To Lisa, Ye Mia, Chang Sean, Mariano Edward R
Anesthesiology, Perioperative and Pain Medicine Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA.
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Saudi J Anaesth. 2025 Apr-Jun;19(2):174-180. doi: 10.4103/sja.sja_162_25. Epub 2025 Mar 25.
Regional anesthesia and analgesia are integral to modern perioperative medicine and contribute to multimodal analgesia and enhanced recovery protocols. Over the past two decades, regional anesthesia practice has changed dramatically with the incorporation of real-time ultrasound guidance. Anesthesiologists in the U.S. who completed residency training in the early 2000s were not routinely taught how to use ultrasound for regional anesthesia, and subspecialty fellowships in regional anesthesia at that time were relatively few and varied widely in terms of educational experience. Today, the state of regional anesthesia education in the U.S. is completely different and has embraced a multipronged, multigenerational approach that addresses the needs of anesthesiologists in training, as well as anesthesiologists in practice throughout the career lifecycle. This review will cover the current state of regional anesthesia education for residents, fellows, and practicing anesthesiologists and will note important historical advances, as well as future trends that may shape the curricula for regional anesthesia learners in formal training and continuing education.
区域麻醉和镇痛是现代围手术期医学的重要组成部分，有助于多模式镇痛和加速康复方案。在过去二十年中，随着实时超声引导技术的引入，区域麻醉实践发生了巨大变化。21世纪初完成住院医师培训的美国麻醉医师，当时并没有常规接受如何使用超声进行区域麻醉的培训，而且当时区域麻醉亚专业 fellowship 相对较少，教育经历差异很大。如今，美国区域麻醉教育的状况已截然不同，采用了多管齐下、多代人参与的方法，以满足麻醉住院医师培训人员以及整个职业生涯中执业麻醉医师的需求。本综述将涵盖住院医师、专科培训学员和执业麻醉医师的区域麻醉教育现状，并指出重要的历史进展以及可能影响区域麻醉学习者在正规培训和继续教育课程设置的未来趋势。
