Simulation-based training enhances outcomes across multiple Kirkpatrick levels in neuraxial space access education¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Across the included studies, simulation-based training enhanced outcomes at multiple Kirkpatrick levels, although study quality was generally low. → Nielsen Martine Siw 2025

Evidence¶

Nielsen Martine Siw 2025¶

Nielsen Martine Siw, Ilkjær Frederik Veitland, Grejs Anders Morten, Nielsen Anders Bo, Konge Lars, Brøchner Anne Craveiro. (2025). Training and assessment of skills in neuraxial space access: a scoping review of educational approaches to lumbar puncture, epidural anaesthesia, and spinal anaesthesia. British Journal of Anaesthesia. https://doi.org/10.1016/j.bja.2025.06.008

q2 · i? · review · r3

The review's synthesis of 99 included studies reports that "simulation-based training enhances outcomes across multiple Kirkpatrick levels", while noting the generally low methodological quality of the underlying studies.

"Consistent findings indicate that simulation-based training enhances outcomes across multiple Kirkpatrick levels, although the studies generally have low methodological quality."

Discussion¶

Related Claims¶

• Learning curves: residents require roughly 45–90 attempts to achieve competency in neuraxial procedures — related
• Proficiency-based training, including mastery learning, is effective for achieving competence in neuraxial access — related
• Self-assessed abilities are uncorrelated with actual performance measures, and Kirkpatrick level 1 is generally not recommended — related
• Most included studies were of low methodological quality, with only 22 of 99 rated high quality by MERSQI — related
• Skill retention after neuraxial technical training tends to decline over time — related
• Most identified training and assessment studies are of low methodological quality — related
• Simulation training for ultrasound‐guided regional anaesthesia most often shows significant improvement at Kirkpatrick level 2 outcomes — related