Evidence map›Paper›PMID 34124505›Full record

ArticleAEM education and training2021

Defining an Ultrasound-guided Regional Anesthesia Curriculum for Emergency Medicine.

Ryan V Tucker, William J Peterson, Jennifer T Mink, Lindsay A Taylor, Stephen J Leech, Arun D Nagdev, Megan Leo, Rachel Liu, Lori A Stolz, Ross Kessler and 4 more

Abstract read
In one paragraph

Article in AEM education and training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Serratus Anterior Plane Block Remote Learning Curriculum.MedEdPORTAL : the journal of teaching and learning resources · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Ryan V TuckerDepartment of Emergency Medicine Michigan Medicine Ann Arbor MI USA.ORCID https://orcid.org/0000-0003-1189-4831
William J PetersonDepartment of Emergency Medicine Michigan Medicine Ann Arbor MI USA.ORCID https://orcid.org/0000-0003-3950-3054
Jennifer T MinkChristiana Care Health System Wilmington DE USA.
Lindsay A TaylorVirginia Commonwealth University School of Medicine Richmond VA USA.ORCID https://orcid.org/0000-0001-7397-8665
Stephen J LeechOrlando Health Orlando FL USA.
Arun D NagdevHighland General Hospital Oakland CA USA.
Megan LeoBoston Medical Center Boston MA USA.
Rachel LiuYale School of Medicine New Haven CT USA.ORCID https://orcid.org/0000-0002-3997-0325
Lori A Stolzthe Department of Emergency Medicine University of Cincinnati College of Medicine Cincinnati OH USA.ORCID https://orcid.org/0000-0002-1400-1413
Ross Kesslerthe Department of Emergency Medicine University of Washington School of Medicine Seattle WA USA.
Creagh T Boulgerthe Department of Emergency Medicine The Ohio State University College of Medicine Columbus OH USA.
Elaine H Situ-LaCassethe University of Arizona College of Medicine Tucson AZ USA.
Jacob O Avilaand the Department of Emergency Medicine University of Kentucky College of Medicine Lexington KY USA.
Robert HuangDepartment of Emergency Medicine Michigan Medicine Ann Arbor MI USA.ORCID https://orcid.org/0000-0001-8928-473X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUltrasound-guided regional anesthesia (UGRA) can be a powerful tool in the treatment of painful conditions commonly encountered in emergency medicine (EM) practice. UGRA can benefit patients while avoiding the risks of procedural sedation and opioid-based systemic analgesia. Despite these advantages, many EM trainees do not receive focused education in UGRA and there is no published curriculum specifically for EM physicians. The objective of this study was to identify the components of a UGRA curriculum for EM physicians.

methodsA list of potential curriculum elements was developed through an extensive literature review. An expert panel was convened that included 13 ultrasound faculty members from 12 institutions and from a variety of practice environments and diverse geographical regions. The panel voted on curriculum elements through two rounds of a modified Delphi process.

resultsThe panelists voted on 178 total elements, 110 background knowledge elements, and 68 individual UGRA techniques. A high level of agreement was achieved for 65 background knowledge elements from the categories: benefits to providers and patients, indications, contraindications, risks, ultrasound skills, procedural skills, sterile technique, local anesthetics, and educational resources. Ten UGRA techniques achieved consensus: interscalene brachial plexus, supraclavicular brachial plexus, radial nerve, median nerve, ulnar nerve, serratus anterior plane, fascia iliaca, femoral nerve, popliteal sciatic nerve, and posterior tibial nerve blocks.

conclusionsThe defined curriculum represents ultrasound expert opinion on a curriculum for training practicing EM physicians. This curriculum can be used to guide the development and implementation of more robust UGRA education for both residents and independent providers.

Identifiers

PMID34124505
PMCPMC8171792

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.