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SURVEY OF ANAESTHETIC TRAINEE’S EXPOSURE TO, AND CONFIDENCE TO PERFORM, ULTRASOUND GUIDED REGIONAL BLOCKS FOLLOWING LEARNING IN A DEDICATED BLOCK ROOM
ESRA Academy. Thomas P. Sep 8, 2016; 138552; 0420 Topic: Outcome
Dr. Peter Thomas
Dr. Peter Thomas

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Abstract
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Background and Aims:

Traditionally, anaesthetic trainees learn ultrasound guided regional anaesthesia (UGRA) in theatre environments, supplemented occasionally with UGRA courses. UGRA cases can be sporadic, hindering learning. Our hospital recently instigated the use of a dedicated block room, giving trainee’s an opportunity to spend a block of time learning UGRA under expert consultant guidance.  We aimed to ascertain whether trainee’s confidence in performing 9 different blocks independently, increased following their dedicated block room learning, and how many cases each trainee logged.  Ethical committee approval unnecessary for medical personal questionnaire surveys.

Methods:

An electronic survey was sent to all trainees who’d spent time in the block room since opening in 2013. They scored their confidence (out of 5) to perform nine UGRA blocks pre and post their dedicated block room training period. Additionally, case loads were recorded.

Results:

Trainee’s weighted average scores for their confidence to independently perform blocks increased for all blocks (Supraclavicular, Interscalene, Axillary, TAP, Fascia-iliaca, Saphenous, Popliteal-sciatic, Ankle, Paravertebral by 0.96, 1.18, 0.86, 0.64, 0.56, 1.73, 1.1, 1, 0.5 respectively). They performed (regional fellows excluded), on average, between 1 and 5 of each the various blocks (except paravertebral, rarely performed) having spent, on average, 7 mornings in the block room. 73% of these trainee’s would have preferred more sessions in the block room.

Conclusions:

The block room has proved an effective learning environment for anaesthetic trainees to gain concentrated exposure to commonly performed blocks. It facilitated increased confidence in their independent practice although most reported a desire for further training.

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