Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1016/j.bjane.2018.12.005
Brazilian Journal of Anesthesiology
Scientific Article

YouTube as an informational source for brachial plexus blocks: evaluation of content and educational value

YouTube como fonte informativa sobre bloqueios do plexo braquial: avaliação de conteúdo e valor educativo

Onur Selvi; Serkan Tulgar; Ozgur Senturk; Deniz I. Topcu; Zeliha Ozer

http://dx.doi.org/10.1016/j.bjane.2018.12.005 Braz J Anesthesiol, vol.69, n2, p.168-176, 2019
PDF English
PDF Português
Downloads: 0
Views: 1024

Abstract

Abstract Background and objectives: YouTube, the most popular video-sharing website, contains a significant number of medical videos including brachial plexus nerve blocks. Despite the widespread use of this platform as a medical information source, there is no regulation for the quality or content of the videos. The goals of this study are to evaluate the content of material on YouTube relevant to performance of brachial plexus nerve blocks and its quality as a visual digital information source. Methods: The YouTube search was performed using keywords associated with brachial plexus nerve blocks and the final 86 videos out of 374 were included in the watch list. The assessors scored the videos separately according to the Questionnaires. Questionnaire-1 (Q1) was prepared according to the ASRA guidelines/Miller's Anesthesia as a reference text book, and Questionnaire-2 (Q2) was formulated using a modification of the criteria in Evaluation of Video Media Guidelines. Results: 72 ultrasound-guided and 14 nerve-stimulator guided block videos were evaluated. In Q1, for ultrasound-guided videos, the least scores were for Q1–5 (1.38) regarding the complications, and the greatest scores were for Q1–13 (3.30) regarding the sono-anatomic image. In videos with nerve stimulator, the lowest and the highest scores were given for Q1–7 (1.64) regarding the equipment and Q1–12 (3.60) regarding the explanation of muscle twitches respectively. In Q2, 65.3% of ultrasound-guided and 42.8% of blocks with nerve-stimulator had worse than satisfactory scores. Conclusion: The majority of the videos examined for this study lack the comprehensive approach necessary to safely guide someone seeking information about brachial plexus nerve blocks.

Keywords

YouTube, Anesthesia, Brachial plexus blocks

Resumo

Resumo Justificativa e objetivos: O YouTube, site de compartilhamento de vídeos mais popular, contém um número significativo de vídeos médicos, incluindo bloqueios do plexo braquial. Apesar do uso generalizado dessa plataforma como fonte de informação médica, não há regulamentação para a qualidade ou o conteúdo dos vídeos. O objetivo deste estudo é avaliar o conteúdo do material no YouTube relevante para o desempenho do bloqueio do plexo braquial e sua qualidade como fonte de informação visual digital. Métodos: A pesquisa no YouTube foi realizada usando palavras-chave associadas ao bloqueio do plexo braquial e, de 374 vídeos, 86 foram incluídos na lista de observação. Os avaliadores classificaram os vídeos separadamente, de acordo com os questionários. O questionário-1 (Q1) foi preparado de acordo com as diretrizes da ASRA/Miller's Anesthesia como livro de referência e o Questionário-2 (Q2) foi formulado usando uma modificação dos critérios em Avaliação de Diretrizes para Mídia de Vídeo. Resultados: No total, 72 vídeos sobre bloqueios guiados por ultrassom e 14 vídeos sobre bloqueios com estimulador de nervos foram avaliados. No Q1, para os vídeos apresentando bloqueios guiados por ultrassom, os menores escores foram para Q1–5 (1,38) em relação às complicações e os maiores escores foram para Q1–13 (3,30) em relação à imagem sonoanatômica. Nos vídeos que apresentaram bloqueios com estimulador de nervos, os menores e os maiores escores foram dados para Q1–7 (1,64) em relação ao equipamento e Q1–12 (3,60) em relação à explicação das contrações musculares, respectivamente. No Q2, 65,3% dos bloqueios guiados por ultrassom e 42,8% dos bloqueios com estimulador de nervos apresentaram escores abaixo de satisfatórios. Conclusões: A maioria dos vídeos examinados para este estudo carece da abordagem abrangente necessária para orientar com segurança as pessoas que buscam informações sobre o bloqueio do plexo braquial.

Palavras-chave

YouTube, Anestesia, Bloqueios do plexo braquial

References

Knight E, Intzandt B, MacDougall A. Information seeking in social media: a review of youtube for sedentary behavior content. Interact J Med Res. 2015;4.

Azer SA, Algrain HA, AlKhelaif RA. Evaluation of the educational value of YouTube videos about physical examination of the cardiovascular and respiratory systems. J Med Internet Res. 2013;15.

Romanov K, Nevgi A. Do medical students watch video clips in eLearning and do these facilitate learning?. Med Teach. 2007;29:484-8.

Mathis S, Schlafer O, Abram J. Anesthesia for medical students: a brief guide to practical anesthesia in adults with a web-based video illustration. Anaesthesist. 2016;65:929-39.

DelSignore LA, Wolbrink TA, Zurakowski D. Test-enhanced E-learning strategies in postgraduate medical education: a randomized cohort study. J Med Internet Res. 2016;18.

Tackett S, Slinn K, Marshall T. Medical education videos for the world: an analysis of viewing patterns for a YouTube channel. Acad Med. 2018;93:1150-6.

Das Adhikary S, Karanzalis D, Liu WR. A prospective randomized study to evaluate a new learning tool for ultrasound-guided regional anesthesia. Pain Med. 2017;18:856-65.

Godwin HT, Khan M, Yellowlees P. The educational potential of YouTube. Acad Psychiatry. 2017;41:823-7.

Tulgar S, Selvi O, Serifsoy TE. YouTube as an information source of spinal anesthesia, epidural anesthesia and combined spinal and epidural anesthesia. Rev Bras Anestesiol. 2017;67:493-9.

Rössler B, Lahner D, Schebesta K. Medical information on the Internet: quality assessment of lumbar puncture and neuroaxial block techniques on YouTube. Clin Neurol Neurosurg. 2012;114:655-8.

Americana Society of Regional Anesthesia and Pain Medicine. .

Miller RD. Miller's anesthesia. 2010:1639-703.

National Career Development Association (NCDA) Guidelines for the Preparation and Evaluation of Video Career Media. .

R: A language and environment for statistical computing. 2017.

Gamer Matthias, Lemon Jim, Singh Ian Fellows Puspendra. irr: Various Coefficients of Interrater Reliability and Agreement. 2012.

Pedersen K, Moeller MH, Paltved C. Students' learning experiences from didactic teaching sessions including patient case examples as either text or video: a qualitative study. Acad Psychiatry. 2018;42:622-9.

Sainsbury JE, Telgarsky B, Parotto M. The effect of verbal and video feedback on learning direct laryngoscopy among novice laryngoscopists: a randomized pilot study. Can J Anaesth. 2017;64:252-9.

Beard HR, Marquez-Lara AJ, Hamid KS. Using wearable video technology to build a point-of-view surgical education library. JAMA Surg. 2016;151:771-2.

Smith HM, Kopp SL, Jacob AK. Designing and implementing a comprehensive learner-centered regional anesthesia curriculum. Reg Anesth Pain Med. 2009;34:88-94.

Adhikary SD, Hadzic A, McQuillan PM. Simulator for teaching hand–eye coordination during ultrasound-guided regional anesthesia. Br J Anaesth. 2013;111:844-5.

Ahmed OMA, Niessen T, O'Donnell BD. The effect of metrics-based feedback on acquisition of sonographic skills relevant to performance of ultrasound-guided axillary brachial plexus block. Anesthesia. 2017;72:1117-24.

Trueger NS, Thoma B, Hsu CH. The altmetric score: a new measure for article-level dissemination and impact. Ann Emerg Med. 2015;66:549-53.

5dcb030e0e8825fd5203b87a rba Articles
Links & Downloads
2352-2291 (Electronic) 0104-0014 (Printed)
Braz J Anesthesiol ©2024 All rights reserved.

Braz J Anesthesiol

Share this page
Page Sections