Eight years and already a classic: marking the rise of ultrasound‐guided fascial plane blocks for chest wall surgery

Kumar, Amanda H.; Sultan, Ellile; Mariano, Edward R.

doi:10.1111/anae.15499

Anaesthesia

2021

DOI: 10.1111/anae.15499

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Eight years and already a classic: marking the rise of ultrasound‐guided fascial plane blocks for chest wall surgery

Amanda H. Kumar

Ellile Sultan

Edward R. Mariano

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Cited by 2 publications

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References 25 publications

(34 reference statements)

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“…We refer to the paper published by Kumar et al [ 2 ] in Anesthesiology in 2021; in Table 1 titled “Potential clinical indications for serratus anterior plane block (SAPB)”, breast augmentation was supported by a randomized controlled trial without indicating the literature source. In Table 1 in our review, we created a secondary citation from this authoritative journal, marked by the same superscript.…”

mentioning

confidence: 99%

A Response to: Letter to the Editor Regarding “Role of Serratus Anterior Plane Block in Breast Surgeries”

Chai

Chen

et al. 2023

Pain Ther

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confidence: 99%

A Response to: Letter to the Editor Regarding “Role of Serratus Anterior Plane Block in Breast Surgeries”

Chai

Chen

et al. 2023

Pain Ther

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Simulation-Based Medical Education and Training Enhance Anesthesia Residents' Proficiency in Erector Spinae Plane Block

et al. 2022

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BackgroundAdvances in regional anesthesia and pain management led to the advent of ultrasound-guided fascial plane blocks, which represent a new and promising route for the administration of local anesthetics. Both practical and theoretical knowledge of locoregional anesthesia are therefore becoming fundamental, requiring specific training programs for residents. Simulation-based medical education and training (SBET) has been recently applied to ultrasound-guided regional anesthesia (UGRA) with remarkable results. With this in mind, the anesthesia and intensive care residency program of the University of Milano-Bicocca organized a 4-h regional anesthesia training workshop with the BlockSim® (Accurate Srl, Cesena) simulator. Our study aimed to measure the residents' improvement in terms of reduction in time required to achieve an erector spinae plane (ESP) block.MethodsFifty-two first-year anesthesia residents were exposed to a 4-h training workshop focused on peripheral blocks. The course included an introductory theoretical session held by a locoregional anesthetist expert, a practical training on human models and mannequins using Onvision® (B. Braun, Milano) technologies, and two test performances on the BlockSim simulator. Residents were asked to perform two ESP blocks on the BlockSim: the first without previous practice on the simulator, the second at the end of the course. Trainees were also also asked to complete a self-assessment questionnaire.ResultsThe time needed to achieve the block during the second attempt was significantly shorter (131 [83, 198] vs. 68 [27, 91] s, p < 0.001). We also observed a reduction in the number of needle insertions from 3 [2, 7] to 2 [1, 4] (p = 0.002), and an improvement aiming correctly at the ESP from 30 (58%) to 46 (88%) (p < 0.001). Forty-nine (94%) of the residents reported to have improved their regional anesthesia knowledge, 38 (73%) perceived an improvement in their technical skills and 46 (88%) of the trainees declared to be “satisfied/very satisfied” with the course.ConclusionsA 4-h hands-on course based on SBET may enhance first-year residents' UGRA ability, decrease the number of punctures and time needed to perform the ESP block, and improve the correct aim of the fascia.

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Eight years and already a classic: marking the rise of ultrasound‐guided fascial plane blocks for chest wall surgery

Cited by 2 publications

References 25 publications

A Response to: Letter to the Editor Regarding “Role of Serratus Anterior Plane Block in Breast Surgeries”

A Response to: Letter to the Editor Regarding “Role of Serratus Anterior Plane Block in Breast Surgeries”

Simulation-Based Medical Education and Training Enhance Anesthesia Residents' Proficiency in Erector Spinae Plane Block

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