Simulation training and translation to patient care
Research type
Research Study
Full title
Does cadaver simulation training offer best clinical performance behaviour during ultrasound-guided regional anaesthesia?
IRAS ID
243797
Contact name
Graeme McLeod
Contact email
Sponsor organisation
NHS Tayside
Duration of Study in the UK
0 years, 11 months, 31 days
Research summary
Ultrasound-‐guided local anaesthetic nerve block anaesthetises arms and legs. Patients who are elderly,\nobese, diabetic or ill can be operated on, get better more quickly, and even go home after their operation.\nIn Dundee, we have the best simulator of regional anaesthesia – the soft embalmed Thiel cadaver that looks\nlike and feels like a patient on ultrasound because it is soaked in vats of acid and salts for 6 months. We\nhave also developed objective measures of performance that reflect the quality of nerve block proficiency.\n\nThe first is step and error metrics. We recruited sixteen UK experts and they identified 17 steps that were\nkey to success and 21 errors to be avoided during the procedure.\n\nThe second measure is eye tracking, a technology that gives an idea of what people see and how they make\ndecisions. Special glasses identify the movement of the pupil during the nerve block process, tracking what\nthe trainee focuses on and when they glance away from the site of interest.\n\nWe want to conduct two studies.\n1. To ensure our step and error metrics are valid when performing interscalene block on the soft embalmed\nThiel cadaver\n2. To see if training on our soft embalmed cadaver + standard training (lectures, ultrasound scanning on volunteers and shoulder of pork) translates to better performance on patients compared to standard training\nalone.\n\n
REC name
West of Scotland REC 4
REC reference
18/WS/0082
Date of REC Opinion
24 May 2018
REC opinion
Further Information Favourable Opinion