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Delegation in paediatric anaesthesia: a postal survey
1Bristol Children's Hospital, St Michael's Hill, Southwell Street, Bristol BS2 8EG, UK.
Paediatric Anaesthesia
|May 22, 2001
Summary
UK paediatric anaesthetic consultants agree on essential skills for trainees. First-year trainees can safely perform ilioinguinal blocks, penile blocks, and caudal blocks (excluding neonates).
Area of Science:
- Medical Education
- Anaesthesiology
- Paediatric Care
Background:
- Determining a consensus on practical skills for anaesthetic trainees in paediatric anaesthesia.
- Focus on skills appropriate for an initial 3-month training module.
Purpose of the Study:
- Establish a consensus view among UK paediatric anaesthetic consultants.
- Identify safe and appropriate practical skills for trainees during their first paediatric anaesthesia module.
Main Methods:
- A postal survey was distributed to members of the Association of Paediatric Anaesthetists (APA) in the UK and Ireland.
- The questionnaire aimed to identify tasks delegated to trainee anaesthetists.
- Achieved an 80% response rate from 165 consultant anaesthetists.
Main Results:
- Over 50% of respondents permit trainees to perform ilioinguinal blocks.
- Penile blocks are also regularly allowed for trainees in their initial module.
- Caudal blocks are permitted, with the exception of neonatal procedures.
Conclusions:
- Anaesthetic registrars should master basic airway management.
- Proficiency in ilioinguinal and penile blocks is recommended.
- Training should include caudal blocks, but exclude neonatal caudals.
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