Survey of Regional Anesthesia Practice in Poland

ABSTRACT Introduction Per Joint Trauma System guidelines, military anesthesiologists are expected to be ready to lead an Acute Pain Service with regional anesthesia in combat casualty care. However, regional anesthesia practice volume has not been assessed in the military. The objective of this study was to assess regional anesthesia utilization among current residents and graduates of U.S. military anesthesiology residency programs. Materials and Methods All current and former active duty military anesthesiology program residents, trained at any of the four military anesthesiology residency programs between 2013 and 2019, were anonymously surveyed about their regional anesthesia practice. Bivariate statistics described the total single-injection and catheter block techniques utilized in the last month. Cluster analysis assessed for the presence of distinct practice groups within the sample. Follow-up analyses explored potential associations between cluster membership and other variables (e.g., residency training site, residency graduation year, overall confidence in performing regional anesthesia, etc.). This protocol received exemption determination separately from each site’s institutional review board. Results Current and former residents reported broad variation in regional anesthesia practice and clustered into four distinct practice groups. Less than half of respondents utilized a moderate to high number of different single-injection and catheter blocks. Conclusions These findings highlight the need for creative solutions to increase regional anesthesia training in military anesthesiology programs and continued ability to implement skills, such that all military anesthesiologists have adequate practice for deployed responsibilities.

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How Social Media Improved My Regional Anesthesia Practice

ASRA News ◽

10.52211/asra020121.021 ◽

2021 ◽

Vol 46 (1) ◽

Author(s):

Amina Benyoucef

Keyword(s):

Social Media ◽

Regional Anesthesia ◽

Anesthesia Practice

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Adjuvants in clinical regional anesthesia practice: A comprehensive review

Best Practice & Research Clinical Anaesthesiology ◽

10.1016/j.bpa.2019.06.001 ◽

2019 ◽

Vol 33 (4) ◽

pp. 415-423 ◽

Cited By ~ 5

Author(s):

Amit Prabhakar ◽

Todd Lambert ◽

Rachel J. Kaye ◽

Scott M. Gaignard ◽

Joseph Ragusa ◽

...

Keyword(s):

Regional Anesthesia ◽

Comprehensive Review ◽

Anesthesia Practice

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Dexmedetomidine-induced hemodynamic instability in patients undergoing orthopedic upper limb surgery under brachial plexus block: a retrospective study

BMC Anesthesiology ◽

10.1186/s12871-021-01416-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

A Ram Doo ◽

Hyungseok Lee ◽

Seon Ju Baek ◽

Jeongwoo Lee

Keyword(s):

Brachial Plexus ◽

Regional Anesthesia ◽

Upper Limb ◽

Brachial Plexus Block ◽

Hemodynamic Instability ◽

Overweight And Obesity ◽

Anesthesia Practice ◽

Female Sex ◽

Upper Limb Surgery ◽

Plexus Block

Abstract Background Hemodynamic instability is a frequent adverse effect following administration of dexmedetomidine (DMED). In this study, we evaluated the incidence of DMED-induced hemodynamic instability and its predictive factors in clinical regional anesthesia practice. Methods One hundred sixteen patients who underwent orthopedic upper limb surgery under brachial plexus block with intravenous DMED administration were retrospectively identified. The primary outcome was the incidence of DMED-induced hemodynamic instability. The participants were allocated to a stable or unstable group by their hemodynamic instability status. Patients’ characteristics were compared between the groups. The relationship between the potential risk factors and development of DMED-induced hemodynamic instability was analyzed with a logistic regression model. Results DMED-induced hemodynamic instability was observed in 14.7% of patients (17/116). The unstable group had more women than the stable group (76.5% vs. 39.4%, P = 0.010). When patients were classified into four subgroup according to body mass index (underweight, normal weight, overweight, and obesity), there was significant difference in the composition of the subgroups in the two groups (P = 0.008). In univariate analysis, female sex, obesity, and pre-existing hypertension were significant predictors of DMED-induced hemodynamic instability. Multivariate analysis demonstrated that female sex (adjusted OR 3.86, CI 1.09; 13.59, P = 0.036) and obesity (adjusted OR 6.41, CI 1.22; 33.57, P = 0.028) were independent predictors of DMED-induced hemodynamic instability. Conclusions Female and obese patients are more likely to have hemodynamic instability following intravenous DMED administration in clinical regional anesthesia practice. This study suggests that DMED dose may be diminished to prevent hypotensive risk in these populations. Trial registration This article was retrospectively registered at WHO clinical trial registry platform (Trial number: KCT0005977).

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