Objective validation of YouTube™ educational videos for the instruction of regional anesthesia nerve blocks: a novel approach

George L Tewfik, Adam N Work, Steven M Shulman, Patrick Discepola, George L Tewfik, Adam N Work, Steven M Shulman, Patrick Discepola

Abstract

Background: YouTube™ ("YouTube") is often used as an educational tool to instruct anesthesia providers on regional anesthesia nerve blocks. However, there is no current objective standard to assess the educational quality of these user-uploaded videos. A new approach was used to objectively validate these videos by comparing them to high quality educational sources for the seven most commonly used nerve blocks.

Objective: We sought to evaluate the educational quality of user-uploaded videos when compared to the highest quality anesthesia society websites (NYSORA, ACEP, USRA).

Methods: After reviewing the instructional material available for the seven most frequently conducted nerve blocks on high-quality reference websites, we documented the educational characteristics present including such things as indications, volume, anatomy, etc. Next we reviewed the five most popular videos on YouTube for each block (by views) and documented the presence or absence of these educational characteristics.

Results: Eighteen educational characteristics were documented in the "high-quality" anesthesia society reference material. Correlation was sought between this material and YouTube videos. Although there were varying degrees of correlation between the high quality sources and the videos, rarely did YouTube videos contain as high a percentage of these educational characteristics as the well-established sources. Some videos contained very few of these important educational characteristics.

Conclusion: Although YouTube has been used an educational tool, we recommend that only high quality sources be used to teach or illustrate regional anesthesia nerve blocks.

Conflict of interest statement

The authors declare they have no competing interests.

Figures

Fig. 1
Fig. 1
Comparison of percentage of educational characteristics present in the traditional online sources (NYSORA, ACEP and USRA) compared to the average of the YouTube videos
Fig. 2
Fig. 2
Percent of educational categories referenced in educational material by nerve block

References

    1. Azer SA, Algrain HA, AlKhelaif RA, AlEshaiwi SM. Evaluation of the educational value of YouTube videos about physical examination of the cardiovascular and respiratory systems. J Med Internet Res. 2013;15(11):e241. doi: 10.2196/jmir.2728.
    1. Ng FK, Wallace S, Coe B, Owen A, Lynch J, Bonvento B, Firn M, McGrath BA. From smartphone to bed-side: exploring the use of social media to disseminate recommendations from the National Tracheostomy Safety Project to front-line clinical staff. Anaesthesia. 2020;75(2):227–233. doi: 10.1111/anae.14747.
    1. Romanov K, Nevgi A. Do medical students watch video clips in eLearning and do these facilitate learning? Med Teach. 2007;29(5):484–488. doi: 10.1080/01421590701542119.
    1. Yıldırım B, Basaran O, Alatas OD, Yeniceri EN, Alatas OD, Yeniceri EN, Altun I, Tanriverdi O, Dogan V, Acar E, et al. Chest tube insertion techniques on YouTube: is social media a reliable source of learning medical skills? Am J Emerg Med. 2015;33(11):1709–1710. doi: 10.1016/j.ajem.2015.08.040.
    1. Butler DP, Perry F, Shah Z, Leon-Villapalos J. The quality of video information on burn first aid available on YouTube. Burns. 2013;39(5):856–859. doi: 10.1016/j.burns.2012.10.017.
    1. Hansen C, Interrante JD, Ailes EC, Frey MT, Broussard CS, Godoshian VJ, Lewis C, Polen KND, Garcia AP, Gilboa SM. Assessment of YouTube videos as a source of information on medication use in pregnancy. Pharmacoepidemiol Drug Saf. 2016;25(1):35–44. doi: 10.1002/pds.3911.
    1. Abdulghani HM, Haque S, Ahmad T, Irshad M, Sattar K, Al-Harbi MM, Khamis N. A critical review of obstetric and gynecological physical examination videos available on YouTube: Content analysis and user engagement evaluation. Medicine (Baltimore) 2019;98(30):e16459. doi: 10.1097/MD.0000000000016459.
    1. Karabay E, Karsiyakali N, Kayar K, Koseoglu H. Hypospadias surgery on YouTube: is it valid? Minerva Pediatr. 2019.
    1. Rössler B, Lahner D, Schebesta K, Chiari A, Plöchl W. Medical information on the Internet: Quality assessment of lumbar puncture and neuroaxial block techniques on YouTube. Clin Neurol Neurosurg. 2012;114(6):655–658. doi: 10.1016/j.clineuro.2011.12.048.
    1. Selvi O, Tulgar S, Senturk O, Topcu DI, Ozer Z. YouTube as an informational source for brachial plexus blocks: evaluation of content and educational value. Rev Bras Anestesiol. 2019;69(2):168–176. doi: 10.1016/j.bjan.2018.11.004.
    1. Tulgar S, Selvi O, Serifsoy TE, Senturk O, Ozer Z. YouTube as an information source of spinal anesthesia, epidural anesthesia and combined spinal and epidural anesthesia. Rev Bras Anestesiol. 2017;67(5):493–499. doi: 10.1016/j.bjan.2016.08.007.
    1. NYSORA, Inc (New York School of Regional Anesthesia). Techniques. []. Accessed 29 Aug 2019.
    1. American College of Emergency Physicians, Sonoguide. Ultrasound Guided Nerve Blocks []. Accessed 29 Aug 2019.
    1. USRA (Ultrasound for Regional Anesthesia). Links for Specific Blocks. []. Accessed 29 Aug 2019.
    1. Alexa Internet, Inc. The Top 500 Sites on the Web []. Accessed 6 Oct 2019.
    1. YouTube. YouTube for press []. Accessed 6 Oct 2019.
    1. Vance K, Howe W, Dellavalle RP. Social internet sites as a source of public health information. Dermatol Clin. 2009;27(2):133–136. doi: 10.1016/j.det.2008.11.010.
    1. Sood A, Sarangi S, Pandey A, Murugiah K. YouTube as a source of information on kidney stone disease. Urology. 2011;77(3):558–562. doi: 10.1016/j.urology.2010.07.536.
    1. Ache KA, Wallace LS. Human papillomavirus vaccination coverage on YouTube. Am J Prev Med. 2008;35(4):389–392. doi: 10.1016/j.amepre.2008.06.029.
    1. Keelan J, Pavri-Garcia V, Tomlinson G, Wilson K. YouTube as a Source of Information on Immunization: A Content Analysis. JAMA. 2007;298(21):2482–2484. doi: 10.1001/jama.298.21.2482.
    1. Nason K, Donnelly A, Duncan HF. YouTube as a patient-information source for root canal treatment. Int Endod J. 2016;49(12):1194–1200. doi: 10.1111/iej.12575.
    1. Staunton PF, Baker JF, Green J, Devitt A. Online Curves: A Quality Analysis of Scoliosis Videos on YouTube. Spine (Phila Pa 1976) 2015;40(23):1857–1861. doi: 10.1097/BRS.0000000000001137.
    1. Camm CF, Sunderland N, Camm AJ. A quality assessment of cardiac auscultation material on YouTube. Clin Cardiol. 2013;36(2):77–81. doi: 10.1002/clc.22080.
    1. Fischer J, Geurts J, Valderrabano V, Hügle T. Educational quality of YouTube videos on knee arthrocentesis. J Clin Rheumatol. 2013;19(7):373–376. doi: 10.1097/RHU.0b013e3182a69fb2.
    1. Ho M, Stothers L, Lazare D, Tsang B, Macnab A. Evaluation of educational content of YouTube videos relating to neurogenic bladder and intermittent catheterization. Can Urol Assoc J. 2015;9(9–10):320–354. doi: 10.5489/cuaj.2955.
    1. Sorensen JA, Pusz MD, Brietzke SE. YouTube as an information source for pediatric adenotonsillectomy and ear tube surgery. Int J Pediatr Otorhinolaryngol. 2014;78(1):65–70. doi: 10.1016/j.ijporl.2013.10.045.
    1. YouTube. YouTube Policies & Safety. . Accessed 2 June 2020.
    1. Ventola CL. Social media and health care professionals: benefits, risks, and best practices. P t. 2014;39(7):491–520.
    1. Prévost Jantchou BJA, Valérie Nguyen: Physician Roles and Responsibilities in the Context of a Pandemic in Resource-Limited Areas: Impact of Social Media. Iberoamerican J Med 2020.

Source: PubMed

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