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Expert consensus on serratus anterior plane block education and credentialing: A modified-Delphi study
Christopher Partyka1,2,3, Daniel Gaetani4,5,6, Anthony Delaney7,8,9,10
1Emergency Medicine, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Emergency Medicine Australasia : EMA
|December 4, 2024
Summary
Consensus was reached on the essential education, training, and credentialing standards for performing the serratus anterior plane block (SAPB) in rib fracture patients. This provides a minimum standard for teaching and developing SAPB programs.
Area of Science:
- Regional Anesthesia
- Pain Management
- Medical Education
Background:
- The serratus anterior plane block (SAPB) is increasingly used for rib fracture pain.
- Standardized training and credentialing are needed for safe SAPB implementation.
Purpose of the Study:
- To establish expert consensus on the requirements for SAPB education, training, and credentialing.
- To define minimum standards for SAPB procedures in rib fracture management.
Main Methods:
- A modified Delphi process utilizing online questionnaires.
- Expert panellists from Emergency Medicine and Anaesthesia in Australia and New Zealand.
- Consensus defined as ≥70% of experts scoring ≥7/9 on a Likert scale.
Main Results:
- Thirty specialists participated, achieving 100% response in round one.
- 59 consensus statements were formed across education (27), training (5), and credentialing (17).
Conclusions:
- Expert consensus provides essential guidelines for SAPB education, training, and credentialing.
- These statements establish a minimum standard for teaching SAPB.
- The consensus serves as a syllabus for developing SAPB training programs.
