McDonald Susan B, Thompson Gale E
Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington, USA.
Reg Anesth Pain Med. 2002 Sep-Oct;27(5):456-9. doi: 10.1053/rapm.2002.35156.
Is it possible to determine the number of nerve blocks needed for residents to become competent in regional anesthesia? Several studies have focused on this question, and the Residency Review Committee (RRC) for Anesthesiology has now defined a "minimum clinical experience" for some aspects of regional anesthesia training. In our experience, personally being a regional block recipient can also serve to enhance training.
Many residents at Virginia Mason Medical Center have received regional anesthetics as volunteers in research projects. We designed questionnaires to define their perceptions in both performing and receiving regional anesthesia.
Twenty-one residents were recipients of a total of 72 regional anesthetic procedures. Many residents' comments focused on the discomfort of local anesthesia infiltration, the value of sedation, a better appreciation of the patients' perspectives, and improved preoperative consultation. Residents experiencing paresthesias were more likely to consider paresthesias as bad (P =.0098).
The lessons learned from personally receiving a regional anesthetic are invaluable and can improve the quality of training, as well as the relationship between anesthesiologist and patient.
能否确定住院医师在区域麻醉方面达到胜任水平所需的神经阻滞次数？已有多项研究关注这一问题，麻醉学住院医师评审委员会（RRC）现已为区域麻醉培训的某些方面定义了“最低临床经验”。根据我们的经验，亲自作为区域阻滞接受者也有助于加强培训。
弗吉尼亚梅森医疗中心的许多住院医师在研究项目中作为志愿者接受了区域麻醉。我们设计了问卷，以确定他们在实施和接受区域麻醉方面的看法。
21名住院医师总共接受了72例区域麻醉手术。许多住院医师的评论集中在局部麻醉浸润的不适、镇静的价值、对患者观点的更好理解以及改善术前会诊。经历感觉异常的住院医师更有可能认为感觉异常是不好的（P = 0.0098）。
亲自接受区域麻醉所学到的经验非常宝贵，可提高培训质量以及麻醉医生与患者之间的关系。
