Safety, quality & education

Comparison of a gamified versus standard virtual reality simulator to teach ultrasound-guided regional Anaesthesia: A randomised controlled trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

Gamification of an existing virtual reality simulator did not provide additional benefit compared to the original non-gamified simulator.

Study context

Population
Novices in ultrasound-guided RA, Liverpool, Campbelltown, and Fairfield Hospitals, Sydney, Australia
Participants
60 participants
Comparison
Gamified vs Standard
Primary endpoint
Improvement in expert-assessed Global Rating Scale after training
Follow-up
After training
Methodological detailsprospective, single blinded, multicentre
  • Prospective
  • Single blinded
  • Multicentre

Primary result

As reported in the abstract

Global Rating Scale after training
  • No difference in the Global Rating Scale between groups after adjustment for covariates (partial η2 = 0.05, p = 0.14)
  • Adjusted for covariates

Secondary outcomes

OutcomeGamifiedStandardP value
NASA-Task Load Index weighted scoresNo difference−3.5 (SD 12.3)−7.7 (SD 11.2)P = 0.17

Gradient of the learning curves

No difference (partial η2 = 0.04, p = 0.15)

Computer-generated performance scores

No difference (partial η2 = 0.01, p = 0.51)

Cumulative error scores (CES)

No difference (p = 0.89)

Participant questionnaire: VR simulation beneficial

Large majority agreed or strongly agreed (7 out of 8 questions)
range 72 to 92%

Original publication

Comparison of a gamified versus standard virtual reality simulator to teach ultrasound-guided regional Anaesthesia: A randomised controlled trial. J Clin Anesth. Published 4 April 2026. doi:10.1016/j.jclinane.2026.112199

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