Use of Computer-Assisted Instrument Guidance Technology by Student Registered Nurse Anesthetists for Simulated Invasive Procedures.

This study was conducted to determine if computerassisted instrument guidance (CAIG, Clear Guide Medical), with an optical tracking mechanism, enhances simulated transversus abdominis plane (TAP) block performance in a porcine model by novice student registered nurse anesthetists (SRNAs) compared wi...

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Publicado en:AANA Journal Vol. 88; no. 4; pp. 289 - 299
Autor principal: Hauglum, Shayne D.
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: American Association of Nurse Anesthetists Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2020
      vid: 88
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      pub: American Association of Nurse Anesthetists
      place: Park Ridge, Illinois
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        atl: Use of Computer-Assisted Instrument Guidance Technology by Student Registered Nurse Anesthetists for Simulated Invasive Procedures.
      aug:
        au: Hauglum, Shayne D.
        affil: Associate professor of anesthesiology at Barry University College of Nursing and Health Sciences, Miami Shores, Florida
      sug:
        subj:
          Computer-Assisted Instruction
          Certified Registered Nurse Anesthetists Education
          Students, Nursing
          Computer Simulation
          Task Performance and Analysis
          Human
          Crossover Design
          Education, Nurse Anesthesia
          Scales
          Questionnaires
          Transversus Abdominis
          Quasi-Experimental Studies
          Descriptive Research
          Adult
          Middle Age
          T-Tests
          Confidence Intervals
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: This study was conducted to determine if computerassisted instrument guidance (CAIG, Clear Guide Medical), with an optical tracking mechanism, enhances simulated transversus abdominis plane (TAP) block performance in a porcine model by novice student registered nurse anesthetists (SRNAs) compared with standalone ultrasonography (US). In a crossover design, 26 students were randomly assigned into 2 groups: US only and CAIG. Performance was assessed using a task-specific checklist survey tool and a global rating scale to assess performance. Time to hydrodissection and number of insertion attempts were recorded. A pre-procedure and postprocedure survey obtained participants' demographics and measured overall experience. Results revealed higher mean scores for all items in the global rating scale and overall performance (P = .010). The checklist survey results indicated no signifi- cant between-group differences. The CAIG group was observed to have significantly lower simulated block performance times (P = .037) and number of attempts (P = .002). The postprocedure survey results showed most participants (88%) reported an enhanced experience using the CAIG. Use of the CAIG showed favorable results in novice SRNAs performing the simulated block. Procedure performance, number of attempts, and time to complete were significantly lower, with a strong preference for the CAIG system.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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