Evidence map›Paper›PMID 39762010›Full record

SynthesisAnaesthesia2025

Instructional design features in ultrasound-guided regional anaesthesia simulation-based training: a systematic review.

Pooyan Sekhavati, Tristan Wild, Ingrid D P C Martinez, Pierre-Marc Dion, Michael Woo, Reva Ramlogan, Sylvain Boet, Risa Shorr, Yuqi Gu

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
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

9 authors.

Pooyan SekhavatiFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID https://orcid.org/0009-0007-1150-6022
Tristan WildFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0003-2924-7018
Ingrid D P C MartinezDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Pierre-Marc DionFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Michael WooDepartment of Emergency Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Reva RamloganDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Sylvain BoetDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Risa ShorrLibrary Services, The Ottawa Hospital, Ottawa, ON, Canada.
Yuqi GuDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.

Funding

The Ottawa Hospital Anaesthesia Alternate Funds AssociationUniversity of Ottawa
6 · The paper itself

Abstract

introductionUltrasound-guided regional anaesthesia enhances pain control, patient outcomes and lowers healthcare costs. However, teaching this skill effectively presents challenges with current training methods. Simulation-based medical education offers advantages over traditional methods. However, the use of instructional design features in ultrasound-guided regional anaesthesia simulation training has not been defined. This systematic review aimed to identify and evaluate the prevalence of various instructional design features in ultrasound-guided regional anaesthesia simulation training and their correlation with learning outcomes using a modified Kirkpatrick model.

methodsA comprehensive literature search was conducted including studies from inception to August 2024. Eligibility criteria included randomised controlled trials; controlled before-and-after studies; and other experimental designs focusing on ultrasound-guided regional anaesthesia simulation training. Data extraction included study characteristics; simulation modalities; instructional design features; and outcomes.

resultsOf the 2023 articles identified, 62 met inclusion criteria. Common simulation modalities included live-model scanning and gel phantom models. Instructional design features such as the presence of expert instructors, repetitive practice and multiple learning strategies were prevalent, showing significant improvements across multiple outcome levels. However, fewer studies assessed behaviour (Kirkpatrick level 3) and patient outcomes (Kirkpatrick level 4). DISCUSSION: Ultrasound-guided regional anaesthesia simulation training incorporating specific instructional design features enhances educational outcome; this was particularly evident at lower Kirkpatrick levels. Optimal combinations of instructional design features for higher-level outcomes (Kirkpatrick levels 3 and 4) remain unclear. Future research should standardise outcome measurements and isolate individual instructional design features to better understand their impact on clinical practice and patient safety.

Indexed as

Anesthesia, ConductionAnesthesiologySimulation TrainingUltrasonography, InterventionalClinical CompetenceHumansRandomized Controlled Trials as Topicinstructional design featuressimulationsystematic reviewultrasound‐guided regional anaesthesia

Identifiers

PMID39762010
PMCPMC11987786

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.