++
Chapter 73. Teaching Regional Anesthesia
++
++
++
Which of the following is the minimum number of regional anesthesia procedures as stipulated by the current Anesthesiology Residency Review Committee (RRC) program?
++
++
++
A. 100 epidurals, 50 spinals, and 40 peripheral nerve blocks
++
++
B. 50 epidurals, 50 spinals, and 40 peripheral nerve blocks
++
++
C. 50 epidurals, 75 spinals, and 50 peripheral nerve blocks
++
++
D. 50 epidurals, 100 spinals, and 50 peripheral nerve blocks
+
++
B is correct. The current RRC program requirement state that residents must perform 50 epidural, 50 spinal, and 40 peripheral nerve blocks plus an additional 25 nerve blocks for pain management.1
++
++
++
How many epidural blocks are required for residents to achieve clinical competence with an 80% success rate?
++
++
++
++
++
++
++
++
++
+
++
D is correct. Studies of clinical competence show it takes between 60 and 90 epidural blocks to reach at least 80% success.2-4
++
++
++
Which type of block is the most frequently performed in residency training programs?
++
++
++
++
++
B. Combined spinal-epidural
++
++
++
++
+
++
C is correct. See Figure 73–1.
++
++
++
++
According to Neal, to what extent is ultrasound guidance used in comparison to peripheral nerve stimulation?
++
++
++
++
++
B. Less by a short margin
++
++
C. More by a short margin
++
++
+
++
D is correct. According to Neal, ultrasound-guidance as a nerve localization tool now surpasses by a wide margin peripheral nerve stimulation.
++
++
++
The worst consequence of inadequate training for residents in regional anesthesia is:
++
++
++
A. Reluctance to attempt a block when clinically indicated
++
++
B. Attempting a block without the appropriate skills
...