PMID- 23562931
OWN - NLM
STAT- MEDLINE
DCOM- 20131029
LR  - 20220330
IS  - 1471-6771 (Electronic)
IS  - 0007-0912 (Linking)
VI  - 111
IP  - 3
DP  - 2013 Sep
TI  - Video-assisted structured teaching to improve aseptic technique during neuraxial 
      block.
PG  - 483-7
LID - 10.1093/bja/aet062 [doi]
AB  - BACKGROUND: Teaching epidural catheter insertion tends to focus on developing 
      manual dexterity rather than improving aseptic technique which usually remains 
      poor despite increasing experience. The aim of this study was to compare epidural 
      aseptic technique performance, by novice operators after a targeted teaching 
      intervention, with operators taught aseptic technique before the intervention was 
      initiated. METHODS: Starting July 2008, two groups of second-year anaesthesia 
      residents (pre- and post-teaching intervention) performing their 4-month 
      obstetric anaesthesia rotation in a university affiliated centre were videotaped 
      three to four times while performing epidural procedures. Trained blinded 
      independent examiners reviewed the procedures. The primary outcome was a 
      comparison of aseptic technique performance scores (0-30 points) graded on a 
      scale task-specific checklist. RESULTS: A total of 86 sessions by 29 residents 
      were included in the study analysis. The intraclass correlation coefficient for 
      inter-rater reliability for the aseptic technique was 0.90. The median aseptic 
      technique scores for the rotation period were significantly higher in the 
      post-intervention group [27.58, inter-quartile range (IQR) 22.33-29.50 vs 16.56, 
      IQR 13.33-22.00]. Similar results were demonstrated when scores were analysed for 
      low, moderate, and high levels of experience throughout the rotation. 
      CONCLUSIONS: Procedure-specific aseptic technique teaching, aided by video 
      assessment and video demonstration, helped significantly improve aseptic practice 
      by novice trainees. Future studies should consider looking at retention over 
      longer periods of time in more senior residents.
FAU - Friedman, Z
AU  - Friedman Z
AD  - Department of Anesthesia and Pain Management, Mount Sinai Hospital, University of 
      Toronto, 600 University Avenue, Toronto, ON, M5G1X5, Canada. zeev.friedman@uhn.ca
FAU - Siddiqui, N
AU  - Siddiqui N
FAU - Mahmoud, S
AU  - Mahmoud S
FAU - Davies, S
AU  - Davies S
LA  - eng
PT  - Journal Article
DEP - 20130405
PL  - England
TA  - Br J Anaesth
JT  - British journal of anaesthesia
JID - 0372541
SB  - IM
CIN - Br J Anaesth. 2014 Apr;112(4):761-3. PMID: 24645154
MH  - Anesthesia, Epidural/*instrumentation/methods/standards
MH  - Anesthesiology/*education
MH  - Clinical Competence/*standards/statistics & numerical data
MH  - Cross Infection/*prevention & control
MH  - Humans
MH  - Internship and Residency/*methods
MH  - Nerve Block/*methods/standards
MH  - Reproducibility of Results
MH  - Videotape Recording
OTO - NOTNLM
OT  - epidural block
OT  - neuraxial aseptic technique
OT  - resident assessment
OT  - training
EDAT- 2013/04/09 06:00
MHDA- 2013/10/30 06:00
CRDT- 2013/04/09 06:00
PHST- 2013/04/09 06:00 [entrez]
PHST- 2013/04/09 06:00 [pubmed]
PHST- 2013/10/30 06:00 [medline]
AID - S0007-0912(17)32407-8 [pii]
AID - 10.1093/bja/aet062 [doi]
PST - ppublish
SO  - Br J Anaesth. 2013 Sep;111(3):483-7. doi: 10.1093/bja/aet062. Epub 2013 Apr 5.