Research Articles | Challenge Journal of Perioperative Medicine

Instagram: A platform for caudal epidural injection?

Keisher Hoyte, Gemma Summons, Parineeta Ghosh, Halil Cihan Kose


DOI: https://doi.org/10.20528/cjpm.2023.01.004
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Abstract


Aim: Caudal epidural injection (CEI) is a widely used procedure in pediatric anesthesia for perioperative pain and in adults for chronic radicular pain. Social media platforms, including Instagram, are being increasingly utilized for the dissemination of information in various fields, including medicine. The aim of this study was to evaluate the information content and sources of CEI on Instagram.

Method: This study presents an analysis of Instagram contents containing the keywords #caudalepiduralinjection, #caudalepidural, #caudalepiduralblock, #caudalinjection, and #caudalblock on May 1, 2023. The results were classified into four groups based on the source: posts generated by physicians, organizations, patients, or unspecified sources. The posts were further classified into two categories: educational or experience. User influence was also assessed based on the number of followers and posts.

Results: A total of 204 posts were assessed. 72 different accounts were identified and the distribution of these accounts is as follows: physicians accounted for 29.16% (n=21), patients accounted for 51.38% (n=37), medical organizations accounted for 11.11% (n=8), and the remaining 8.33% (n=6) were not otherwise specified. Among the posts, 92 (45.09%) were posted by the patients, 71 (34.80%) were posted by physicians, 25 (12.25%) by medical organizations, and 16 (7.84%) were not specified. There was a significant difference in the number of posts created by patients versus physicians (p=0.036). Furthermore, there was a significant difference in the number of followers between physicians and all other groups analyzed. There were no posts regarding the use of CEI in pediatric anesthesia when searching for posts on CEIs.

Conclusions: When searching for posts related to CEIs, it is more likely to encounter posts authored by patients, thus resulting in the educational content created by physicians being overshadowed and buried among numerous other posts. We suggest posting educational medical content with the hashtag #MedEd in an attempt to make educational content more easily accessible. These findings highlight the importance of raising awareness about CEIs on Instagram. Pain medicine societies and specialists should actively contribute by sharing credible posts on CEIs.


Keywords


social media; perioperative medicine; caudal injection; epidural injection

References


Kao SC, Lin CS. Caudal Epidural Block: An Updated Review of Anatomy and Techniques. Biomed Res Int. 2017;2017:9217145.

Wiegele M, Marhofer P, Lönnqvist PA. Caudal epidural blocks in pediatric patients: a review and practical considerations. Br J Anaesth. 2019;122(4):509-517.

Parr AT, Manchikanti L, Hameed H, et al. Caudal epidural injections in the management of chronic low back pain: a systematic appraisal of the literature. Pain Physician. 2012;15(3):E159-E198.

Instagram trends 2020: Instagram überholt Facebook & Karussell-Postings mit den meisten Interaktionen. (2020). https://www.futurebiz.de/artikel/instagram-trends-2020/ (accessed 01.05.2023).

Fung IC, Blankenship EB, Ahweyevu JO, et al.: Public health implications of image-based social media: a systematic review of Instagram, Pinterest, Tumblr, and Flickr. Perm J. 2020, 24:307.

Houts PS, Doak CC, Doak LG, Loscalzo MJ: The role of pictures in improving health communication: a review of research on attention, comprehension, recall, and adherence. Patient Educ Couns. 2006, 61:173-90.

Guven Kose S, Kose HC, Erbakan M, Tulgar S: Brain death and the internet: evaluating the readability and quality of online health information. Minerva Anestesiol. 2022, 88:698-705.

Ecoffey C, Lacroix F, Giaufre E, Orliaguet G, Courreges P. Association des Anesthesistes Reanimateurs Pediatriques d’Expression Francaise (ADARPEF). Epidemiology and morbidity of regional anesthesia in children: a follow-up one-year prospective survey of the French-Language Society of Paediatric Anaesthesiologists (ADARPEF). Paediatr Anaesth 2010; 20: 1061e9

Wiegele M, Marhofer P, Lönnqvist PA. Caudal epidural blocks in paediatric patients: a review and practical considerations. Br J Anaesth. 2019;122(4):509-517.

Polaner DM, Taenzer AH, Walker BJ, et al. Paediatric Regional Anesthesia Network (PRAN): a multi-institutional study of the use and incidence of complications of pediatric regional anesthesia. Anesth Analg 2012; 115: 1353e64

Wilson J, Heinsch M, Betts D, Booth D, Kay-Lambkin F. Barriers and facilitators to the use of e-health by older adults: a scoping review. BMC Public Health. 2021;21(1):1556.

Lewis A, Weaver J, Caplan A. Portrayal of Brain Death in Film and Television. Am J Transplant 2017;17:761–9. 36.

Siminoff LA, Mercer MB, Arnold R. Families’ understanding of brain death. Prog Transplant 2003;13:218–24.

Kesaria AZ, Bimali M, Patel M, Prabhu A, Kesaria S, Xia F: #Brachytherapy: physicians as influencers on Instagram. Cureus. 2022, 14:e22524.

Henderson A, Miller CA, Sutton AL, Guidry JP: #TripleNegativeBreastCancer on Instagram. Health Educ Behav. 2021, 48:567-74.

Kose HC: Exploring the Use of Facet Joint Injections Through Instagram. Cureus 2023, 15(5): e38554.

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, et al. 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, et al. Test-enhanced E-learning strategies in postgraduate medical education: a randomized cohort study. J Med Internet Res. 2016;18:e299.

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

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. Braz J Anesthesiol. 2019;69(2):168-176.

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

GMC. Doctors’ use of social media (2013), www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/doctors-use-ofsocial-media/doctors-use-of-social-media (accessed 10.05.2023)


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