Efficacy of Regional Anaesthesia in a Dedicated Service: A Retrospective Comparison of Supervised Trainees and Consultant Anaesthetists

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12619001064190

Acronym

RAPTOR

Enrollment

1800

Registered

2019-07-31

Start date

2019-08-05

Completion date

2019-08-05

Last updated

2019-08-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Training junior clinicians requires appropriate case selection and supervision. Thus, randomising patients to be exposed to trainees is problematic. We designed a retrospective observational study examining prospectively collected data. Data will be retrieved from an ongoing audit database of every regional anaesthesia procedure performed by the dedicated regional anaesthesia service of our hospital. This service performs regional anaesthesia using a block room or block team model. The principal proceduralist was recorded immediately after performance of the block as either a consultant or registrar. The study group includes all patients who received care from supervised trainees. The comparator group included patients who received regional anaesthesia care from consultant anaesthestists. Null hypothesis: There is no difference in the effectiveness of regional anaesthesia (defined as inadequate analgesia [NRS >5] in PACU) when supervised trainees are the principal proceduralist, when compared with consultants.

Interventions

Regional anaesthesia procedure undertaken by either supervised trainee or consultant anaesthetist. Data recorded in post-anaesthesia care unit by recovery nurse: Numeric rating scale pain score, administration of opioid or antiemetic also documented. This data was entered at time of patient care (17 Feb 2015 - 1 Aug 2018). Audit database then to be accessed for study.

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

All patients entered in to regional anaesthesia audit database at the Royal Brisbane & Women's Hospital

Exclusion criteria

Patients not receiving regional anaesthesia procedures (e.g. vascular access or epidural blood patch). Patients who did not go to the Post-Anaesthesia Care Unit (PACU) (for example, patients who were cared for in the intensive care unit) – and thus did not have a pain score recorded. Patients receiving a regional anaesthesia procedure from both a consultant anaesthetist and a supervised trainee. Patients receiving multiple regional anaesthesia procedures on more than one anatomical region (i.e. lower limb, upper limb, trunk, neuraxial/paravertebral) Postoperative or “rescue” regional anaesthesia procedures. Patients where it is unclear who performed the procedure.

Outcome results