Update on Regional Anaesthesia Techniques by Dr. Simon Ford
Explore the latest advancements in regional anaesthesia techniques as outlined by Dr. Simon Ford in this comprehensive update. Learn about key capabilities, learning curves, and the delivery of these techniques to enhance efficiency in surgical procedures, especially in day surgery and major operations.
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Presentation Transcript
Regional Anaesthesia HALOs ES UPDATE OCT 2022 DR SIMON FORD
2021 Curriculum Regional HALO Stage 1 Key Capability E Stage 2 Key Capability A Stage 3 Key Capability A Performs simple peripheral blocks with ultrasound Performs ultrasound guided brachial plexus blocks SL3 Tailors regional anaesthesia techniques to aptients undergoing day surgery SL4 Key Capability F Key Capability B Key Capability C - F Performs ultrasound- guided femoral or fascia iliaca blocks independently Performs ultrasound guided fascial plane blocks for the chest and abdominal wall SL3 Performs ultrasound guided regional anaesthesia for the chest wall independently SL4 Key Capability G Abdomen/Leg/Brachial Plexus SL4 Manages inadequate blocks in awake patent and in recovery if used as an adjunct to general anaesthesia
Learning curves Stage 1 most opportunity Stage 2 - significant step up Limited opportunity! Stage 3 limited opportunity
Why? I don t do blocks! Changes the paradigm and efficiency of lists eg day surgery, major surgery Gets you out of trouble Ultrasound is freely available RAUK Plan A Blocks
Why? I don t do blocks! Changes the paradigm and efficiency of lists eg day surgery, major surgery Gets you out of trouble Ultrasound is freely available RAUK Plan A Blocks
How do we deliver this Early develop skills through Stage 1 Courses and practical Practical try and do early dedicated 2 week exposure Part of Owen Vale s SIA project in regional It s not easy to find a dedicated 2 week slot Right kind of lists, high turnover yield
2 week focussed RA sessions Number of Peripheral Upper Limbs Performed Pre and Post Lecture and Lists in Test Group Classroom based process increases awareness and enthusiasm 25 20 Needs to be followed soon after by block performance 15 Short concentrated periods provides performance basics 10 5 0 A B C D Pre Post
Options A formalised course to advance skills Look specifically at your lists to maximise exposure to RA. Think about how a concentrated 2 week attachment could work. This may take a change of approach by Consultants Surgical culture Equipment access.
