Evaluation of Education, Attitude, and Practice of the Turkish Anesthesiologists in Regional Block Techniques


Hakan Baydar 1 , Leyla Seden Duru 2 , Sevda Ozkardesler 2 , Mert Akan 2 , * , Reci Dalak Meseri 3 , Gozde Karka 2

1 Clinic of Anesthesiology, Carsamba State Hospital, Samsun, Turkey

2 Department of Anesthesiology, School of Medicine, Dokuz Eylul University, Izmir, Turkey

3 Department of Nutrition and Dietetics, College of Health Sciences, Ege University, Izmir, Turkey

How to Cite: Baydar H, Duru L S, Ozkardesler S, Akan M, Meseri R D, et al. Evaluation of Education, Attitude, and Practice of the Turkish Anesthesiologists in Regional Block Techniques, Anesth Pain Med. Online ahead of Print ; 2(4):164-9. doi: 10.5812/aapm.7632.


Anesthesiology and Pain Medicine: 2 (4); 164-9
Published Online: March 25, 2013
Article Type: Research Article
Received: August 12, 2012
Accepted: November 10, 2012


Background: The demand for regional blocks from both patients and surgeons has significantly increased in anesthesia practice during the last 30 years. Although the studies show that the complications are rare, regional blocks still have serious difficulties which can be prevented by training programs.

Objectives: The purpose of this study was to determine the factors affecting the educational methods, attitude and practice of the Turkish anesthesiologists in regional blocks during and following residency programs.

Patients and Methods: Anesthesiologists were asked to answer a questionnaire. Educational proficiency was determined by at least 50 spinal, 50 epidural and 50 peripheral block applications during residency. Specialists were asked for the numbers of spinal, epidural and peripheral blocks (PBs) they applied in 2009. The mean and median values were calculated.

Results: One hundred and eighty-eight anesthesiologists (84.3 %) agreed to participate in the study. While all participants had made their first attempts in neuraxial blocks (NBs) when they were residents, this ratio was detected as 96.8% for PBs. All participants learned neuraxial and PBs on patients in the operating theater. Education proficiency ratios for spinal, epidural and PBs were 98.1 %, 92.5 % and 62.3 %, respectively. Age, perception of adequate training, nerve block rotation, adequate application in education, following innovations were the factors which significantly affected the number of PBs in practice according to univariate analysis. The participants who consider their applications on NBs were adequate (P = 0.029) and the ones working in state or private hospitals (P = 0.017), applied NBs significantly above the median number.

Conclusions: Anesthesiologists had adequate education and practice of NB applications but a significant proportion of participants (51.8%) lacked both in PBs applications. We believe that NBs are more easily learned than PBs during residency training program.

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