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2024, Number 3

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Acta Med 2024; 22 (3)

Frequency of ultrasound-guided regional blockade in adults applied in different procedures by anesthesiology residents of the Hospital Angeles Mocel

Colín SVG, Seir TA, Alva AN, Athié GJM
Full text How to cite this article 10.35366/116824

DOI

DOI: 10.35366/116824
URL: https://dx.doi.org/10.35366/116824

Language: Spanish
References: 12
Page: 194-197
PDF size: 139.66 Kb.


Key words:

regional anesthesia, ultrasound, competence, knowledge, skills.

ABSTRACT

In recent decades, ultrasound in regional anesthesia has become indispensable, favoring more excellent safety, pain reduction, and less hospital stay. This change has influenced the academic anesthetic programs in the hospitals. This article aims to describe the different types of ultrasound-guided regional blocks performed by anesthesiology residents in different procedures, as well as the characteristics of the patients to whom they were applied over eight months at Hospital Angeles Mocel. It was a retrospective, descriptive study, expressed for qualitative variables in frequency and percentile. Of 661 anesthetic procedures, 29.1% involved regional anesthesia combined with general anesthesia or sedation, and 70.9% only general anesthesia. Of 193 patients, the median age was 45 (range 34-61), male gender was 51.6%, ASA I status 17.5%, ASA II 73.7%, ASA 8.2%, ASA IV 0.51%. The most applied regional block was adductor canal 7.2%, axillary 6.2%, bilateral transverse abdominal 5.6% and supraclavicular 5.1%. It is essential to include in teaching anesthesiology residents the skills, abilities, and knowledge necessary to obtain complete theoretical and practical competence in regional anesthesia.


REFERENCES

  1. Ramlogan RR, Chuan A, Mariano ER. Contemporary training methods in regional anaesthesia: fundamentals and innovations. Anaesthesia. 2021; 76 Suppl 1: 53-64.

  2. Woodworth G, Maniker RB, Spofford CM, Ivie R, Lunden NI, Machi AT et al. Anesthesia residency training in regional anesthesiology and acute pain medicine: a competency-based model curriculum. Reg Anesth Pain Med. 2020; 45 (8): 660-667.

  3. Wu Z, Wang Y. Development of Guidance Techniques for Regional Anesthesia: Past, Present and Future. J Pain Res. 2021; 14: 1631-1641.

  4. Gallardo NJ. Contreras-Domínguez V. Docencia en anestesia regional: quién, cómo y cuanto para hacerlo bien. Rev Chil Anest. 2010; 39: 24-35.

  5. Pantoja-Guevara KG, Rojas-Pérez EM. Educación médica en el residente de anestesiología pasado, presente y futuro. Rev Mex Anest. 2018; 41 (Suppl: 1):155-157.

  6. Chuan A. Education and training in ultrasound-guided regional anaesthesia and pain medicine. Curr Opin Anaesthesiol. 2020; 33 (5): 674-684.

  7. Broking K, Waurick R. How to teach regional anesthesia. Curr Opin Anaesthesiol. 2006; 19 (5): 526-30.

  8. Slater RJ, Castanelli DJ, Barrington MJ. Learning and teaching motor skills in regional anesthesia: a different perspective. Reg Anesth Pain Med. 2014; 39 (3): 230-239.

  9. Marhofer P, Harrop-Griffiths W, Kettner SC, Kirchmair L. Fifteen years of ultrasound guidance in regional anaesthesia: part 1. Br J Anaesth. 2010; 104 (5): 538-546.

  10. Marhofer P, Harrop-Griffiths W, Willschke H, Kirchmair L. Fifteen years of ultrasound guidance in regional anaesthesia: Part 2-recent developments in block techniques. Br J Anaesth. 2010; 104 (6): 673-683.

  11. Zaragoza-Lemus G, Vilchis-Rentería JS, Cardona-Salgado G et al. La enseñanza de la anestesia regional. Rev Mex Anest. 2012; 35 (Suppl: 1): 74-77.

  12. Chuan A, Ramlogan R. Research priorities in regional anaesthesia education and training: an international Delphi consensus survey. BMJ Open. 2019; 9 (6): e030376. doi: 10.1136/bmjopen-2019-030376.




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Acta Med. 2024;22