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NCT05153265 Clinical Trial

The CIA Score: a Learner's Tool

Anesthesia, Local Clinical Trial

Official title:
Critical, Intervention, Assess: Using the CIA System as a Learning Tool to Assess Bleeding Risk in Regional Anesthesia.

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT05153265
Other study ID # 48095
Secondary ID
Status Completed
Phase
First received
Last updated
Start date November 23, 2021
Est. completion date December 23, 2021

Study information
Verified date March 2022
Source Stanford University
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The goal of this project is to use a previously described scoring system - the CIA system - as a teaching tool to help learners assess the bleeding risk of peripheral nerve blocks. We will teach the CIA system to residents, then they will complete a survey in which they apply the system to various peripheral nerve blocks. We hypothesize that the CIA system will allow learners to reach the same consensus about bleeding risk as expert opinions.

Description:

Prior survey of Stanford and Palo Alto VA regional anesthesiologists showed diverging assessments of whether various blocks are considered superficial or deep. Investigators hope to have a simple systematic approach to "scoring" regional anesthesia procedures which can be used as a basis for discussion and comparison of regional expert's opinions. A scoring system using three categories of consideration to classify any regional procedure is proposed. The following three categories, Critical, Intervention, and Assess (CIA) can be used to analyze any procedure to determine bleeding risk. A score of 0 or 1, was given to each parameter depending on whether it was absent or present. A total score can be range from 0 to 3. From this, the risk can be categorized based on the total score as low-risk (0), intermediate-risk (1) or high-risk (2 or 3).

Recruitment information / eligibility
Status Completed
Enrollment 69
Est. completion date December 23, 2021
Est. primary completion date December 23, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Regional Anesthesiologist and interested staff from Stanford Exclusion Criteria: - Non-regional anesthesiologists and non-interested staff at Stanford

Study Design

Related Conditions & MeSH terms

Intervention

Other:
• Survey
There will be no interventions for study participants. Participants will be asked to complete a survey.

Locations
Country Name City State
United States Stanford University Stanford California

Sponsors (1)
Lead Sponsor Collaborator
Stanford University

Country where clinical trial is conducted

United States, 

References & Publications (2)

Tsui BCH, Kirkham K, Kwofie MK, Tran Q, Wong P, Chin KJ, Sondekoppam RV. Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus. Can J Anaesth. 2019 Nov;66(11):1356-1384. doi: 10.1007/s12630-019-01466-w. Epub 2019 Aug 26. Review. — View Citation

Tsui BCH. A systematic approach to scoring bleeding risk in regional anesthesia procedures. J Clin Anesth. 2018 Sep;49:69-70. doi: 10.1016/j.jclinane.2018.06.011. Epub 2018 Jun 15. — View Citation

Outcome
Type Measure Description Time frame Safety issue
Primary CIA score by trainees The bleeding risk of each peripheral nerve block as assessed by trainees, using the CIA scoring system. 2 months
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