A French Nationwide Survey on Anesthesiologist-Perceived Barriers to the Use of Epidural and Paravertebral Block in Thoracic Surgery

Journal of Cardiothoracic and Vascular Anesthesia
C DualéP Schoeffler

Abstract

To explore the barriers to the use of epidural block (EDB) or paravertebral block (PVB) for thoracotomy or thoracoscopy. Cross-sectional ancillary study. French nationwide practice survey. Lead anesthesiologists at centers practicing thoracic surgery completed an online questionnaire. A 9-item electronic questionnaire regarding perceived barriers to the use of EDB and PVB was developed, including technical factors, nursing factors (training and supervision), and reluctance of non-anesthesiologist colleagues (eg, surgeons, nurses and hospital managers). Descriptive and factorial analyses were conducted, including the current use of the techniques in the model. The questionnaire was answered by 84 of 103 (82%) centers. For both techniques, the most frequently cited barriers were the 4 technical ones and lack of nursing supervision. There was a high rate of do not know/no opinion responses regarding barriers to paravertebral block. The type of center did not influence the responses, but paravertebral block was used more often in university hospitals. Colleague reluctance and time consumption (for both techniques), nursing barriers (for epidural block), and perception of risk and complexity (for paravertebral block), were correlate...Continue Reading

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Citations

Mar 22, 2018·Regional Anesthesia and Pain Medicine·Hesham ElsharkawyEdward R Mariano
Nov 6, 2018·Pain Management·Seshadri C MudumbaiEdward R Mariano
Apr 2, 2016·Regional Anesthesia and Pain Medicine·De Q H TranRoderick J Finlayson
Jan 22, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Barbara VersyckRonald Law Bleys
Jan 12, 2021·Anaesthesia·D F Johnston, L R Turbitt
Feb 10, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Nantthasorn ZinboonyahgoonKristin L Schreiber
Dec 16, 2021·Acta Anaesthesiologica Scandinavica·Ulrik H U HolmMartin Vedel Nielsen

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