Survey of attitudes of anesthesiologists to peripheral nerve blocks

Lane, Alan; Renehan, Elizabeth M.; Evans, Holly

doi:10.1007/bf03016097

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…A Canadian survey showed that 20% of the anesthesiologists in Academic Hospitals in Ottawa perform blocks rarely or never, while only 8% perform >10 blocks/month. [ 21 ] Even lower percentages are reported in Nigeria, where 47.1% of the respondent anesthesiologists have never attempted PNBs, while only 2.9% use them regularly. [ 17 ] Conversely, in Chile, routine application of PNBs was reported by 73.7% of the respondents.…”

Section: Discussionmentioning

confidence: 99%

Regional anesthesia practice in Greece: A census report

Αrgyra

Μoka

Staikou

et al. 2015

J Anaesthesiol Clin Pharmacol

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Background and Aims:Regional anesthesia (RA) techniques (central neuraxial and peripheral nerve blocks [CNBs and PNBs]) are well-established anesthesia/analgesia modalities. However, information on their nationwide use is sparse. The aim of the survey was to assess the utility of RA techniques in Greece, during 2011.Materials and Methods:A nationwide, cross-sectional descriptive survey was conducted (March to June, 2012), using a structured questionnaire that was sent to 128 Greek Anesthesia Departments.Results:Sixty-six completed questionnaires (response rate 51.56%) were analyzed. The data corresponded to 187,703 operations and represented all hospital categories and geographical regions of Greece. On the whole, RA was used in 45.5% of performed surgical procedures (85,386/187,703). Spinal anesthesia was the technique of choice (51.9% of all RA techniques), mostly preferred in orthopedics (44.8%). Epidural anesthesia/analgesia (application rate of 23.2%), was mostly used in obstetrics and gynecology (50.4%). Combined spinal-epidural and PNBs were less commonly instituted (11.24% and 13.64% of all RA techniques, respectively). Most PNBs (78.5%) were performed with a neurostimulator, while elicitation of paresthesia was used in 16% of the cases. Conversely, ultrasound guidance was quite limited (5%). The vast majority of consultant anesthesologists (94.49%) were familiar with CNBs, whereas only 46.4% were familiar with PNBs. The main reported limitations to RA application were lack of equipment (58.23%) and inadequate education/training (49.29%).Conclusion:Regional modalities were routinely used by Greek anesthesiologists during 2011. Neuraxial blocks, especially spinal anesthesia, were preferred over PNBs. The underutilization of certain RA techniques was attributed to lack of equipment and inadequate training.

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Section: Discussionmentioning

confidence: 99%

Regional anesthesia practice in Greece: A census report

Αrgyra

Μoka

Staikou

et al. 2015

J Anaesthesiol Clin Pharmacol

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Development and validation of a Questionnaire to study practices and diversities in Plexus and Peripheral nerve blocks

Singh

Ponde

Balavenkatasubramanian

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: Regional anaesthesia techniques are a part of perioperative medicine that affects both perioperative and long-term outcomes. We have a paucity of the data on the usage and practices of plexus and peripheral nerve blocks (PNBs). To the best of our knowledge, this is the first effort to validate a survey for plexus and PNBs. Subsequently, this questionnaire could be used for the survey to look for the trends and disparities in PNB practices and further to develop a national registry in the future. Methods: Thirty questions were prepared after evidence-based search and reviewed by experts for suggestions. Changes were done and the questionnaire with the grading sheet was sent to 19 experts. The responses were analysed to calculate the content validity index (CVI) item-wise (I-CVI), scale-wise (S-CVI), and modified kappa statistics. The I-CVI of 0.78 and an S-CVI/average of 0.90 was taken as acceptable with more than six experts. Results: Fourteen experts out of 19 assessed and graded the questions as per the provided sheet and submitted suggestions through the mail. Question reframing, option reconsideration, and change from single to multiple choices were incorporated as per the suggestions of the experts. Mean I-CVI for relevance, simplicity, clarity, and ambiguity was 0.99, 0.98, 0.98, and 0.99, respectively. S-CVI/average was 0.98, 0.97, 0.98, and 0.99 for relevance, simplicity, clarity, and ambiguity, respectively. Conclusion: We conclude that this questionnaire has met the content validity criteria and can be used to study plexus and PNBs practices.

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