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OPERATION SPECIFIC POSTOPERATIVE ANALGESIA: DO ANAESTHETISTS NEED TO REFRESH KNOWLEDGE?
Author(s): ,
Kumara, P.*
Affiliations:
Leeds Teaching Hospitals NHS Trust, Anaesthetic Department, Leeds, United Kingdom
,
Gupta, P.
Affiliations:
Leeds Teaching Hospitals NHS Trust, Anaesthetic Department, Leeds, United Kingdom
Berrill, A.
Affiliations:
Leeds Teaching Hospitals NHS Trust, Anaesthetic Department, Leeds, United Kingdom
ESRA Academy. Kumara P. Sep 13, 2017; 190934; 412 Topic: ANATOMY
Dr. Paramesh Kumara
Dr. Paramesh Kumara

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Abstract
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Background and Aims:

Ultrasound allows real time visualisation of nerves but a sound knowledge of anatomy and nerve distribution is needed to decide appropriate nerve blocks. We conducted this survey on qualified anaesthetists who had passed formal examinations in the UK (primary and final FRCA) to assess their retention of relevant anatomy.

Methods:

A web based survey was conducted at a UK teaching hospital. Information was requested on seniority, number of blocks performed per year and choice of peripheral nerve blocks for common upper limb surgeries for postoperative analgesia. Pictures were provided with a marked line of incision to assist their decision.

Results:

Table 1 shows a summary of received responses.



Figure 1 shows the choice of peripheral nerve blocks for postoperative analgesia for Dupuytren’s fasciectomy of middle ring and little fingers of palm, open reduction and internal fixation of 4th and 5th metacarpal and distal volar radial plate for wrist fracture. 26.7% of respondents chose an unnecessary nerve block for postoperative analgesia such as lateral cutaneous nerve of arm block for Dupuytren’s fasciectomy of palm of hand. (Figure 1)

Conclusions:

This survey demonstrates the need for periodic reinforcement of neuro-anatomy for regional anaesthesia to prevent unnecessary nerve blocks and associated potential nerve damage. We plan to present and use this data as an educational tool in our department.

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