The CIA Score: a Learner's Tool

Sponsor

Stanford University (Other)

Overall Status

Completed

CT.gov ID

NCT05153265

Collaborator

(none)

Enrollment

Location

Actual Duration (Days)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The goal of this project is to use a previously described scoring system - the CIA system - as a teaching tool to help learners assess the bleeding risk of peripheral nerve blocks. We will teach the CIA system to residents, then they will complete a survey in which they apply the system to various peripheral nerve blocks. We hypothesize that the CIA system will allow learners to reach the same consensus about bleeding risk as expert opinions.

Condition or Disease	Intervention/Treatment	Phase
Anesthesia, Local	Other: Survey

Detailed Description

Prior survey of Stanford and Palo Alto VA regional anesthesiologists showed diverging assessments of whether various blocks are considered superficial or deep. Investigators hope to have a simple systematic approach to "scoring" regional anesthesia procedures which can be used as a basis for discussion and comparison of regional expert's opinions.

A scoring system using three categories of consideration to classify any regional procedure is proposed. The following three categories, Critical, Intervention, and Assess (CIA) can be used to analyze any procedure to determine bleeding risk. A score of 0 or 1, was given to each parameter depending on whether it was absent or present. A total score can be range from 0 to 3. From this, the risk can be categorized based on the total score as low-risk (0), intermediate-risk (1) or high-risk (2 or 3).

Study Design

Study Type:

Observational

Actual Enrollment :

69 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

Critical, Intervention, Assess: Using the CIA System as a Learning Tool to Assess Bleeding Risk in Regional Anesthesia.

Actual Study Start Date :

Nov 23, 2021

Actual Primary Completion Date :

Dec 23, 2021

Actual Study Completion Date :

Dec 23, 2021

Arms and Interventions

Arm	Intervention/Treatment
Residents We plan to distribute a survey to the Stanford anesthesiology residents to determine their assessment of the bleeding risk of nerve blocks. The survey will list the most common nerve blocks and ask the resident anesthesiologists at Stanford whether the block is low/intermediate/high risk based on a scoring system of location relative to critical structures, compressibility, and whether bleeding or hematoma would be readily apparent.	Other: Survey There will be no interventions for study participants. Participants will be asked to complete a survey.
Attending physicians We plan to distribute a survey to the Stanford anesthesiology attending physicians to determine their assessment of the bleeding risk of several different nerve blocks. The survey will list the most common nerve blocks and ask Stanford anesthesiologists whether the block is low/intermediate/high risk based on their experience with nerve blocks.	Other: Survey There will be no interventions for study participants. Participants will be asked to complete a survey.

Arm

Intervention/Treatment

Residents

We plan to distribute a survey to the Stanford anesthesiology residents to determine their assessment of the bleeding risk of nerve blocks. The survey will list the most common nerve blocks and ask the resident anesthesiologists at Stanford whether the block is low/intermediate/high risk based on a scoring system of location relative to critical structures, compressibility, and whether bleeding or hematoma would be readily apparent.

Other: Survey

There will be no interventions for study participants. Participants will be asked to complete a survey.

Attending physicians

We plan to distribute a survey to the Stanford anesthesiology attending physicians to determine their assessment of the bleeding risk of several different nerve blocks. The survey will list the most common nerve blocks and ask Stanford anesthesiologists whether the block is low/intermediate/high risk based on their experience with nerve blocks.

Other: Survey

There will be no interventions for study participants. Participants will be asked to complete a survey.

Outcome Measures

Primary Outcome Measures

CIA score by trainees [2 months]
The bleeding risk of each peripheral nerve block as assessed by trainees, using the CIA scoring system.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Regional Anesthesiologist and interested staff from Stanford

Exclusion Criteria:

Non-regional anesthesiologists and non-interested staff at Stanford

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Stanford University	Stanford	California	United States	94305

Sponsors and Collaborators

Stanford University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:

Chi-Ho Ban Tsui, Professor-Med Ctr Line, Stanford University

ClinicalTrials.gov Identifier:

NCT05153265

Other Study ID Numbers:

48095

First Posted:

Dec 10, 2021

Last Update Posted:

Mar 16, 2022

Last Verified:

Mar 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Chi-Ho Ban Tsui, Professor-Med Ctr Line, Stanford University

regional anesthesia

peripheral nerve block

acute pain medicine

Study Results

No Results Posted as of Mar 16, 2022