Regional Anesthesia in the Combat Setting: Are ACGME Requirements Enough?

摘要: INTRODUCTION Updated Joint Trauma System Clinical Practice Guidelines (CPG) indicate regional anesthesia and pain management (RAAPM) are important for combat casualty care. However, it is unclear whether military anesthesiology residents receiving adequate RAAPM training to meet the CPGs. The goal of this study was conduct a preliminary evaluation resident-completed combat-relevant procedures. It hypothesized that most would perform an number each procedure presume proficiency. MATERIALS AND METHODS Resident-performed, frequency extracted from database maintained at residency program. Data collection limited 1-year period. Univariate statistics described distributions, frequencies, proportion achieving pre-defined, empirically-supported experience criteria technique. Analyses examined proportional differences in meeting by training-year. RESULTS Residents (N = 41) performed variety Simple procedures, such as saphenous peripheral nerve blocks, were greater than more complicated procedures thoracic epidurals, continuous transverse abdominus plane blocks. majority met four out eight measured There no procedural across different levels. CONCLUSIONS These results suggest possible gap between needs Military Health during conflict current experiences. Reasons gap, well solutions, explored.