The attitude of anesthesiologists and anesthesiology residents of the CET/SBA regarding upper and lower limb nerve blocks.
OBJECTIVE
The use of regional blocks especially peripheral nerve blocks (PNB) has been increasing in anesthesiology due to the reduced need to manage the airways, lower cost, and excellent postoperative analgesia. However, its use has restrictions due to the lack of training, that it takes longer to be done, fear of neurological complications, and systemic toxicity. The objective of this study was to measure the attitude of anesthesiologists and anesthesiology residents at Teaching and Training Centers (CET/SBA) regarding PNBs.


METHODS
A 25-item questionnaire was developed and it was available, via the Internet and by mail, to those responsible for the 80 CETs, their instructors and residents.


RESULTS
Forty-two CETs (52.5%) returned 188 questionnaires, 62 (32%) from anesthesiology residents and 126 (68%) from anesthesiologists. The Cronbach's alpha coefficient of the questionnaire was 0.79. Factor analysis revealed six factors that explain 53% of scores variance: factor 1 - positive attitude, responsible for 18.34% of the variance; factor 2 - training/use, responsible for 11.73% of the variance; factor 3 - negative aspects, responsible for 7.11% of the variance; factor 4 - limiting factors, responsible for 6.39% of the variance; and factor 5 - regional block as a competence differential, responsible for 5.79% of the variance; and factor 6 - respect for the patient, responsible for 5.4% of the variance.


CONCLUSIONS
The questionnaire proved to be a reliable tool to measure the attitude regarding regional blocks. Anesthesiologists demonstrated greater interest for patient-related aspects, while the main focus of residents was the acquisition of technical abilities.
Helayel
Pablo Escovedo
PE
Anestesiologista; Coordenador e Pesquisador do NEPAR; Instrutor Corresponsável do CET/SBA Integrado de Anestesiologia da SES-SC. pehelayel@hotmail.com
da Conceição
Diogo Brüggemann
DB
da Conceição
Mario José
MJ
Boos
Gustavo Luchi
GL
de Toledo
Gustavo Bertoni
GB
de Oliveira Filho
Getúlio Rodrigues
GR
D000328:Adult; D000368:Aged; D000776:Anesthesiology / Q000193:education; D001132:Arm; D001291:Attitude of Health Personnel; D001938:Brazil; D006801:Humans; D007396:Internship and Residency; D007866:Leg; D008875:Middle Aged; D009407:Nerve Block; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D055815:Young Adult