Learning Curve of Ultrasound-Guided Suprainguinal Fascia Iliaca Block: A Prospective Observational Study

NCT ID: NCT06708598

Last Updated: 2025-06-22

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 10 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-01-20
• Study Completion Date: 2025-06-10

Brief Summary

Competence in ultrasound-guided regional anesthesia (UGRA) requires practitioners to acquire cognitive and technical skills. Various difficulties have been identified in anesthesia residents' learning UGRA skills. There is currently no approved UGRA curriculum for residents, and the level of UGRA proficiency achieved during residency may vary significantly. However, no specific training criteria have been defined for this block. It is important to establish criteria to evaluate the adequacy of education.

Detailed Description

Compared to other nerve localization techniques, the benefits of UGRA include higher nerve block success rates, faster onset times, reduced local anesthetic volumes, and a lower risk of local anesthetic-related complications. Most experts now consider ultrasound guidance as the standard of care for peripheral nerve blocks. Successfully performing a UGRA procedure requires a triad of three distinct but interrelated skills: image acquisition, anatomical interpretation, and hand-eye coordination.

In our clinic, we routinely perform various nerve block techniques under ultrasound guidance during the perioperative period, both for postoperative analgesia and as a primary anesthetic method. Specifically, in our clinic, the suprainguinal fascia iliaca block (SIFIB) is routinely applied for postoperative analgesia, particularly in orthopedic cases. Before performing a nerve block procedure, resident doctors in our clinic undergo standard training and subsequently perform blocks under the supervision and support of experienced specialists and academicians.

Conditions

Learning Curve; Suprainguinal Fasya Iliaca Block; Ultrasound-guided Regional Anesthesia (UGRA)

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• Anesthesia residents with less than 2 years of anesthesia experience who have never performed a SIFIB before

Exclusion Criteria

• Having previously performed a SIFIB

• Minimum Eligible Age: 22 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Senay Canikli

OTHER

Sponsor Role: lead

Responsible Party

Senay Canikli

MD

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Senay Canikli Adıgüzel

Role: STUDY_DIRECTOR

Samsun University

Locations

SAMSUN UNIVERSITY Samsun Training and research hospital

Samsun, Ilkadım, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Dang D, Kamal M, Kumar M, Paliwal B, Nayyar A, Bhatia P, Singariya G. Comparison of human cadaver and blue phantom for teaching ultrasound-guided regional anesthesia to novice postgraduate students of anesthesiology: A randomized controlled trial. J Anaesthesiol Clin Pharmacol. 2024 Apr-Jun;40(2):276-282. doi: 10.4103/joacp.joacp_234_22. Epub 2024 May 16.

Reference Type: BACKGROUND

PMID: 38919433 (View on PubMed)

Kim TE, Tsui BCH. Simulation-based ultrasound-guided regional anesthesia curriculum for anesthesiology residents. Korean J Anesthesiol. 2019 Feb;72(1):13-23. doi: 10.4097/kja.d.18.00317. Epub 2018 Nov 27.

Reference Type: BACKGROUND

PMID: 30481945 (View on PubMed)

Rossetti M, Allgower D, Hell K. [Azygoportal interruption, fundoplication and vagotomy in hemorrhagic esophageal varices]. Helv Chir Acta. 1977 Oct;44(4):481-4. German.

Reference Type: BACKGROUND

PMID: 309462 (View on PubMed)

Other Identifiers

GOKAEK 2024/21/6

Identifier Type: -

Identifier Source: org_study_id