A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice

Background: Due to the growing interest in regional anesthesia (RA) techniques and the realization of the need for formalized education in them, the Greek Chapter of the European Society of Regional Anesthesia and Pain Therapy (ESRA-Hellas) has established a structured hands-on training course held...

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Autores principales:	Kassiani Theodoraki, Eleni Moka, Alexandros Makris, Evmorfia Stavropoulou, on behalf of ESRA Hellas Working Group
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	regional anesthesia education regional anesthesia practice survey questionnaire Medicine R
Acceso en línea:	https://doaj.org/article/1e9c7aceff464a20bc6eb1f706ef2ef9
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spelling	oai:doaj.org-article:1e9c7aceff464a20bc6eb1f706ef2ef92021-11-11T17:29:21ZA Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice10.3390/jcm102148142077-0383https://doaj.org/article/1e9c7aceff464a20bc6eb1f706ef2ef92021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4814https://doaj.org/toc/2077-0383Background: Due to the growing interest in regional anesthesia (RA) techniques and the realization of the need for formalized education in them, the Greek Chapter of the European Society of Regional Anesthesia and Pain Therapy (ESRA-Hellas) has established a structured hands-on training course held annually since 2009, which is quite popular in the community of Greek anesthesiologists. The aim of the current survey was twofold: first, to provide an overview of the current practice of RA in Greece; secondly, to evaluate the effect the aforementioned training course has on participants’ knowledge and attitude towards RA. Methods: An electronic questionnaire was uploaded on SurveyMonkey and a link giving access to the questionnaire was forwarded via email to a mailing list of 825 practicing Greek anesthesiologists held in the electronic database of ESRA Hellas. The survey was totally anonymous and no identifying information was collected throughout. It contained questions relating to the anesthesiologists’ demographic characteristics, their RA practice, and information pertaining to the RA training course. Results: A total of 424 fully completed questionnaires were received, representing an overall response rate of 51.4%. Attendants of the course are more familiar than non-attendants with the performance of peripheral nerve blocks with neurostimulation and/or ultrasound guidance (<i>p</i> < 0.001). Attendants are also less likely to practice exclusively general anesthesia, more likely to use peripheral blocks for lower limb surgery, and more likely to consider taking the European Diploma of RA in comparison to non-attendants (<i>p</i> < 0.001, <i>p</i> = 0.018 and <i>p</i> = 0.002, respectively). Both cohorts consider the course of value and agree that the main reason to use regional techniques is to ensure optimal postoperative analgesia, while the main hindrance to RA practice is the lack of relevant education in the techniques, especially those under ultrasound guidance. Regarding improvement of the course, most participants suggested devoting ampler time in hands-on ultrasound practice and application. <b>Conclusion:</b> Greek anesthesiologists seek educational activities in the field of RA and the course seems to fulfil the majority of attendants’ expectations. There will be further effort by the organizers to improve weaknesses of the current course and undertake further educational initiatives in the field of RA according to international recommendations.Kassiani TheodorakiEleni MokaAlexandros MakrisEvmorfia Stavropoulouon behalf of ESRA Hellas Working GroupMDPI AGarticleregional anesthesiaeducationregional anesthesia practicesurveyquestionnaireMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4814, p 4814 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	regional anesthesia education regional anesthesia practice survey questionnaire Medicine R
spellingShingle	regional anesthesia education regional anesthesia practice survey questionnaire Medicine R Kassiani Theodoraki Eleni Moka Alexandros Makris Evmorfia Stavropoulou on behalf of ESRA Hellas Working Group A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice
description	Background: Due to the growing interest in regional anesthesia (RA) techniques and the realization of the need for formalized education in them, the Greek Chapter of the European Society of Regional Anesthesia and Pain Therapy (ESRA-Hellas) has established a structured hands-on training course held annually since 2009, which is quite popular in the community of Greek anesthesiologists. The aim of the current survey was twofold: first, to provide an overview of the current practice of RA in Greece; secondly, to evaluate the effect the aforementioned training course has on participants’ knowledge and attitude towards RA. Methods: An electronic questionnaire was uploaded on SurveyMonkey and a link giving access to the questionnaire was forwarded via email to a mailing list of 825 practicing Greek anesthesiologists held in the electronic database of ESRA Hellas. The survey was totally anonymous and no identifying information was collected throughout. It contained questions relating to the anesthesiologists’ demographic characteristics, their RA practice, and information pertaining to the RA training course. Results: A total of 424 fully completed questionnaires were received, representing an overall response rate of 51.4%. Attendants of the course are more familiar than non-attendants with the performance of peripheral nerve blocks with neurostimulation and/or ultrasound guidance (<i>p</i> < 0.001). Attendants are also less likely to practice exclusively general anesthesia, more likely to use peripheral blocks for lower limb surgery, and more likely to consider taking the European Diploma of RA in comparison to non-attendants (<i>p</i> < 0.001, <i>p</i> = 0.018 and <i>p</i> = 0.002, respectively). Both cohorts consider the course of value and agree that the main reason to use regional techniques is to ensure optimal postoperative analgesia, while the main hindrance to RA practice is the lack of relevant education in the techniques, especially those under ultrasound guidance. Regarding improvement of the course, most participants suggested devoting ampler time in hands-on ultrasound practice and application. <b>Conclusion:</b> Greek anesthesiologists seek educational activities in the field of RA and the course seems to fulfil the majority of attendants’ expectations. There will be further effort by the organizers to improve weaknesses of the current course and undertake further educational initiatives in the field of RA according to international recommendations.
format	article
author	Kassiani Theodoraki Eleni Moka Alexandros Makris Evmorfia Stavropoulou on behalf of ESRA Hellas Working Group
author_facet	Kassiani Theodoraki Eleni Moka Alexandros Makris Evmorfia Stavropoulou on behalf of ESRA Hellas Working Group
author_sort	Kassiani Theodoraki
title	A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice
title_short	A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice
title_full	A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice
title_fullStr	A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice
title_full_unstemmed	A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice
title_sort	survey of regional anesthesia use in greece and the impact of a structured regional anesthesia course on regional techniques knowledge and practice
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1e9c7aceff464a20bc6eb1f706ef2ef9
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A Survey of Regional Anesthesia Use in Greece and the Impact of a Structured Regional Anesthesia Course on Regional Techniques Knowledge and Practice

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