Cargando…

Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study

PURPOSE: To assess improvements in the validity and reliability of novices’ skills in performing ultrasonography for airway assessment. PATIENTS AND METHODS: A learning cohort study was conducted with 20 anesthesiology residents and 10 volunteers in the Department of Anesthesiology, Faculty of Medic...

Descripción completa

Detalles Bibliográficos
Autores principales: Prathep, Sumidtra, Sikarettrakul, Pawarit, Nimmaanrat, Sasikaan, Juthasantikul, Wipharat, Karnjanawanichkul, Orarat, Kovitwanawong, Nalinee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512031/
https://www.ncbi.nlm.nih.gov/pubmed/36171910
http://dx.doi.org/10.2147/AMEP.S377403
_version_ 1784797767729676288
author Prathep, Sumidtra
Sikarettrakul, Pawarit
Nimmaanrat, Sasikaan
Juthasantikul, Wipharat
Karnjanawanichkul, Orarat
Kovitwanawong, Nalinee
author_facet Prathep, Sumidtra
Sikarettrakul, Pawarit
Nimmaanrat, Sasikaan
Juthasantikul, Wipharat
Karnjanawanichkul, Orarat
Kovitwanawong, Nalinee
author_sort Prathep, Sumidtra
collection PubMed
description PURPOSE: To assess improvements in the validity and reliability of novices’ skills in performing ultrasonography for airway assessment. PATIENTS AND METHODS: A learning cohort study was conducted with 20 anesthesiology residents and 10 volunteers in the Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University. The four parameters of airway assessment were soft tissue thickness at the level of 1) hyoid bone (STT-HY), 2) true vocal cords (STT-VC), 3) thyroid isthmus (STT-TI), and 4) suprasternal notch (STT-SN). The magnitude of discrepancies between the residents’ and experienced anesthesiologists’ measurements was evaluated over the sequence of measurements in the 10 volunteers. RESULTS: The mean ultrasonic measurements of STT-HY by the experienced anesthesiologists and residents were significantly different (11.09 ± 3.14 mm vs 8.53 ± 3.02 mm, respectively; P = 0.008), whereas measurements of STT-VC, STT-TI, and STT-SN were not (7.18 ± 1.70 vs 7.14 ± 1.93, P = 0.32; 7.81 ± 2.14 vs 7.73 ± 2.19, P = 0.62; and 11.32 ± 3.33 vs 10.30 ± 3.02, P = 0.35, respectively). The mean discrepancy between the residents’ and experienced anesthesiologists’ measurements was close to zero throughout the sequence of measurements of STT-TI and STT-VC. However, the residents’ measurements of STT-HY and STT-SN were considerably lower than those of anesthesiologists. The range of discrepancies between residents and experienced anesthesiologists in each sequential measurement was wide for all measurements, particularly for the measurement values of STT-HY, and the standard deviation of the discrepancies did not decrease over the sequence of measurements. CONCLUSION: Over the sequence of measurements for airway assessment in 10 volunteers by 20 residents in this learning trial, we found no evidence of improvement in measurement accuracy. Discrepancies between the residents’ and anesthesiologists’ measurements and the variability in discrepancy across residents were greatest in the measurement of STT-HY.
format Online
Article
Text
id pubmed-9512031
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Dove
record_format MEDLINE/PubMed
spelling pubmed-95120312022-09-27 Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study Prathep, Sumidtra Sikarettrakul, Pawarit Nimmaanrat, Sasikaan Juthasantikul, Wipharat Karnjanawanichkul, Orarat Kovitwanawong, Nalinee Adv Med Educ Pract Original Research PURPOSE: To assess improvements in the validity and reliability of novices’ skills in performing ultrasonography for airway assessment. PATIENTS AND METHODS: A learning cohort study was conducted with 20 anesthesiology residents and 10 volunteers in the Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University. The four parameters of airway assessment were soft tissue thickness at the level of 1) hyoid bone (STT-HY), 2) true vocal cords (STT-VC), 3) thyroid isthmus (STT-TI), and 4) suprasternal notch (STT-SN). The magnitude of discrepancies between the residents’ and experienced anesthesiologists’ measurements was evaluated over the sequence of measurements in the 10 volunteers. RESULTS: The mean ultrasonic measurements of STT-HY by the experienced anesthesiologists and residents were significantly different (11.09 ± 3.14 mm vs 8.53 ± 3.02 mm, respectively; P = 0.008), whereas measurements of STT-VC, STT-TI, and STT-SN were not (7.18 ± 1.70 vs 7.14 ± 1.93, P = 0.32; 7.81 ± 2.14 vs 7.73 ± 2.19, P = 0.62; and 11.32 ± 3.33 vs 10.30 ± 3.02, P = 0.35, respectively). The mean discrepancy between the residents’ and experienced anesthesiologists’ measurements was close to zero throughout the sequence of measurements of STT-TI and STT-VC. However, the residents’ measurements of STT-HY and STT-SN were considerably lower than those of anesthesiologists. The range of discrepancies between residents and experienced anesthesiologists in each sequential measurement was wide for all measurements, particularly for the measurement values of STT-HY, and the standard deviation of the discrepancies did not decrease over the sequence of measurements. CONCLUSION: Over the sequence of measurements for airway assessment in 10 volunteers by 20 residents in this learning trial, we found no evidence of improvement in measurement accuracy. Discrepancies between the residents’ and anesthesiologists’ measurements and the variability in discrepancy across residents were greatest in the measurement of STT-HY. Dove 2022-09-22 /pmc/articles/PMC9512031/ /pubmed/36171910 http://dx.doi.org/10.2147/AMEP.S377403 Text en © 2022 Prathep et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Prathep, Sumidtra
Sikarettrakul, Pawarit
Nimmaanrat, Sasikaan
Juthasantikul, Wipharat
Karnjanawanichkul, Orarat
Kovitwanawong, Nalinee
Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study
title Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study
title_full Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study
title_fullStr Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study
title_full_unstemmed Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study
title_short Improvement in Validity and Reliability of Airway Assessment Using Ultrasonography by Novice Personnel: A Learning Cohort Study
title_sort improvement in validity and reliability of airway assessment using ultrasonography by novice personnel: a learning cohort study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512031/
https://www.ncbi.nlm.nih.gov/pubmed/36171910
http://dx.doi.org/10.2147/AMEP.S377403
work_keys_str_mv AT prathepsumidtra improvementinvalidityandreliabilityofairwayassessmentusingultrasonographybynovicepersonnelalearningcohortstudy
AT sikarettrakulpawarit improvementinvalidityandreliabilityofairwayassessmentusingultrasonographybynovicepersonnelalearningcohortstudy
AT nimmaanratsasikaan improvementinvalidityandreliabilityofairwayassessmentusingultrasonographybynovicepersonnelalearningcohortstudy
AT juthasantikulwipharat improvementinvalidityandreliabilityofairwayassessmentusingultrasonographybynovicepersonnelalearningcohortstudy
AT karnjanawanichkulorarat improvementinvalidityandreliabilityofairwayassessmentusingultrasonographybynovicepersonnelalearningcohortstudy
AT kovitwanawongnalinee improvementinvalidityandreliabilityofairwayassessmentusingultrasonographybynovicepersonnelalearningcohortstudy