What question did this study set out to answer?

To establish a standardized residency training core curriculum for upper limb, lower limb, paraspinal, and fascial plane ultrasound-guided regional anesthesia blocks.

August 10, 2024Journal of Anesthesia Analgesia and Critical CareOpen Access

Anesthesiologists ultrasound-guided regional anesthesia core curriculum: a Delphi consensus from Italian regional anesthesia experts

Q: What is the clinical evidence from this study?

Study design: Other. Population: Regional anesthesia training (n=26). Intervention: Delphi consensus on regional anesthesia core curriculum. Primary outcome: Number of regional anesthesia techniques included in the core curriculum.

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Why the study?

The proliferation of novel, often overlapping ultrasound-guided techniques can confuse practitioners, creating a need for a standardized regional anesthesia core curriculum in residency training.

Population

Recognized Italian regional anesthesia experts

Design

Three-round Delphi consensus process

Authors

ACAlessandro De CassaiMetroHealth ABAstrid Ursula BehrUniversity of Padua DBDario BugadaOspedale Papa Giovanni XXIII

Discussion

Member takes

Implication

Establishes a proposed core curriculum for regional anesthesia blocks; leaves open validation of educational and clinical outcomes.

Key Points

To establish a standardized residency training core curriculum for upper limb, lower limb, paraspinal, and fascial plane ultrasound-guided regional anesthesia blocks.
A steering committee convened a panel of recognized Italian regional anesthesia experts to conduct a three-round Delphi consensus process.
The process utilized two rounds of electronic voting followed by a final round of mixed electronic voting and round-table discussion, defining strong consensus as ≥75% agreement and low consensus as ≥50% agreement.
A total of 29 ultrasound-guided regional anesthesia techniques were selected for inclusion in the residency core curriculum.
Strong consensus (≥75% agreement) was reached for 22 techniques, including essential upper limb blocks (interscalene, supraclavicular, infraclavicular, axillary, intermediate cervical), lower limb blocks (femoral, pericapsular nerve group, adductor canal, sciatic, ankle), and paraspinal or fascial plane blocks.
Low consensus (≥50% agreement) was obtained for seven techniques, including the superficial cervical plexus block, lumbar plexus block, suprainguinal fascia iliaca block, anterior and lateral quadratus lumborum blocks, paravertebral block, and serratus anterior plane block.

Structured PICO

Population

26 recognized Italian experts in regional anesthesia participated in a three-round Delphi consensus to establish a core curriculum for residency training.

Intervention

Delphi consensus process to establish a core curriculum for ultrasound-guided regional anesthesia

Outcome

Consensus on techniques to be included in the core curriculum (defined as ≥ 75% agreement for strong inclusion, 50-74% for weak inclusion)

A Delphi consensus among Italian experts identified 29 ultrasound-guided regional anesthesia techniques to form a standardized core curriculum for anesthesiology residents.

Limitations

Did not involve the Italian scientific societies (SIAARTI and ESRA Italian Chapter).
Based on electronic voting, partially reducing the possibility of face-to-face or group interaction among participants.
Did not involve Italian scientific societies (SIAARTI, ESRA Italian Chapter)
Based on electronic voting partially reducing face-to-face or group interaction

Cite This Study

Cassai et al. (2024) studied Regional anesthesia training (n=26). Delphi consensus on regional anesthesia core curriculum was evaluated on Number of regional anesthesia techniques included in the core curriculum. A Delphi consensus of Italian experts identified 29 ultrasound-guided regional anesthesia techniques to be included in a residency core curriculum, with 22 achieving strong consensus and 7 achieving weak consensus.

synapsesocial.com/papers/6a745f2bcc7f6f86c7032087 https://doi.org/10.1186/s44158-024-00190-2

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Anesthesiologists ultrasound-guided regional anesthesia core curriculum: a Delphi consensus from Italian regional anesthesia experts

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Anesthesiologists ultrasound-guided regional anesthesia core curriculum: a Delphi consensus from Italian regional anesthesia experts

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Also Consider

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