A Survey of Exposure to Regional Anesthesia Techniques in American Anesthesia Residency Training Programs

Smith, Michael Peter; Šprung, Juraj; Zura, Andrew; Mascha, Edward J.; Tetzlaff, John E.

doi:10.1097/00115550-199924010-00004

Cited by 82 publications

(18 citation statements)

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“…We cannot give the distribution of the application rates of RA in our country according to the results of our study, but the participants primarily preferred to apply RBs at a rate of 96.8% in patients whom general and RA could be used alternatively which indicates the increase of demand for RA. Smith et al evaluated the relation between self-confidence and the years of residency and they reported that the residents only felt confidence in applying lumbar epidural and spinal anesthesia at the end of their training period, but they found out a lack of confidence in other RB techniques (12). While Smith et al had questioned the self-confidence of residents; we questioned the adequacy of their education and the implementation in their daily practice (12).…”

Section: Discussionmentioning

confidence: 99%

“…Smith et al evaluated the relation between self-confidence and the years of residency and they reported that the residents only felt confidence in applying lumbar epidural and spinal anesthesia at the end of their training period, but they found out a lack of confidence in other RB techniques (12). While Smith et al had questioned the self-confidence of residents; we questioned the adequacy of their education and the implementation in their daily practice (12). Unlike other studies, we established that the participants, who thought their education and practice were adequate, applied PBs more than others.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Education, Attitude, and Practice of the Turkish Anesthesiologists in Regional Block Techniques

et al. 2013

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BackgroundThe demand for regional blocks from both patients and surgeons has significantly increased in anesthesia practice during the last 30 years. Although the studies show that the complications are rare, regional blocks still have serious difficulties which can be prevented by training programs.ObjectivesThe purpose of this study was to determine the factors affecting the educational methods, attitude and practice of the Turkish anesthesiologists in regional blocks during and following residency programs.Patients and MethodsAnesthesiologists were asked to answer a questionnaire. Educational proficiency was determined by at least 50 spinal, 50 epidural and 50 peripheral block applications during residency. Specialists were asked for the numbers of spinal, epidural and peripheral blocks (PBs) they applied in 2009. The mean and median values were calculated.ResultsOne hundred and eighty-eight anesthesiologists (84.3 %) agreed to participate in the study. While all participants had made their first attempts in neuraxial blocks (NBs) when they were residents, this ratio was detected as 96.8% for PBs. All participants learned neuraxial and PBs on patients in the operating theater. Education proficiency ratios for spinal, epidural and PBs were 98.1 %, 92.5 % and 62.3 %, respectively. Age, perception of adequate training, nerve block rotation, adequate application in education, following innovations were the factors which significantly affected the number of PBs in practice according to univariate analysis. The participants who consider their applications on NBs were adequate (P = 0.029) and the ones working in state or private hospitals (P = 0.017), applied NBs significantly above the median number.ConclusionsAnesthesiologists had adequate education and practice of NB applications but a significant proportion of participants (51.8%) lacked both in PBs applications. We believe that NBs are more easily learned than PBs during residency training program.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of Education, Attitude, and Practice of the Turkish Anesthesiologists in Regional Block Techniques

et al. 2013

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“…The popularity of regional anesthesia may be to increase skill in performing regional blocks, as many U.S. anesthesia residents finish their residency training and are still not confident in performing certain regional block techniques. 26 Furthermore, academic institutions may favour anesthesiologists trained in regional anesthesia due to patient and surgeon preference for regional anesthetic options and subspecialty education for residents. [27][28][29] Preference for a particular location of future practice also provides insight into significant considerations in resident career planning.…”

Section: Future Practice Locationmentioning

confidence: 99%

Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location

Khan

Gilbert

Sharma

et al. 2015

Can J Anesth/J Can Anesth

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Purpose We conducted this study to determine the preferences of anesthesia residents training in Canada for fellowship training, research, and future practice location and to identify the factors that influence those preferences. Methods Using a cross-sectional study design, a survey was sent to all anesthesia residents enrolled at an accredited Canadian anesthesiology residency program (N = 629). Data were collected on demographics and preferences for fellowship training, research, and future practice location. A multivariable logistic regression model was used to determine significant associations. Results Two hundred forty-four residents (39%) responded to the survey. Seventy percent of residents intended to pursue fellowship training. The top three fellowships they favoured were regional anesthesia, intensive care, and cardiac anesthesia. Male sex was positively associated with the decision to pursue fellowship training, whereas having an additional graduate degree was negatively associated with this choice. Among those pursuing fellowship training, the most influential factors were personal interest, enhancing employability, and an interest in an academic career. Fiftyseven percent of residents preferred to work at an academic hospital. Thirty-four percent of residents intended to incorporate research into their future practice, and personal interest, employability, and colleagues were most influential in their decision. Research activity and publishing in residency were associated with the desire to pursue future research initiatives. Conclusion The majority of anesthesia residents training in Canada choose to pursue fellowship training and work

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“…[1][2][3][4][5] Teknik blokade saraf iskiadikus merupakan teknik blokade ekstremitas bagian bawah yang jarang digunakan 2,[6][7][8] Alasan blokade ini jarang dilakukan karena keterampilan yang kurang dan kesulitan saat melakukan teknik blokade saraf iskiadikus. 2,5,9 Pendekatan yang dilakukan saat melakukan blokade saraf iskiadikus, yaitu dalam posisi terlentang dan posisi sims.…”

Section: Pendahuluanunclassified

Korelasi Penanda Anatomis Blokade Saraf Iskiadikus Pendekatan Anterior dengan Panjang Femur dan Tinggi Badan Menggunakan Ultrasonografi

Purnamasidi¹,

Pradian²,

Kadarsah³

2013

jap

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AbstrakBlokade saraf iskiadikus pendekatan anterior dapat digunakan untuk memfasilitasi pembedahan di bawah lutut dan sangat bermanfaat untuk pasien yang tidak dapat diposisikan lateral. Tujuan penelitian ini untuk mencari korelasi penanda anatomis blokade saraf iskiadikus pendekatan anterior dengan panjang femur dan tinggi badan menggunakan ultrasonografi pada subjek penelitian laki-laki. Metode penelitian ini adalah observasional eksperimental dengan pengambilan data secara cross sectional di ruang operasi bedah sentral Rumah Sakit Dr. Hasan Sadikin Bandung pada September-November 2012. Persamaan korelasi panjang femur dan tinggi badan dengan penanda anatomis blokade saraf iskiadikus pendekatan anterior dihitung berdasarkan analisis regresi linear dan uji analysis of variance (ANOVA) untuk menentukan kelayakan persamaan regresi linear, pada taraf kepercayaan 95%. Hasil penelitian menunjukkan korelasi yang kuat antara penanda anatomis blokade saraf iskiadikus pendekatan anterior dan panjang femur (r=0,784) dengan korelasi searah dan bermakna (p<0,05). Terdapat korelasi yang sangat kuat antara penanda anatomis blokade saraf iskiadikus pendekatan anterior dan tinggi badan (r=0,921) dengan korelasi searah dan bermakna (p<0,05). Berdasarkan hasil analisis regresi linear, diperoleh persamaan: Titik "P" = (0,182 x tinggi badan)-24,647cm. Titik "P" (0,275 x panjang femur)-4,764 cm. Simpulan, penelitian ini menunjukkan bahwa terdapat korelasi penanda anatomis blokade saraf iskiadikus pendekatan anterior dengan panjang femur dan tinggi badan menggunakan ultrasonografi. Kata kunci:Blokade saraf iskiadikus, pendekatan anterior, panjang femur, tinggi badan, ultrasonografi Anterior Approach to the Sciatic Nerve Block in Correlation with Femur Length and Patient's Height Using Ultrasound As a Guidance AbstractAnterior sciatic nerve blocks is an alternative anesthetic technique for below knee surgery and very useful for patients that cannot positioned laterally. This study was conducted to improve correlations between anterior sciatic anatomical marking with femur length and patient's height using ultrasound as a guidance. The method of this study was a cross sectional experimental observation study in central operating theatre Dr. Hasan Sadikin Hospital-Bandung within September-November 2012. Correlation formula between femur length or patient's height and anterior sciatic anatomical marking was calculated using linear regression analytic and analysis of variance (ANOVA) test with interval of confidence 95%. A total of 92 subject, between 25 to 47 years studied. The results of this study showed a strong correlation between anterior sciatic anatomical marking and femur length (r=0.784) p<0.05, a very strong correlation between anterior sciatic anatomical marking and subject's height (r= 0.921) and p<0.05). Formula based on linear regression analysis: "P" point (0.275 x femur length)-4,764 cm. "P" point = (0.182 x height)-24,647 cm. The conclusion of this study shows correlation between anterior sciatic anatomical marking with...

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A Survey of Exposure to Regional Anesthesia Techniques in American Anesthesia Residency Training Programs

Cited by 82 publications

References 0 publications

Evaluation of Education, Attitude, and Practice of the Turkish Anesthesiologists in Regional Block Techniques

Evaluation of Education, Attitude, and Practice of the Turkish Anesthesiologists in Regional Block Techniques

Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location

Korelasi Penanda Anatomis Blokade Saraf Iskiadikus Pendekatan Anterior dengan Panjang Femur dan Tinggi Badan Menggunakan Ultrasonografi

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