Research Article
Volume 6 Issue 5 - 2020
Saudi Board-Western Region-Anesthesia Residents’ Self-Reported Confidence toward Regional Anesthesia in a Joint Program: Cross Sectional Survey
Afnan Alamoudi1, Yaser Mandora1*, Asmaa Zaidan1, Hadeel Ashi1, Faisal Neyazi1 and Abdullah Bawarith2
1Medical Interns, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
2Anesthesia and Critical Care Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
*Corresponding Author: Yaser Mandora, Medical Interns, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Received: March 09, 2020; Published: April 29, 2020




Abstract

Background: Regional anesthesia recently took the advantage over general anesthesia in a way that meets patients’ satisfactions and decreases the overall complications of general anesthesia. However, there is no sufficient data to evaluate the level of confidence in the practice of regional anesthesia in Saudi Arabia, so the progress of the skills required to perform these techniques cannot be determined in the near future among the anesthesia residents in Saudi Arabia. In this survey, we assessed the level of confidence in regional anesthesia performance among anesthesia residents in the Saudi residency training program in the western region.

Methods: A cross sectional study was conducted among all anesthesia residents, whom under the anesthesia residency training program in the Western Region of Kingdom of Saudi Arabia. Data was collected using a questionnaire in which several items were adopted from the work Smith MP., et al [1]. The questionnaire was reviewed and approved by the ethical committee of KAUH and was filled anonymously.

Results: Out of 104 of the program residents, 87 were reached, and 45 responded to the survey, 70% of them were junior residents and 30% were seniors. The senior residents reported a higher level of confidence than junior residents in performing Epidural-lumber, epidural-thoracic, brachial-inter-scalene, sciatic, intravenous regional, femoral and ankle blocks (P = 0.0001, P = 0.0001, P = 0.014, P = 0.001, P = 0.0001, P = 0.005, P = 0.0001, respectively). Meanwhile, there's insignificant difference in the level of confidence between the senior and junior residents in performing spinal, and retro-bulbar blocks (P = 0.239 and P = 0.058, respectively) (Table 3).

Conclusion: The Rate of exposure to spinal and lumbar epidural blocks is high at both junior and senior residents with high level of confidence, whereas exposure to other regional techniques was low with residents reported being unconfident in preforming them, which increase the need for more training and workshops in different types of regional anesthesia. The joint program gives more opportunities and assist in gaining confidence at the junior level, while there is no effect at the senior level.

Keywords: Region-Anesthesia Residents; Joint Program; Lumbar Epidural

Citation: Yaser Mandora., et al. “Saudi Board-Western Region-Anesthesia Residents’ Self-Reported Confidence toward Regional Anesthesia in a Joint Program: Cross Sectional Survey”. EC Anaesthesia 6.5 (2020): 13-18.

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