Expert consensus on serratus anterior plane block education and credentialing: A modified-Delphi study

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2024-12-03 DOI:10.1111/1742-6723.14542

Christopher Partyka MBBS BMedSci, Daniel Gaetani BSc(Pharm) MBBS, Anthony Delaney MBBS PhD, Kate Curtis PhD

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引用次数: 0

Abstract

Objective

The serratus anterior plane block (SAPB) is a regional anaesthesia technique with increasing use as an analgesic adjunct in patients with rib fractures. The present study aimed to generate consensus of the requirements of education, training and credentialing for the use of a ‘single shot’ SAPB in the management of rib fractures.

Methods

A modified Delphi process was designed using online questionnaires. Expert panellists from Australian and Aotearoa New Zealand were invited from the fields of Emergency Medicine and Anaesthesia and were asked to rate the importance of different components of SAPB education, training and credentialling on a 9-point Likert scale. Consensus was achieved if ≥70% of experts provided a score of seven or greater on this scale for any given statement.

Results

Thirty specialists (60% FACEM, 40% FANZCA) representing New Zealand plus all states and territories of Australia formed the expert panel. Participant response rates were 100% (first round), 83% (second round) and 63% (final round). At the end of three survey rounds, 59 consensus statements were formed (27 for education, 5 for training and 17 for credentialing).

Conclusions

This series of expert statements provides consensus on the education, training and credentialling of the SAPB for the management of rib fractures. These serve as the minimum standard by which this procedure should be taught while providing clinicians with a syllabus for the development of training programmes.

Abstract Image

查看原文本刊更多论文

专家对锯肌前平面阻滞教育和鉴定的共识：一项修正的德尔菲研究。

目的：锯肌前平面阻滞（SAPB）是一种区域麻醉技术，在肋骨骨折患者中越来越多地用作镇痛辅助。本研究旨在就使用“单针”SAPB治疗肋骨骨折的教育、培训和认证要求达成共识。方法：采用网络问卷法设计改进的德尔菲法。来自澳大利亚和新西兰的急救医学和麻醉领域的专家小组成员被邀请，并被要求以9分的李克特量表对SAPB教育、培训和资格认证的不同组成部分的重要性进行评分。如果≥70%的专家在此量表上对任何给定陈述提供7分或更高的分数，则达成共识。结果：代表新西兰和澳大利亚所有州和地区的30名专家（60% FACEM, 40% FANZCA）组成了专家组。参与者的反应率为100%（第一轮），83%（第二轮）和63%（最后一轮）。在三轮调查结束时，达成了59项协商一致意见（27项关于教育，5项关于培训，17项关于资格证书）。结论：这一系列的专家声明为SAPB治疗肋骨骨折的教育、培训和认证提供了共识。这些是教授这一程序的最低标准，同时为临床医生提供制定培训方案的教学大纲。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.