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March 1, 1998Anesthesia & Analgesia

Learning Manual Skills in Anesthesiology

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Key result

Epidural anesthesia was the most difficult manual skill for first-year residents to perform compared to tracheal intubation, arterial line insertion, and brachial plexus block (P<0.05).

Why the study?

What is the learning process and relative difficulty of various manual anesthesiological skills for first-year residents?

Population

11 first-year residents in anesthesia

Design

Cohort

Follow-up

first year of residency

Authors

CKChristoph KonradLuzerner KantonsspitalGSGuido SchüpferUniversity of LucerneMWM. WietlisbachUniversity of Lucerne

Discussion

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Implication

Suggests training programs should allocate more supervised time for epidural placement; leaves open whether targeted simulation or.

Study Design

Type

Observational (n=11)

Structured PICO

What is the learning process and relative difficulty of various manual anesthesiological skills for first-year residents?

P
Population
11 first-year anesthesiology residents evaluated on their success rates in performing typical anesthetic procedures during their first year.
E
Exposure
Applying manual anesthesiological skills (spinal, epidural, or brachial plexus anesthesia and tracheal intubation or insertion of an arterial line)
O
Outcome
Rate of success or failure when applying manual anesthesiological skills

Main Result

p-value: p=<0.05

Epidural anesthesia is the most difficult manual skill for first-year anesthesiology residents to learn compared to other common procedures.

Cite This Study

Konrad et al. (1998) conducted an observational in Learning manual anesthesiological skills (n=11). Performance of typical anesthetic procedures vs. Comparison between different procedures was evaluated on Rate of success or failure when applying manual anesthesiological skills (p=<0.05). Epidural anesthesia was the most difficult manual skill for first-year residents to perform compared to tracheal intubation, arterial line insertion, and brachial plexus block (P<0.05).

synapsesocial.com/papers/6a1fefde1517a826fb04b665https://doi.org/10.1213/00000539-199803000-00037
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Incidence and Etiology of Failed Spinal Anesthetics in a University Hospital1988 · 85 citations
  2. 2Variation in outcome of surgical procedures1994 · 92 citations
  3. 3Assessing intravenous cannulation and tracheal intubation training1991 · 13 citations
  4. 4The Regional Anesthesia “Learning Curve”: What Is the Minimum Number of Epidural and Spinal Blocks to Reach Consistency?1996 · 250 citations