REVIEW PAPER
Training in regional anesthesia
 
More details
Hide details
1
The Clinical Department of Anesthesiology and Intensive Care, Voivodal Specialistic Hospital in Olsztyn, Poland
2
Department of Anesthesiology and Intensive Care, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Poland
CORRESPONDING AUTHOR
Marcin Mieszkowski   

The Clinical Department of Anesthesiology and Intensive Care, Voivodal Specialistic Hospital in Olsztyn, Żołnierska 18, 10-561 Olsztyn, Poland. Tel.: +48 694111903.
Online publication date: 2016-01-27
Publication date: 2020-03-23
Submission date: 2015-01-30
Acceptance date: 2015-12-17
 
Pol. Ann. Med. 2016;23(1):80–85
KEYWORDS
ABSTRACT
Introduction:
The implementation of a method of ultrasonography with the purpose of visualization of anatomic structures created a whole new chapter in the history of regional anesthesia. In addition, the European Society of Regional Anesthesia (ESRA) has provided the opportunity to obtain European Diploma in Regional Anesthesia (EDRA) recognized worldwide.

Aim:
The aim of this work is to describe factors influencing training in regional anesthesia, obtaining EDRA certifying both practical skills and theoretical knowledge, implementation of internationally recognized recommendations in daily practice and methods of evaluating effectiveness of teaching by using cumulative summation analysis (CUSUM).

Material and methods:
The work is based on the available literature and the experience of the authors.

Results and discussion:
Ultrasonography changed the face of regional anesthesia. Meanwhile, thanks to both European and American Society of Regional Anesthesia (ESRA/ASRA), a growing interest of EDRA shows the importance of a crucial development in regional anesthesia. Also, an important role is played by the possibility of assessment of acquired skills, which can be obtained with the use of CUSUM.

Conclusions:
The overall objective of ESRA/ASRA is to widen the circle of anesthesiologists, assistance in acquiring diversified medical experiments, formation of new personnel and exploring the secrets of regional anesthesia among medical practitioners. Undoubtedly, EDRA is invaluable in career development all over the world. Additionally, it is becoming a tool of encouragement for anesthesiologists, for safe and advanced practice in the operating room, making them experts in the field.

CONFLICT OF INTEREST
None declared.
 
REFERENCES (11)
1.
European Society of Regional Anaesthesia and Pain Therapy. European Diploma in Regional Anaesthesia and Acute Pain Management (EDRA). http://www.esraeurope.org/educ.... Accessed: 20.12.2015.
 
2.
Niazi AU, Haldipur N, Prasad AG, Chan VW. Ultrasoundguided regional anesthesia performance in the early learning period: effect of simulation training. Reg Anesth Pain Med. 2012;37(1):51–54.
 
3.
Sites BD, Chan VW, Neal JM, et al. The American Society of Regional Anesthesia and Pain Medicine and the European Society of Regional Anaesthesia and Pain Therapy Joint Committee recommendations for education and training in ultrasound-guided regional anesthesia. Reg Anesth Pain Med. 2009;34(1):40–46.
 
4.
Tsui BC, Tsiu J. Reusable phantom with feedback signal for ultrasound needle tip control. Reg Anesth Pain Med. 2011;36(6):630–631.
 
5.
Sites BD, Spence BC, Gallagher JD, Wiley CW, Bertrand ML, Blike GT. Characterizing novice behavior associated with learning ultrasound-guided peripheral regional anesthesia. Reg Anesth Pain Med. 2007;32(2):107–115.
 
6.
Neal JM, Hsiung RL, Mulroy MF, Halpern BB, Dragnich AD, Slee AE. ASRA checklist improves trainee performance during a simulated episode of local anesthetic systemic toxicity. Reg Anesth Pain Med. 2012;37(1):8–15.
 
7.
Slater RJ, Warren L. A New Web-based Tool at www.sonography.anaesthesia.org... to Teach Sonoanatomy. ASRA Newsletter. 2011; Feb: 6–7.
 
8.
Wegener JT, van Doorn CT, Eshuis JH, Hollmann MW, Preckel B, Stevens MF. Value of an electronic tutorial for image interpretation in ultrasound – guided regional anesthesia. Reg Anesth Pain Med. 2013;38(1):44–49.
 
9.
Kopacz DJ, Neal JM, Pollock JE. The regional anesthesia ‘‘learning curve’’. What is the minimum number of epidural and spinal blocks to reach consistency? Reg Anesth. 1996;21(3):182–190.
 
10.
What is the CUSUM Graphic? http://www.lsora.com/apps/cont.... Accessed: 20.12.2015.
 
11.
Neal JM. Education in regional anesthesia: caseloads, simulation, journals, and politics: 2011 Carl Koller Lecture. Reg Anesth Pain Med. 2012;37(6):647–651. http://dx.doi.org/10.1097/AAP.....