Anesthesia Clinical Trial
Official title:
a Modified Method That Improved Residency Neuraxial Anesthesia Performance and Reduced Patient Complications
Residency training includes positive and negative aspects. Well-trained doctors must be educated, but the process may bring additional risks to patients. Anesthesiologists' performance when conducting neuraxial anesthesia is related to their experience. We hypothesized that a modified neuraxial anesthesia method would improve both residency training and patient safety.
Residency training is performed using trial and error. Several studies have shown that the
training process, practice period, and resident's attitude are important factors for
determining performance. During the training process, neuraxial anesthesia safety is related
to the operator's experience. Ultrasound can improve resident performance; however, using
ultrasound technologies in well-established training programs may not be practical for all
residencies.
The paramedian approach bypasses most of the bony structures that may impede the advancement
of an epidural needle in the midline approach. However, the paramedian approach requires a
sharpened three-dimensional insight compared with the midline approach. We hypothesized that
the higher the three-dimensional barrier, the higher the complications and number of puncture
attempts. A modified paramedian approach may improve residency training and patient safety.
The aim of this study was to investigate whether the modified method decreased practice
attempts and patient complications.
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