Ultrasound-Guided Axillary Brachial Plexus Block, Performed by Orthopedic Surgeons

김, 철우; 이, 철형; 윤, 자영; 이, 승구

doi:10.4055/jkoa.2018.53.6.513

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…The reason is thought to be that as the number of brachial plexus blocks guided by ultrasound increased, the proportion performed by non-anesthesiologists increased. Some studies on brachial plexus block reveal that it was performed by orthopedic surgeons [ 8 , 9 ], and globally, there is an increasing trend of regional anesthesia performed by non-anesthesiologists, nurse practitioners, or physician assistants [ 10 ]. In addition, the spread of ultrasound and the diversification of the practitioner [ 11 , 12 ] will lead to an increase in brachial plexus blocks for ambulatory surgery in primary medical institutions without employed anesthesiologists.…”

Section: Discussionmentioning

confidence: 99%

The state of anesthesia in South Korea: a national survey of the status of anesthetic service activity in 2014-2016

Choi

Jung

Kim

et al. 2022

Korean J Anesthesiol

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Background: Because the quality of anesthesia affects the surgical outcome, the aim of this study was to investigate the current status of anesthetic services performed by anesthesiologists and nonanesthesiologists in South Korea from 2014 to 2016, and to compare to the results with data from 2011 to 2013. Methods:The claimed anesthesia services at medical institutions with employed anesthesiologists and the claims for an invitation fee for an anesthesiologist at medical institutions without employed anesthesiologists were regarded as anesthetic services performed by an anesthesiologist. From 2014 to 2016, the employment of anesthesiologists according to the type of medical institution, the status of anesthetic services according to the presence or absence of employed anesthesiologists, and status of anesthetic services at medical institutions without employed anesthesiologists were analyzed. Results:The proportion of medical institutions that employed anesthesiologists slightly increased from 27.8% in 2014 to 28.8% in 2016. General anesthesia was more concentrated at higher medical institutions, and most anesthesia were performed by an anesthesiologist. The proportion of spinal anesthesia, epidural anesthesia and brachial plexus performed by non-anesthesiologist was 11%, 15%, and 16.5%, respectively. The 58% of intravenous anesthesia was performed by nonanesthesiologist and has increased compared to past. Conclusions:The employment of anesthesiologists had increased with time, and general anesthesiology was mostly performed by anesthesiologists. However, since the proportion of anesthetic services performed by non-anesthesiologists in regional anesthesia and intravenous anesthesia was maintained high, it is necessary to find ways to expand the safety of anesthetic services.

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