Regional Anesthesia in the Combat Setting: Are ACGME Requirements Enough?

Military Medicine
Sandeep T DhanjalChester C Buckenmaier

Abstract

Updated Joint Trauma System Clinical Practice Guidelines (CPG) indicate regional anesthesia and pain management (RAAPM) are important for combat casualty care. However, it is unclear whether military anesthesiology residents are receiving adequate RAAPM training to meet the CPGs. The goal of this study was to conduct a preliminary evaluation of resident-completed combat-relevant regional anesthesia procedures. It was hypothesized that most residents would perform an adequate number of each procedure to presume proficiency. Resident-performed, combat-relevant regional anesthesia procedure frequency was extracted from a database maintained at a military anesthesiology residency program. Data collection was limited to a 1-year period. Univariate statistics described procedure distributions, frequencies, and proportion of residents achieving pre-defined, empirically-supported experience criteria for each technique. Analyses examined proportional differences in meeting experience criteria by training-year. Residents (N = 41) performed a variety of procedures. Simple procedures, such as saphenous peripheral nerve blocks, were performed at a greater frequency than more complicated procedures such as thoracic epidurals, continuous peri...Continue Reading

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Citations

Mar 3, 2020·Regional Anesthesia and Pain Medicine·Robert Burch, Michael Miller
Sep 30, 2019·Regional Anesthesia and Pain Medicine·Rollin M GallagherChester C Buckenmaier

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