Corvetto Marcia A, Echevarria Ghislaine C, Espinoza Ana M, Altermatt Fernando R
División de Anestesiología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
División de Anestesiología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile ; Department of Anesthesiology, New York University School of Medicine, New York, USA.
BMC Anesthesiol. 2015 Mar 12;15:32. doi: 10.1186/s12871-015-0001-4. eCollection 2015.
Despite the increasing use of regional anesthesia, specific recommendations regarding the type of procedures to be included in residency training programs are not currently available. We aimed to determine the nerve block techniques that practicing Chilean anesthesiologists perceived as essential to master during residency training.
After institutional ethics committee approval, an online survey was sent to 154 anesthesiologists that graduated between 2005-2012, from the two largest university residency programs in Chile. Multiple-choice questions elicited responses concerning the use of regional anesthesia.
A total of 109 questionnaires were completed, which corresponded to a response rate of 70.8%. Almost all (98.2%) of the respondents used regional anesthesia in their clinical practice, 86.7% regularly performed peripheral nerve blocks (PNBs) and 51% used continuous PNB techniques. Residency programs represented their primary source of training. The most common PNB techniques performed were interscalene (100%), femoral (98%), popliteal sciatic (93%), and Bier block (90%). Respondents indicated that they were most confident performing femoral (98%), Bier block (90%), interscalene (90%), and popliteal sciatic (85%) blocks. The PNBs perceived as essential for their actual clinical practice were femoral (81%), interscalene (80%), popliteal sciatic (76%), and Bier blocks (62%).
Requesting information from former anesthesiology residents may be a source of information, guiding the specific types of PNBs that should be included in residency training. Other groups can easily replicate this methodology to create their own evidence and clinical practice based guidelines for residency training programs.
尽管区域麻醉的使用日益增加，但目前尚无关于住院医师培训项目应纳入的手术类型的具体建议。我们旨在确定智利执业麻醉医师认为在住院医师培训期间必须掌握的神经阻滞技术。
经机构伦理委员会批准后，向154名2005年至2012年毕业于智利两所最大的大学住院医师培训项目的麻醉医师发送了在线调查问卷。多项选择题引出了关于区域麻醉使用的回答。
共完成109份问卷，回复率为70.8%。几乎所有（98.2%）的受访者在临床实践中使用区域麻醉，86.7%的人经常进行外周神经阻滞（PNB），51%的人使用连续PNB技术。住院医师培训项目是他们主要的培训来源。最常进行的PNB技术是肌间沟阻滞（100%）、股神经阻滞（98%）、腘窝坐骨神经阻滞（93%）和静脉局部麻醉（90%）。受访者表示，他们对进行股神经阻滞（98%）、静脉局部麻醉（90%）、肌间沟阻滞（90%）和腘窝坐骨神经阻滞（85%）最有信心。他们认为对实际临床实践至关重要的PNB是股神经阻滞（81%）、肌间沟阻滞（80%）、腘窝坐骨神经阻滞（76%）和静脉局部麻醉（62%）。
向前麻醉科住院医师询问信息可能是一种信息来源，可指导住院医师培训中应纳入的特定类型的PNB。其他团体可以轻松复制这种方法来创建自己基于证据和临床实践的住院医师培训项目指南。
