Education and Training Competences in Thoracic Ultrasound
NCT ID: NCT03728491
Last Updated: 2019-03-25
Study Results
Results pending
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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Recruitment Status
UNKNOWN
Clinical Phase
NA
Total Enrollment
60 participants
Study Classification
INTERVENTIONAL
Study Start Date
2018-10-31
Study Completion Date
2019-11-01
Brief Summary
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The use of thoracic ultrasound has expanded widely within the las couple of years, and several studies have proved a high diagnostic accuracy for many of the most common causes of respiratory failure and dyspnoea.
The ultrasound scan is a bed-side, and dynamic examination, which demands sufficient theoretical and practical knowledge and competence by the operator, but so far, no studies have explored the effect of simulation-based training for gaining adequate competence compared to traditional hands-on training on healthy figurants.
The aim of this study is to examine whether TUS training on a simulator is superior to training on healthy figurants. Secondly, to examine whether the choice of hands-on training has an effect on the number of examinations performed by the trainees from baseline to 4 months follow-up.
The ultrasound scan is a bed-side, and dynamic examination, which demands sufficient theoretical and practical knowledge and competence by the operator, but so far, no studies have explored the effect of simulation-based training for gaining adequate competence compared to traditional hands-on training on healthy figurants.
The aim of this study is to examine whether TUS training on a simulator is superior to training on healthy figurants. Secondly, to examine whether the choice of hands-on training has an effect on the number of examinations performed by the trainees from baseline to 4 months follow-up.
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Detailed Description
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Thoracic ultrasound (TUS) differs from ultrasound examinations in other organ systems, because it is not possible in the healthy, ventilated lung to visualize structures or anatomical parts of the lung, like it is when examining abdomen or performing an echocardiography. It is therefore not possible to transfer results directly from educational studies using simulation-based training in other areas of medicine, to thoracic ultrasound.
TUS examinations are considered safe, and without pain, exposure to radiation or delay of patients' course, but ultrasound in general is highly operator dependent and lack of theoretical knowledge or practical skills could potentially lead to incorrect diagnosis and thus treatment. Therefore simulation-based training, theoretical and practical tests could be the key to a "pre-trained novice" with a level of competency higher than a complete novice when performing the first TUS examination on a patient in a clinical setting.
The objective of this trial is to examine whether TUS training on a simulator is superior to training on healthy figurants, which today is a commonly used method for gaining skills and competencies in TUS. Secondly, to examine whether the choice of hands-on training has an effect on the number of examinations performed by the trainees from baseline to 3 months follow-up.
Methods The design is a three-armed, multicentre, blinded randomized controlled trial. The trial takes place at three simulation centres at university hospitals in Denmark; Odense University Hospital, Rigshospitalet, and Aarhus University Hospital. The intervention period is scheduled to run from August 2018 to May 2019.
Participants All physicians employed at public hospitals in Region of Southern Denmark, Capital Region of Denmark, Region Zealand, and Central Denmark Region, are eligible for inclusion in the trial. Because physicians from a wide range of specialities can benefit from TUS examinations, no exclusion criteria are established based on the specialities from the physicians.
Trainees sign up for participation, and inclusion by mail, and will receive a reply including information about the trial. Exclusion criteria are; lack of informed consent, physicians with connection to the trial, or involvement in the design or conduction.
Prior to intervention Prior to the randomization all participants will complete an online survery and educational programme in TUS in order to reach sufficient theoretical knowledge. Included participants must pass a theoretical test.
All included participants will receive a study identification number that makes it possible to pair the results from the questionnaire to the intervention and performances.
All materials needed prior to the theoretical test, including online educational material, log-in to questionnaire and test will be send to the participants by mail. The online educational material comprises access to Munksgaards' online e-portal in basic ultrasound. The theoretical part is estimated to 2-3 hours. The theoretical test is administered in Research Electronic Data Capture (REDCap) provided by Odense Patient data Explorative Network (OPEN). Participants will be excluded if they do not complete the test.
Part two of the trial will take place in one of the simulation centres. All participants will receive an introduction to the ultrasound machine. A medical student working on the project will do the introduction. Subsequently the randomization is done in REDCap, which allows an online, computer-generated allocation sequence concealed to the project leaders. The ratio is 1:1:1 with no stratification for site (location).
Trial intervention The trial intervention includes a new experimental educational approach; in vitro simulation-based TUS training. The TUS module for the US Mentor Simulator is made in collaboration with 3D Systems (3D Systems Healthcare, Littleton, USA, formerly known as Simbionix).
This simulation model will serve as first intervention arm. The group randomized for simulation-based training is allowed to practice for 2.5 hours prior to assessment. The second intervention arm in the trial is the conventional hands-on training method; examination of healthy volunteers (figurants), in this case medical students who signed up for the job, and who is a part of the research group. Trainees are as well allowed to train for up to 2.5 hours, and the medical students are not allowed to help or guide the trainee during the examinations. Last group will not receive any hands-on training other than the general information, and will serve as controls. Figure 1 present a flowchart of the trial.
When trainees have finished the hands-on training, they will continue to assessment of competencies, done by an instructor blinded to the intervention. The assessment will take place in the emergency department examining real patients suspected to have thoracic pathology/pathologies. As assessment tool the LUS-OSAUS (Lung Ultrasound - Objective Structured Assessment of Ultrasound Skills) score sheet is used. The assessment will be repeated twice. The instructor assessing the participants is blinded to the intervention. The data-managers providing the statistical analysis are going to be blinded when performing the analyses and when drawing conclusions of the results.
Sample size and statistics Significance 5%, Power 90%, mean difference wanted between the two interventional groups is 8.5 point. Standard deviation 8.67. Sample size per group = 22 (total; 66 participants).
Data will be accessed using OPEN analyse, and analysed using STATA and SPSS. OPEN Analyse acts as terminal server solution from the researcher's private PC with logging if files, but data are stored and processed on a server at the Regional IT.
A two-sided significance level of 0.05 will be used. Statistical methods for the primary and secondary outcomes are presented in Table 1, and include Post Hoc ANOVA with Bonferroni correction, hands-on training facility as independent variable (SIM, FIG, controls), and LUS-OSAUS scores as dependent variable.
All data will be analysed as intention to treat, therefore missing data will be handled by multiple imputation technique, even though missing data are expected to be minimal because instructors are registering a great amount of the data to the database.
Ethical considerations The patient scanned at the assessment will be given oral information about the trial including aim, running and assessment of participants, and that ultrasound is a non-invasive and radiation-free radiological examination with no risk of complications or side effects. Subsequent, orally informed consent will be given from the patient. If the ultrasound examination provides further information to the patient inquiry, which is suspected as new information, the physician in charge of the patient will be informed orally.
The trial complies with the Declaration of Helsinki on biomedical research and with the act on processing personal data. The Regional Committees on Health Research Ethics for Southern Denmark has been given the project description and protocol, and found that in accordance to Danish regulations, ethical approval is not required for carrying out the trial (S-20172000-44).
The trial is notified to the Danish Data Protection Agency under the in Region of Southern Denmark, and, as prescribed, a data management contract is going to be signed with authors and supervisors outside the region.
Discussion The presented trial is set to investigate whether a TUS simulator as hands-on training facility, can provide a higher level of competencies after 2.5 hour training, than training on healthy figurants, which is a commonly used model today.
Simulation-based medical education (SBME) has several advantages, and is a complex educational intervention that enables both immersive and experimental learning, and makes it possible to acquire and maintain skills in a calm and safe environment without putting patients at risk if a wrong decision or interpretation is made. The use of this approach has increased within the last decade, and in various specialities using technical procedures.
Furthermore, all pathologies considered mandatory to the content or course are possible to explore, and a trainee is able to practice a particular case or high-risk cases, over and over again, if doubt arises or if the trainee does not provide a satisfying result. Seen in a research perspective, SBME makes it possible to compare results of different trainees for research purpose, because of a standardized set-up. On the other hand, disadvantages in simulation training appear; e.g. if the fidelity drops for a short moment, the trainee may use a lot of effort to move back into the simulation setting, the technical models require updates, maintenance, and an instructor is often necessary in the beginning for introduction, and for emphasizing trainee reflection and peer review elements. Last, but not least simulation training cannot replace traditional apprenticeship or stand alone, but must be seen as and add-on approach prior to supervised training in a clinical setting.
Today in TUS, it is often a fixed number of examinations on patients that determines whether a physician can do a sufficient ultrasound examination sufficiently. Otherwise a supervisor, subjectively, accepts and approves a trainee's skills, but none of those methods ensure the professional level of competencies, and can be affected by external factors and cause feasibility problems. There will be situations where a patient is seriously ill, and rapid start of treatment is basis for a good outcome. In these situations education is not first priority, and is easily put in line.
Secondly, due to the varying incidence of various pulmonary diseases and pathologies, hands-on training on patients in a clinical setting does not ensure examination of all important sonographic findings.
To our knowledge no previous studies have been published, comparing the effects of different hands-on training facilities in TUS. Several studies have shown a positive effect of one particular modality, e.g. laboratory animals, cadavers, phantoms, or like in this trial, healthy figurants or simulators, but did not compare the effects.
Previous studies that have investigated simulation training in ultrasound of other organ systems than lungs or thorax, or ultrasound guided procedures, have showed large and significant effect when compared to no training, but in order to provide realistic and transferable comparison the control group should not be no training, but training as is the case today; training on healthy figurants. In order to implement simulation training for gaining TUS competencies, and rethink the educational tasks for physicians, the results for the simulator group are expected to be better than the group of comparison and controls.
Limitations The study will suffer from a number of limitations. Given the nature of the trial it is not possible to blind the participants, but the instructor assessing the participant is blinded to the intervention. During the analyses and reporting, the allocation will be blinded to the data-managers.
TUS examinations are considered safe, and without pain, exposure to radiation or delay of patients' course, but ultrasound in general is highly operator dependent and lack of theoretical knowledge or practical skills could potentially lead to incorrect diagnosis and thus treatment. Therefore simulation-based training, theoretical and practical tests could be the key to a "pre-trained novice" with a level of competency higher than a complete novice when performing the first TUS examination on a patient in a clinical setting.
The objective of this trial is to examine whether TUS training on a simulator is superior to training on healthy figurants, which today is a commonly used method for gaining skills and competencies in TUS. Secondly, to examine whether the choice of hands-on training has an effect on the number of examinations performed by the trainees from baseline to 3 months follow-up.
Methods The design is a three-armed, multicentre, blinded randomized controlled trial. The trial takes place at three simulation centres at university hospitals in Denmark; Odense University Hospital, Rigshospitalet, and Aarhus University Hospital. The intervention period is scheduled to run from August 2018 to May 2019.
Participants All physicians employed at public hospitals in Region of Southern Denmark, Capital Region of Denmark, Region Zealand, and Central Denmark Region, are eligible for inclusion in the trial. Because physicians from a wide range of specialities can benefit from TUS examinations, no exclusion criteria are established based on the specialities from the physicians.
Trainees sign up for participation, and inclusion by mail, and will receive a reply including information about the trial. Exclusion criteria are; lack of informed consent, physicians with connection to the trial, or involvement in the design or conduction.
Prior to intervention Prior to the randomization all participants will complete an online survery and educational programme in TUS in order to reach sufficient theoretical knowledge. Included participants must pass a theoretical test.
All included participants will receive a study identification number that makes it possible to pair the results from the questionnaire to the intervention and performances.
All materials needed prior to the theoretical test, including online educational material, log-in to questionnaire and test will be send to the participants by mail. The online educational material comprises access to Munksgaards' online e-portal in basic ultrasound. The theoretical part is estimated to 2-3 hours. The theoretical test is administered in Research Electronic Data Capture (REDCap) provided by Odense Patient data Explorative Network (OPEN). Participants will be excluded if they do not complete the test.
Part two of the trial will take place in one of the simulation centres. All participants will receive an introduction to the ultrasound machine. A medical student working on the project will do the introduction. Subsequently the randomization is done in REDCap, which allows an online, computer-generated allocation sequence concealed to the project leaders. The ratio is 1:1:1 with no stratification for site (location).
Trial intervention The trial intervention includes a new experimental educational approach; in vitro simulation-based TUS training. The TUS module for the US Mentor Simulator is made in collaboration with 3D Systems (3D Systems Healthcare, Littleton, USA, formerly known as Simbionix).
This simulation model will serve as first intervention arm. The group randomized for simulation-based training is allowed to practice for 2.5 hours prior to assessment. The second intervention arm in the trial is the conventional hands-on training method; examination of healthy volunteers (figurants), in this case medical students who signed up for the job, and who is a part of the research group. Trainees are as well allowed to train for up to 2.5 hours, and the medical students are not allowed to help or guide the trainee during the examinations. Last group will not receive any hands-on training other than the general information, and will serve as controls. Figure 1 present a flowchart of the trial.
When trainees have finished the hands-on training, they will continue to assessment of competencies, done by an instructor blinded to the intervention. The assessment will take place in the emergency department examining real patients suspected to have thoracic pathology/pathologies. As assessment tool the LUS-OSAUS (Lung Ultrasound - Objective Structured Assessment of Ultrasound Skills) score sheet is used. The assessment will be repeated twice. The instructor assessing the participants is blinded to the intervention. The data-managers providing the statistical analysis are going to be blinded when performing the analyses and when drawing conclusions of the results.
Sample size and statistics Significance 5%, Power 90%, mean difference wanted between the two interventional groups is 8.5 point. Standard deviation 8.67. Sample size per group = 22 (total; 66 participants).
Data will be accessed using OPEN analyse, and analysed using STATA and SPSS. OPEN Analyse acts as terminal server solution from the researcher's private PC with logging if files, but data are stored and processed on a server at the Regional IT.
A two-sided significance level of 0.05 will be used. Statistical methods for the primary and secondary outcomes are presented in Table 1, and include Post Hoc ANOVA with Bonferroni correction, hands-on training facility as independent variable (SIM, FIG, controls), and LUS-OSAUS scores as dependent variable.
All data will be analysed as intention to treat, therefore missing data will be handled by multiple imputation technique, even though missing data are expected to be minimal because instructors are registering a great amount of the data to the database.
Ethical considerations The patient scanned at the assessment will be given oral information about the trial including aim, running and assessment of participants, and that ultrasound is a non-invasive and radiation-free radiological examination with no risk of complications or side effects. Subsequent, orally informed consent will be given from the patient. If the ultrasound examination provides further information to the patient inquiry, which is suspected as new information, the physician in charge of the patient will be informed orally.
The trial complies with the Declaration of Helsinki on biomedical research and with the act on processing personal data. The Regional Committees on Health Research Ethics for Southern Denmark has been given the project description and protocol, and found that in accordance to Danish regulations, ethical approval is not required for carrying out the trial (S-20172000-44).
The trial is notified to the Danish Data Protection Agency under the in Region of Southern Denmark, and, as prescribed, a data management contract is going to be signed with authors and supervisors outside the region.
Discussion The presented trial is set to investigate whether a TUS simulator as hands-on training facility, can provide a higher level of competencies after 2.5 hour training, than training on healthy figurants, which is a commonly used model today.
Simulation-based medical education (SBME) has several advantages, and is a complex educational intervention that enables both immersive and experimental learning, and makes it possible to acquire and maintain skills in a calm and safe environment without putting patients at risk if a wrong decision or interpretation is made. The use of this approach has increased within the last decade, and in various specialities using technical procedures.
Furthermore, all pathologies considered mandatory to the content or course are possible to explore, and a trainee is able to practice a particular case or high-risk cases, over and over again, if doubt arises or if the trainee does not provide a satisfying result. Seen in a research perspective, SBME makes it possible to compare results of different trainees for research purpose, because of a standardized set-up. On the other hand, disadvantages in simulation training appear; e.g. if the fidelity drops for a short moment, the trainee may use a lot of effort to move back into the simulation setting, the technical models require updates, maintenance, and an instructor is often necessary in the beginning for introduction, and for emphasizing trainee reflection and peer review elements. Last, but not least simulation training cannot replace traditional apprenticeship or stand alone, but must be seen as and add-on approach prior to supervised training in a clinical setting.
Today in TUS, it is often a fixed number of examinations on patients that determines whether a physician can do a sufficient ultrasound examination sufficiently. Otherwise a supervisor, subjectively, accepts and approves a trainee's skills, but none of those methods ensure the professional level of competencies, and can be affected by external factors and cause feasibility problems. There will be situations where a patient is seriously ill, and rapid start of treatment is basis for a good outcome. In these situations education is not first priority, and is easily put in line.
Secondly, due to the varying incidence of various pulmonary diseases and pathologies, hands-on training on patients in a clinical setting does not ensure examination of all important sonographic findings.
To our knowledge no previous studies have been published, comparing the effects of different hands-on training facilities in TUS. Several studies have shown a positive effect of one particular modality, e.g. laboratory animals, cadavers, phantoms, or like in this trial, healthy figurants or simulators, but did not compare the effects.
Previous studies that have investigated simulation training in ultrasound of other organ systems than lungs or thorax, or ultrasound guided procedures, have showed large and significant effect when compared to no training, but in order to provide realistic and transferable comparison the control group should not be no training, but training as is the case today; training on healthy figurants. In order to implement simulation training for gaining TUS competencies, and rethink the educational tasks for physicians, the results for the simulator group are expected to be better than the group of comparison and controls.
Limitations The study will suffer from a number of limitations. Given the nature of the trial it is not possible to blind the participants, but the instructor assessing the participant is blinded to the intervention. During the analyses and reporting, the allocation will be blinded to the data-managers.
Conditions
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Respiratory Failure
Dyspnea
Pleural Effusion
Pulmonary Edema
Pneumothorax
Study Design
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Allocation Method
RANDOMIZED
Intervention Model
SEQUENTIAL
Primary Study Purpose
OTHER
Blinding Strategy
DOUBLE
Investigators
Outcome Assessors
Study Groups
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Healthy Figurant
Hands-on training on healthy figurants for gaining competence in TUS
Group Type
EXPERIMENTAL
Healthy figurants
Intervention Type
DEVICE
Medical students or volunteers without any pathology in thorax
Simulator
Hands-on training on US Mentor simulator for gaining competence in TUS
Group Type
EXPERIMENTAL
Simulator
Intervention Type
DEVICE
US Mentor simulator, lung module, provided by 3D Healthcare Systems
Controls
Controls with no hands-on training
Group Type
NO_INTERVENTION
No interventions assigned to this group
Interventions
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Simulator
US Mentor simulator, lung module, provided by 3D Healthcare Systems
Intervention Type
DEVICE
Healthy figurants
Medical students or volunteers without any pathology in thorax
Intervention Type
DEVICE
Other Intervention Names
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US Mentor, by 3D Healthcare Systems
Eligibility Criteria
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Inclusion Criteria
* Physicians with no previous experience in thoracic ultrasound
Exclusion Criteria
* Physicians with relation to the trial or study
* Physicians with previous experience in thoracic ultrasound
* Physicians who do not provide written consent
* Physicians with previous experience in thoracic ultrasound
* Physicians who do not provide written consent
Eligible Sex
ALL
Accepts Healthy Volunteers
No
Sponsors
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Odense University Hospital
OTHER
Sponsor Role
lead
Responsible Party
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Pia Iben Pietersen MD
MD, phd-student
Responsibility Role
PRINCIPAL_INVESTIGATOR
Principal Investigators
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Pia Iben B Pietersen, MD
Role: PRINCIPAL_INVESTIGATOR
Odense University Hospital
Locations
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Regional Center for Technical Simulation
Odense C, , Denmark
Site Status
RECRUITING
Countries
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Denmark
Central Contacts
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Facility Contacts
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References
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Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T; International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012 Apr;38(4):577-91. doi: 10.1007/s00134-012-2513-4. Epub 2012 Mar 6.
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BACKGROUND
Al Deeb M, Barbic S, Featherstone R, Dankoff J, Barbic D. Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis. Acad Emerg Med. 2014 Aug;21(8):843-52. doi: 10.1111/acem.12435.
Reference Type
BACKGROUND
Minimum training requirements for the practice of Medical Ultrasound in Europe. Ultraschall Med. 2010 Aug;31(4):426-7. doi: 10.1055/s-0030-1263214. Epub 2010 Aug 19. No abstract available.
Reference Type
BACKGROUND
Lichtenstein D. Lung ultrasound in the critically ill. Curr Opin Crit Care. 2014 Jun;20(3):315-22. doi: 10.1097/MCC.0000000000000096.
Reference Type
BACKGROUND
Skaarup SH, Laursen CB, Bjerrum AS, Hilberg O. Objective and Structured Assessment of Lung Ultrasound Competence. A Multispecialty Delphi Consensus and Construct Validity Study. Ann Am Thorac Soc. 2017 Apr;14(4):555-560. doi: 10.1513/AnnalsATS.201611-894OC.
Reference Type
BACKGROUND
Oveland NP, Lossius HM, Aagaard R, Connolly J, Sloth E, Knudsen L. Animal laboratory training improves lung ultrasound proficiency and speed. J Emerg Med. 2013 Sep;45(3):e71-8. doi: 10.1016/j.jemermed.2013.03.029. Epub 2013 May 15.
Reference Type
BACKGROUND
Greenstein YY, Littauer R, Narasimhan M, Mayo PH, Koenig SJ. Effectiveness of a Critical Care Ultrasonography Course. Chest. 2017 Jan;151(1):34-40. doi: 10.1016/j.chest.2016.08.1465. Epub 2016 Sep 16.
Reference Type
BACKGROUND
Heiberg J, Hansen LS, Wemmelund K, Sorensen AH, Ilkjaer C, Cloete E, Nolte D, Roodt F, Dyer R, Swanevelder J, Sloth E. Point-of-Care Clinical Ultrasound for Medical Students. Ultrasound Int Open. 2015 Nov;1(2):E58-66. doi: 10.1055/s-0035-1565173. Epub 2015 Nov 6.
Reference Type
BACKGROUND
Madsen ME, Konge L, Norgaard LN, Tabor A, Ringsted C, Klemmensen AK, Ottesen B, Tolsgaard MG. Assessment of performance measures and learning curves for use of a virtual-reality ultrasound simulator in transvaginal ultrasound examination. Ultrasound Obstet Gynecol. 2014 Dec;44(6):693-9. doi: 10.1002/uog.13400. Epub 2014 Nov 9.
Reference Type
BACKGROUND
Jensen K, Bjerrum F, Hansen HJ, Petersen RH, Pedersen JH, Konge L. A new possibility in thoracoscopic virtual reality simulation training: development and testing of a novel virtual reality simulator for video-assisted thoracoscopic surgery lobectomy. Interact Cardiovasc Thorac Surg. 2015 Oct;21(4):420-6. doi: 10.1093/icvts/ivv183. Epub 2015 Jul 10.
Reference Type
BACKGROUND
Pedersen P, Palm H, Ringsted C, Konge L. Virtual-reality simulation to assess performance in hip fracture surgery. Acta Orthop. 2014 Aug;85(4):403-7. doi: 10.3109/17453674.2014.917502. Epub 2014 Apr 30.
Reference Type
BACKGROUND
Havelock T, Teoh R, Laws D, Gleeson F; BTS Pleural Disease Guideline Group. Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010 Aug;65 Suppl 2:ii61-76. doi: 10.1136/thx.2010.137026. No abstract available.
Reference Type
BACKGROUND
Reznek M, Harter P, Krummel T. Virtual reality and simulation: training the future emergency physician. Acad Emerg Med. 2002 Jan;9(1):78-87. doi: 10.1111/j.1553-2712.2002.tb01172.x.
Reference Type
BACKGROUND
McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ. 2010 Jan;44(1):50-63. doi: 10.1111/j.1365-2923.2009.03547.x.
Reference Type
BACKGROUND
Sanchez-de-Toledo J, Renter-Valdovinos L, Esteves M, Fonseca C, Villaverde I, Rosal M. Teaching Chest Ultrasound in an Experimental Porcine Model. Pediatr Emerg Care. 2016 Nov;32(11):768-772. doi: 10.1097/PEC.0000000000000432.
Reference Type
BACKGROUND
Adhikari S, Zeger W, Wadman M, Walker R, Lomneth C. Assessment of a human cadaver model for training emergency medicine residents in the ultrasound diagnosis of pneumothorax. Biomed Res Int. 2014;2014:724050. doi: 10.1155/2014/724050. Epub 2014 Mar 25.
Reference Type
BACKGROUND
Lee KH, Ahn JH, Jung RB, Hong CK, Shin TY, Kim YS, Ha YR. Evaluation of a novel simulation method of teaching B-lines: hand ultrasound with a wet foam dressing material. Clin Exp Emerg Med. 2015 Jun 30;2(2):89-94. doi: 10.15441/ceem.15.020. eCollection 2015 Jun.
Reference Type
BACKGROUND
Breitkreutz R, Dutine M, Scheiermann P, Hempel D, Kujumdshiev S, Ackermann H, Seeger FH, Seibel A, Walcher F, Hirche TO. Thorax, trachea, and lung ultrasonography in emergency and critical care medicine: assessment of an objective structured training concept. Emerg Med Int. 2013;2013:312758. doi: 10.1155/2013/312758. Epub 2013 Nov 27.
Reference Type
BACKGROUND
Dinh VA, Giri PC, Rathinavel I, Nguyen E, Hecht D, Dorotta I, Nguyen HB, Chrissian AA. Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study. Crit Care Res Pract. 2015;2015:675041. doi: 10.1155/2015/675041. Epub 2015 Aug 5.
Reference Type
BACKGROUND
Maul H, Scharf A, Baier P, Wustemann M, Gunter HH, Gebauer G, Sohn C. Ultrasound simulators: experience with the SonoTrainer and comparative review of other training systems. Ultrasound Obstet Gynecol. 2004 Oct;24(5):581-5. doi: 10.1002/uog.1119.
Reference Type
BACKGROUND
Mendiratta-Lala M, Williams T, de Quadros N, Bonnett J, Mendiratta V. The use of a simulation center to improve resident proficiency in performing ultrasound-guided procedures. Acad Radiol. 2010 Apr;17(4):535-40. doi: 10.1016/j.acra.2009.11.010. Epub 2010 Jan 25.
Reference Type
BACKGROUND
Provided Documents
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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form
Other Identifiers
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OP_640
Identifier Type: -
Identifier Source: org_study_id
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NCT04678726
WITHDRAWN
A Randomised Study Evaluating Diagnostics of Pleural Effusion Among Patients Suspect of Cancer.
NCT04233359
TERMINATED
NA
Ultrasound-guided Biopsy of the Pleura as a Supplement to Extraction of Fluid in Patients With One-sided Fluid in the Pleura
NCT04236037
TERMINATED
NA
Interprofessional Approach to Ultrasound Diagnosis and Intervention in Critical Care Patients With Pneumothorax and/or Hemothorax
NCT06825299
COMPLETED
NA
Quantitative Diaphragmatic Ultrasound Evaluation in Pleural Effusions : A Feasability Study
NCT04264325
COMPLETED
Thoracic Drains in Intensive Care Units: Comparison of Seldinger and Surgical Methods
NCT04438317
COMPLETED
NA
Management of Parapneumonic Pleurisy Guided by an Early Pleural Ultrasound
NCT04348734
COMPLETED
Percussion Device (PD) for Detection of Pneumothorax
NCT03272815
TERMINATED
NA
Ultrasound-guided Pigtail Catheter Versus Intercostal Tube Drainage of Non-traumatic Exudative Pleural Effusion
NCT06099054
NOT_YET_RECRUITING
NA
Vacuum vs Manual Drainage During Unilateral Thoracentesis
NCT03496987
COMPLETED
NA
Drainage Of Pleural Effusions in the Intensive Care Unit (DOPE-ICU) - Feasibility Trial
NCT06709456
RECRUITING
NA
Evaluation of Thoracic Ultrasound in Monitoring Pleural Drainage in Postoperative Thoracic Surgery
NCT05545566
COMPLETED
NA
Thoracentesis QI Study
NCT05424120
COMPLETED
NA
Lung Ultrasound Versus Chest Radiography for Detection of Pneumothorax
NCT06022081
ACTIVE_NOT_RECRUITING
NA
FOT Assessment of Hemi-diaphragm Dysfunction After Upper Extremity Nerve Blocks
NCT04005235
TERMINATED
Pleuropulmonary Echography Versus Standard Chest X-ray in the Post-operative Follow-up of Pleuropulmonary Surgery
NCT03835130
COMPLETED
Feasibility Study of Novice-Performed Lung Ultrasound for Pneumothorax Detection After Cardiac Surgery
NCT07018856
RECRUITING
Systematic Transcutaneous Oxymetry Use in Thoracic Outlet Syndrome
NCT03355274
COMPLETED
NA
Chest Tube Drainage of Transudative Pleural Effusions Hastens Liberation From Mechanical Ventilation
NCT01104285
COMPLETED
Diagnosis and Classification of Pleural Diseases Using Ultrasound Channel Data
NCT04418804
UNKNOWN
NA