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dc.contributor.authorAjmal, Muhammad
dc.contributor.authorPower, Susan
dc.contributor.authorSmith, Tim
dc.contributor.authorShorten, George D
dc.date.accessioned2011-06-01T11:39:07Z
dc.date.available2011-06-01T11:39:07Z
dc.date.issued2011-02
dc.identifier.citationErgonomic task analysis of ultrasound-guided femoral nerve block: a pilot study. 2011, 23 (1):35-41 J Clin Anesthen
dc.identifier.issn1873-4529
dc.identifier.pmid21296245
dc.identifier.doi10.1016/j.jclinane.2010.06.006
dc.identifier.urihttp://hdl.handle.net/10147/132470
dc.description.abstractTo apply ergonomic task analysis to the performance of ultrasound-guided (US-guided) femoral nerve block (FNB) in an acute hospital setting.
dc.description.abstractPilot prospective observational study.
dc.description.abstractOrthopedic operating room of a regional trauma hospital.
dc.description.abstract15 anesthesiologists of various levels of experience in US-guided FNB (estimated minimum experience < 10 procedures; maximum about 50 procedures, and from basic trainees to consultants); and 15 patients (5 men and 10 women), aged 77 ± 15 (mean ± SD yrs) years. MEASUREMENTS/OBSERVATIONS: A data capture "tool", which was modified from one previously developed for ergonomic study of spinal anesthesia, was studied. Patient, operator, and heterogeneous environmental factors related to ergonomic performance of US-guided FNB were identified. The observation period started immediately before commencement of positioning the patient and ended on completion of perineural injection. Data were acquired using direct observations, photography, and application of a questionnaire.
dc.description.abstractThe quality of ergonomic performance was generally suboptimal and varied greatly among operators. Eight (experience < 10 procedures) of 15 operators excessively rotated their head, neck, and/or back to visualize the image on the ultrasound machine. Eight operators (experience < 10 procedures) performed the procedure with excessive thoracolumbar flexion.
dc.description.abstractPerformance of US-guided FNB presents ergonomic challenges and was suboptimal during most of the procedures observed. Formal training in US-guided peripheral nerve blockade should include reference to ergonomic factors.
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21296245en
dc.subject.meshAged
dc.subject.meshBody Height
dc.subject.meshData Interpretation, Statistical
dc.subject.meshEnvironment
dc.subject.meshFemale
dc.subject.meshFemoral Nerve
dc.subject.meshFemur
dc.subject.meshHip
dc.subject.meshHuman Engineering
dc.subject.meshHumans
dc.subject.meshKnee
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshNerve Block
dc.subject.meshPilot Projects
dc.subject.meshPosture
dc.subject.meshQuestionnaires
dc.subject.meshTask Performance and Analysis
dc.titleErgonomic task analysis of ultrasound-guided femoral nerve block: a pilot study.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anesthesia and Intensive Care Medicine, Cork University Hospital and University College Cork, Wilton, Cork, Ireland. ajmal_c@hotmail.comen
dc.identifier.journalJournal of clinical anesthesiaen
dc.description.provinceMunster
refterms.dateFOA2019-04-04T02:23:14Z
html.description.abstractTo apply ergonomic task analysis to the performance of ultrasound-guided (US-guided) femoral nerve block (FNB) in an acute hospital setting.
html.description.abstractPilot prospective observational study.
html.description.abstractOrthopedic operating room of a regional trauma hospital.
html.description.abstract15 anesthesiologists of various levels of experience in US-guided FNB (estimated minimum experience < 10 procedures; maximum about 50 procedures, and from basic trainees to consultants); and 15 patients (5 men and 10 women), aged 77 ± 15 (mean ± SD yrs) years. MEASUREMENTS/OBSERVATIONS: A data capture "tool", which was modified from one previously developed for ergonomic study of spinal anesthesia, was studied. Patient, operator, and heterogeneous environmental factors related to ergonomic performance of US-guided FNB were identified. The observation period started immediately before commencement of positioning the patient and ended on completion of perineural injection. Data were acquired using direct observations, photography, and application of a questionnaire.
html.description.abstractThe quality of ergonomic performance was generally suboptimal and varied greatly among operators. Eight (experience < 10 procedures) of 15 operators excessively rotated their head, neck, and/or back to visualize the image on the ultrasound machine. Eight operators (experience < 10 procedures) performed the procedure with excessive thoracolumbar flexion.
html.description.abstractPerformance of US-guided FNB presents ergonomic challenges and was suboptimal during most of the procedures observed. Formal training in US-guided peripheral nerve blockade should include reference to ergonomic factors.


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