Development of objective performance metrics for ultrasound-guided internal jugular vein cannulation on behalf of the College of Anaesthesiologists of Ireland and observation of scores amongst novice and experienced operators
Authors' conclusion
A set of valid, reliable objective performance metrics has been developed for ultrasound-guided IJV cannulation.
Study context
- Population
- Video recordings of ultrasound-guided internal jugular venous (IJV) cannulation by novice and experienced anaesthesiologists, four College of Anaesthesiologists of Ireland (CAI) training hospitals, Ireland
- Participants
- 11 vs 15
- Exposure
- Novice vs experienced anaesthesiologists, scored with the agreed metrics
- Novicen = 11reference
- Experiencedn = 15
- Outcome
- Agreed CAI objective performance metrics (steps, errors, critical errors) for ultrasound-guided IJV cannulation; difference in performance scores between novice and experienced, by skill level (below/above median total error score: LoErr, HiErr)
Methodological detailsmodified Delphi panel, blinded assessors, multicentre (four CAI training hospitals)
- Modified Delphi panel
- Blinded assessors
- Multicentre (four CAI training hospitals)
Main finding
As reported in the abstract
Metrics developed and scores observed
- Metrics identified: steps
- 47
- Metrics identified: errors
- 18
- Metrics identified: critical errors
- 13
- Phases
- six
Observational data: associations, not effects.
Original publication
Development of objective performance metrics for ultrasound-guided internal jugular vein cannulation on behalf of the College of Anaesthesiologists of Ireland and observation of scores amongst novice and experienced operators. Eur J Anaesthesiol. Published 28 March 2023. doi:10. 1097/ eja. 0000000000001821
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