Use of an ultrasound-guided intravenous catheter insertion simulation-based mastery learning curriculum to improve paediatric anaesthesia care

Heather A. Ballard*, Adovich Rivera, Michelle Tsao, Mitch Phillips, Alison Robles, John Hajduk, Joe Feinglass, Jeffrey H. Barsuk

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: We previously showed that an ultrasound-guided i.v. catheter insertion (USGIV) simulation-based mastery learning (SBML) curriculum improves the simulated USGIV skills of paediatric anaesthesiologists. It remains unclear if improvements in simulated USGIV skills translate to improved patient care. Methods: A cohort study was conducted from August 2018 to August 2020 to evaluate paediatric anaesthesiologists' USGIV performance in the operating theatre before and after they participated in the USGIV SBML curriculum. Paediatric anaesthesiologists' use of ultrasound for successful i.v. insertion and first-attempt i.v. insertion success rate with ultrasound were compared before and after training. Results: Twenty-nine paediatric anaesthesiologists completed training. Unadjusted analysis showed a significant increase in the percentage of i.v. catheters inserted with ultrasound for successful i.v. catheter insertion (9.5–14.5%; P<0.001) and first i.v. catheter insertion attempt success with ultrasound (5.5–8.9%; P<0.001) from before to after training. Multivariable regression analysis showed higher odds of ultrasound use for a successful i.v. catheter attempt (1.79; 95% confidence interval [CI]: 1.11–2.90; P=0.018) and first-attempt success with ultrasound (4.11; 95% CI: 2.02–8.37; P<0.001) after training. Conclusions: After completing the USGIV SBML curriculum, paediatric anaesthesiologists increased their ultrasound use for successful i.v. catheter insertion and first-attempt success rate with ultrasound for patients in the operating theatre.

Original languageEnglish (US)
Article number100101
JournalBJA Open
Volume4
DOIs
StatePublished - Dec 2022

Keywords

  • anaesthesiology/education
  • clinical competence
  • mastery learning
  • peripheral catheterisation
  • simulation training
  • ultrasonography/methods

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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