Current trends in Regional Anesthesia: a survey on Portuguese Anesthesiologists motivation and practice
Palavras-chave:Regional anesthesia, regional techniques, focus group, delphi process
The use of Regional Anesthesia techniques has gained increasing popularity. There are few data about conditions affecting education, attitudes and limitations for regional techniques use. The purpose of this study was to know the current practice of Regional Anesthesia in Portugal and to determine the factors affecting its application among the Portuguese Anesthesiologists.
The “Practice of Regional Anesthesia Questionnaire” was designed using a focus group, a Delphi process and a pilot test. The 32 items were divided into four scores: motivation, advantages, training and barriers. Groups of specialists in Anesthesia for more or less than 10 years, members of a Regional Anesthesia Society and paediatric experience were studied. The questionnaire link was sent by e-mail to Portuguese hospitals with training programs.
190 Anesthesiologists answered the questionnaire. Younger anesthesiologists achieved higher scores on advantages. Members of a Regional Anesthesia Society were more motivated and exhibit more versatility in Regional Anesthesia. 52% of responders didn’t execute regional blocks in children due to inadequate training. The majority of the responders didn’t believe that Regional Anesthesia delays the starting times of surgeries or the time for discharge from a post-anesthesia care unit.
Discussion and Conclusion
Most Portuguese Anesthesiologists were motivated and interested in Regional Anesthesia. The main reported limitation was inadequate training. Training programs must be implemented so that regional techniques become a competency of every Anesthesiologist. This study may function as a benchmark for future assessment of the Regional Anesthesia practice and for evaluation of the implemented measures.
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