Educational Problems Clinical Trial
Official title:
Evaluation of a 2-hour Educational Programme in Diaphragm Ultrasonographic Assessment
Verified date | April 2019 |
Source | University Magna Graecia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Diaphragm ultrasound non-invasively explores the diaphragm function and it can be useful in
several clinical situations. Diaphragm ultrasound is able to evaluate the cranio-caudal
displacement of the diaphragm and its thickening fraction at the end of inspiration, in
relation to the end-expiratory value.
While several studies have been conducted in the evaluation of educational programmes for
echocardiography, to date data lack regarding this aspect in diaphragm ultrasonographic
assessment.
Based on the experience gained in some specialization schools in Anaesthesia and Intensive
Care, the investigators hypothesize that the participation in a two-hour course, including a
theoretical part and a practical training, allows to acquire the appropriate theoretical and
practical skills necessary to correctly perform the measurement of the diaphragm excursion
and thickening fraction, compared to the theoretical lesson only, followed by a brief
explanation by an expert tutor, on the practical use of the ultrasound.
The investigators hypothesized that the association of the theoretical part and of the
practical training is able to obtain:
1. Passing the theoretical test with at least 70% of the correct answers;
2. The correct identification of the areas where the probe is affixed;
3. The appropriate measure of Diaphragmatic thickening and displacement.
Status | Completed |
Enrollment | 172 |
Est. completion date | February 28, 2019 |
Est. primary completion date | February 28, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - 116 students with no experience in the field of ultrasound Exclusion Criteria: |
Country | Name | City | State |
---|---|---|---|
Italy | Eugenio Garofalo | Catanzaro | CZ |
Lead Sponsor | Collaborator |
---|---|
Paolo Navalesi |
Italy,
Matamis D, Soilemezi E, Tsagourias M, Akoumianaki E, Dimassi S, Boroli F, Richard JC, Brochard L. Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med. 2013 May;39(5):801-10. doi: 10.1007/s00134-013-2823-1. Epub 2013 Jan 24. Review. — View Citation
Umbrello M, Formenti P, Longhi D, Galimberti A, Piva I, Pezzi A, Mistraletti G, Marini JJ, Iapichino G. Diaphragm ultrasound as indicator of respiratory effort in critically ill patients undergoing assisted mechanical ventilation: a pilot clinical study. Crit Care. 2015 Apr 13;19:161. doi: 10.1186/s13054-015-0894-9. — View Citation
Zambon M, Greco M, Bocchino S, Cabrini L, Beccaria PF, Zangrillo A. Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review. Intensive Care Med. 2017 Jan;43(1):29-38. doi: 10.1007/s00134-016-4524-z. Epub 2016 Sep 12. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Ultrasonographic skills - Thickening Fraction | Measurement of thickening fraction. If measurements will deviate from those recorded by the expert within the 20% of the value, the result will be considered positive | Soon after the video-tutorial (within 30 minutes), when participants perform diaphragm ultrasound | |
Primary | Ultrasonographic skills - Diaphragm Displacement | Measurement of Diaphragm Displacement. If students' measurements will deviate from those recorded by the expert within the +/- 2 mm, the result will be considered positive. | Soon after the video-tutorial (within 30 minutes), when participants perform diaphragm ultrasound |
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