Ultrasound-guided Non-invasive Simulation in Anesthesia Residency Training

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorNanjing First Hospital, Nanjing Medical University

About this trial

Study Aim: This trial evaluates if a novel non-invasive, AI-assisted simulation training improves ultrasound-guided needle visualization skills in anesthesia residents.

Design: Trainees were randomized into two groups:

Intervention: AI-based, non-invasive simulated needle puncture training. Control: Conventional ultrasound teaching. Key Outcomes: The primary outcome is objective needle tip visibility. Secondary outcomes include anatomical identification, correct view acquisition, operator confidence, and overall scanning performance.

Assessment: Outcomes are measured via blinded expert evaluation and theoretical tests.

The goal of this randomized controlled clinical trial is to determine whether an ultrasound-guided non-invasive simulated needle puncture training technique can improve ultrasound-guided needle visualization skills in anesthesiology residents undergoing standardized residency training. The study is conducted in anesthesiology residents enrolled in a standardized residency training program.

The main questions it aims to answer are:

1. Does non-invasive simulated needle puncture training improve objective needle tip visibility during ultrasound-guided peripheral nerve block procedures? 2. Does this training method improve anatomical structure identification, acquisition of correct block views, operator confidence, and overall scanning performance compared with conventional ultrasound teaching? Researchers will compare a non-invasive simulated needle puncture training group with a conventional ultrasound teaching group to see if the simulated training technique leads to superior needle visualization and procedural performance.

Participants will:

Receive standardized theoretical instruction on ultrasound- guided peripheral nerve blocks; Be randomly assigned to either non-invasive simulated needle puncture training using an artificial intelligence-assisted system or conventional ultrasound scanning training; Perform ultrasound scanning and simulated or conventional practice on healthy volunteers; Undergo theoretical examinations and blinded expert assessments of ultrasound scanning performance and needle visualization outcomes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

Residents with prior experience in performing nerve block procedures.

Residents currently participating in other teaching or research studies related to nerve blocks.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Non-invasive Simulated Puncture Teaching Group

    Other intervention

    Receive standardized theoretical instruction on ultrasound- guided peripheral nerve blocks; Be randomly assigned to non-invasive simulated needle puncture training using an artificial intelligence-assisted system

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Traditional Method Teaching GroupNo intervention 0 interventions
Group B: Non-invasive Simulated Puncture Teaching GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Percentage of needle tip visibility

For each procedure, investigators measured the absolute time during which the needle tip was visible on ultrasound (visible time) and calculated the percentage of needle tip visibility for each procedure (visible time / total procedure time × 100%), which was defined as objective needle tip visibility. The primary outcome measure of the study was the percentage of needle tip visibility.

Time frame
After two weeks of training, followed by one week of clinical rotation

Secondary outcomes

1

Accuracy of the acquired block view(s)

The expert assessed the correctness of block view acquisition (yes/no). A correct block view was defined as the presence of all predefined anatomical structures on the frozen ultrasound image.

Time frame
After two weeks of training, followed by one week of clinical rotation
2

Nerve block procedure time

Time from needle insertion to completion of the nerve block procedure

Time frame
procedure time
3

Number of needle insertion attempts

The number of puncture attempts was recorded

Time frame
procedure time
4

Expert-rated subjective needle tip visibility score

Expert(s) subjectively scored the needle tip visibility for each participant on a scale from 1 (invisible) to 5 (perfectly clear).

Time frame
After two weeks of training, followed by one week of clinical rotation

Other outcomes

Sponsors and contacts

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