Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation

Little is known about the learning of the skills needed to perform ultrasound- or nerve stimulator-guided peripheral nerve blocks. The aim of this study was to compare the learning curves of residents trained in ultrasound guidance versus residents trained in nerve stimulation for axillary brachial...

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Main Authors: C. Luyet, G. Schüpfer, M. Wipfli, R. Greif, M. Luginbühl, U. Eichenberger
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2010/309462
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author C. Luyet
G. Schüpfer
M. Wipfli
R. Greif
M. Luginbühl
U. Eichenberger
author_facet C. Luyet
G. Schüpfer
M. Wipfli
R. Greif
M. Luginbühl
U. Eichenberger
author_sort C. Luyet
collection DOAJ
description Little is known about the learning of the skills needed to perform ultrasound- or nerve stimulator-guided peripheral nerve blocks. The aim of this study was to compare the learning curves of residents trained in ultrasound guidance versus residents trained in nerve stimulation for axillary brachial plexus block. Ten residents with no previous experience with using ultrasound received ultrasound training and another ten residents with no previous experience with using nerve stimulation received nerve stimulation training. The novices' learning curves were generated by retrospective data analysis out of our electronic anaesthesia database. Individual success rates were pooled, and the institutional learning curve was calculated using a bootstrapping technique in combination with a Monte Carlo simulation procedure. The skills required to perform successful ultrasound-guided axillary brachial plexus block can be learnt faster and lead to a higher final success rate compared to nerve stimulator-guided axillary brachial plexus block.
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publishDate 2010-01-01
publisher Wiley
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series Anesthesiology Research and Practice
spelling doaj-art-732f8e7dff4f4a74a904a785daa7ebad2025-08-20T02:06:16ZengWileyAnesthesiology Research and Practice1687-69621687-69702010-01-01201010.1155/2010/309462309462Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve StimulationC. Luyet0G. Schüpfer1M. Wipfli2R. Greif3M. Luginbühl4U. Eichenberger5Department of Anesthesiology and Pain Therapy, University Hospital and University of Bern, Inselspital, CH-3010 Bern, SwitzerlandDepartment of Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Kantonsspital Lucerne, 6000 Lucerne, SwitzerlandDepartment of Anesthesiology and Pain Therapy, University Hospital and University of Bern, Inselspital, CH-3010 Bern, SwitzerlandDepartment of Anesthesiology and Pain Therapy, University Hospital and University of Bern, Inselspital, CH-3010 Bern, SwitzerlandDepartment of Anesthesiology and Pain Therapy, University Hospital and University of Bern, Inselspital, CH-3010 Bern, SwitzerlandDepartment of Anesthesiology and Pain Therapy, University Hospital and University of Bern, Inselspital, CH-3010 Bern, SwitzerlandLittle is known about the learning of the skills needed to perform ultrasound- or nerve stimulator-guided peripheral nerve blocks. The aim of this study was to compare the learning curves of residents trained in ultrasound guidance versus residents trained in nerve stimulation for axillary brachial plexus block. Ten residents with no previous experience with using ultrasound received ultrasound training and another ten residents with no previous experience with using nerve stimulation received nerve stimulation training. The novices' learning curves were generated by retrospective data analysis out of our electronic anaesthesia database. Individual success rates were pooled, and the institutional learning curve was calculated using a bootstrapping technique in combination with a Monte Carlo simulation procedure. The skills required to perform successful ultrasound-guided axillary brachial plexus block can be learnt faster and lead to a higher final success rate compared to nerve stimulator-guided axillary brachial plexus block.http://dx.doi.org/10.1155/2010/309462
spellingShingle C. Luyet
G. Schüpfer
M. Wipfli
R. Greif
M. Luginbühl
U. Eichenberger
Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation
Anesthesiology Research and Practice
title Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation
title_full Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation
title_fullStr Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation
title_full_unstemmed Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation
title_short Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation
title_sort different learning curves for axillary brachial plexus block ultrasound guidance versus nerve stimulation
url http://dx.doi.org/10.1155/2010/309462
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