Barriers for Anaesthetists in Performing Nerve Blocks with Ultrasound Guidance

摘要

Aim: To review the potential barriers for clinicians in performing nerve blocks with appropriate resolution ultrasound (US) machines as recommended by the National Institute for Health and Clinical Excellence (NICE). Methods: A paper survey was handed out to anaesthetists of all grades. Information regarding nerve block competencies was gathered along with the availability of ultrasound machines in their area of work, along with any training they may have received in its use. Results: We gathered responses from 52 anaesthetists. Only 50% of respondents had completed a training course in ultrasound guided nerve blocks. 42% of anaesthetists had their use of an ultrasound for nerve blocks limited by the lack of availability of an ultrasound in their area of work. Of the consultants surveyed, 34% felt competent in performing ultrasound guided interscalene block vs 54% with the landmark technique. Conclusions: The anaesthetists surveyed demonstrated a range of competencies in the use of ultrasound for the different nerve blocks; this could be due to the lack of training for such blocks, the lack of availability of ultrasound machines or due to competency in performing nerve blocks without ultrasound. This identifies potential deficits in training and the need for appropriate resolution ultrasound machines in the work place.