cadavers. The primary outcome was the time taken to successfully perform an ultrasound‐guided sciatic nerve block on a cadaver; secondary outcomes were the cumulative score of errors, and best image quality of the sciatic nerve achieved. After training, the median (IQR [range]) time taken to perform the block was 311(164–390 [68–600]) s in the meat model trained group and 210 (174–354 [85–600]) s in the fresh‐frozen cadaver trained group (p = 0.24). Participants made a median (IQR [range]) of 18 (14–33 [8–55]) and 15 (12–22 [8–44]) errors in the two groups respectively (p = 0.39). The image quality score was also not different, with a median (IQR [range]) of 62.5 (59.4–65.6 [25.0–100.0])% vs 62.5 (62.5–75.0 [25.0–87.5])% respectively (p = 0.58). The training and deliberate feedback improved all participants' block performance, the median (IQR [range]) times being 310 (206–532 [110–600]) s before and 240 (174–354 [85–600]) s after training (p = 0.02). We conclude that novices taught ultrasound scanning and needle guidance skills using an inexpensive and easily constructed meat model perform similarly to those trained on a cadaveric model.