Efficacy of computer-based video and simulation in ultrasound-guided regional anesthesia training

J Clin Anesth. 2014 May;26(3):212-21. doi: 10.1016/j.jclinane.2013.10.013. Epub 2014 May 2.


Study objective: To determine the effectiveness of a short educational video and simulation on improvement of ultrasound (US) image acquisition and interpretation skills.

Design: Prospective, randomized study.

Setting: University medical center.

Subjects: 28 anesthesia residents and community anesthesiologists with varied ultrasound experience were randomized to teaching video with interactive simulation or sham video groups.

Subjects: Participants were assessed preintervention and postintervention on their ability to identify the sciatic nerve and other anatomic structures on static US images, as well as their ability to locate the sciatic nerve with US on live models.

Main results: Pretest written test scores correlated with reported US block experience (Kendall tau rank r = 0.47) and with live US scanning scores (r = 0.64). The teaching video and simulation significantly improved scores on the written examination (P < 0.001); however, they did not significantly improve live US scanning skills.

Conclusions: A short educational video with interactive simulation significantly improved knowledge of US anatomy, but failed to improve hands-on performance of US scanning to localize the nerve.

Keywords: Anesthesiologists: education; Regional anesthesia; Ultrasonography; Ultrasound.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Academic Medical Centers
  • Adult
  • Anesthesia, Conduction / methods*
  • Anesthesiology / education*
  • Clinical Competence
  • Computer Simulation*
  • Computer-Assisted Instruction / methods*
  • Female
  • Humans
  • Internship and Residency / methods
  • Male
  • Middle Aged
  • Pilot Projects
  • Prospective Studies
  • Sciatic Nerve / diagnostic imaging
  • Ultrasonography, Interventional / methods
  • Video Recording
  • Young Adult