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Teaching practices of thoracic epidural catheterizations in different grade of anesthesia residents

Overview of attention for article published in Brazilian Journal of Anesthesiology (English edition), January 2016
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Title
Teaching practices of thoracic epidural catheterizations in different grade of anesthesia residents
Published in
Brazilian Journal of Anesthesiology (English edition), January 2016
DOI 10.1016/j.bjane.2014.07.010
Pubmed ID
Authors

Ali Alagoz, Hilal Sazak, Mehtap Tunc, Fatma Ulus, Serdar Kokulu, Polat Pehlivanoglu, Saziye Sahin

Abstract

In this study, we aimed to clarify the importance of residency grade and other factors which influence the success of thoracic epidural catheterization in thoracotomy patients. After the ethical committee approval, data were recorded retrospectively from the charts of 415 patients. All patients had given written informed consent. The thoracic epidural catheterization attempts were divided into two groups as second-third year (Group I) and fourth year (Group II) according to residency grade. We retrospectively collected demographic data, characteristics of thoracic epidural catheterization attempts, and all difficulties and complications during thoracic epidural catheterization. Overall success rate of thoracic epidural catheterization was similar between the groups. Levels of catheter placement, number and duration of thoracic epidural catheterization attempts were not different between the groups (p>0.05). Change of needle insertion level was statistically higher in Group II (p=0.008), whereas paresthesia was significantly higher in Group I (p=0.007). Dural puncture and postdural puncture headache rates were higher in Group I. Higher body mass index and level of the insertion site were significant factors for thoracic epidural catheterization failure and postoperative complication rate and those were independence from residents' experience (p<0.001, 0.005). Body mass index and level of insertion site were significant on thoracic epidural catheterization failure and postoperative complication rate. We think that residents' grade is not a significant factor in terms overall success rate of thoracic epidural catheterization, but it is important for outcome of these procedures.

Mendeley readers

The data shown below were compiled from readership statistics for 18 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 18 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 4 22%
Student > Doctoral Student 3 17%
Student > Master 3 17%
Other 2 11%
Researcher 2 11%
Other 3 17%
Unknown 1 6%
Readers by discipline Count As %
Medicine and Dentistry 12 67%
Social Sciences 2 11%
Psychology 1 6%
Design 1 6%
Unknown 2 11%