Validation of the Imperial College Surgical Assessment Device (ICSAD) for labour epidural placement
| Autor: | Viren N. Naik, John G. Hanlon, Rita Katznelson, Megan A. Hayter, M. Dylan Bould, Bruno C. R. Borges, Zeev Friedman |
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| Rok vydání: | 2008 |
| Předmět: |
Anesthesia
Epidural business.industry Concurrent validity Hand motion Construct validity Internship and Residency General Medicine Equipment Design Hand Checklist Objective assessment Catheterization Anesthesiology and Pain Medicine Electromagnetic Fields Anesthesiology Research Design Anesthesia Medicine Anesthesia Obstetrical Humans Female Clinical Competence Technical skills business Global rating scale |
| Zdroj: | Canadian journal of anaesthesia = Journal canadien d'anesthesie. 56(6) |
| ISSN: | 1496-8975 |
| Popis: | Technical proficiency in anesthesia has historically been determined subjectively. The purpose of this study was to establish the construct validity for the Imperial College Surgical Assessment Device (ICSAD), a measure of hand motion efficiency, as an objective assessment tool for technical skill performance, by examining its ability to distinguish between operators of different levels of experience performing a labour epidural. Concurrent validity for the ICSAD was investigated by comparison to a validated task specific checklist (CL) and global rating scale (GRS).A single blinded, prospective, controlled study design compared three groups of subjects: novice residents (30 epidurals), experienced residents (100 epidurals), and staff anesthesiologists (500 epidurals). Performance was measured using the ICSAD (number of movements, path length, time) and scores from a CL and GRS graded by examiners blinded to the level of training. Data were analyzed by multivariate analysis of variance (MANOVA).Twenty-nine subjects were recruited. Novice residents had longer path lengths compared to experienced residents (P = 0.031) and staff anesthesiologists (P = 0.0004), made more movements (P = 0.012) and took more time than staff (P = 0.009). Novice residents scored significantly worse on the GRS compared to experienced residents (P = 0.029) and staff (P = 0.01) and had significantly lower CL scores compared to staff (P = 0.003).Construct and concurrent validity for the ICSAD was established for a regional anesthesia technique by demonstrating that it can distinguish between operators of different levels of experience and by comparing it to the current standards of technical skill assessment. |
| Databáze: | OpenAIRE |
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