{"id":5815,"date":"2023-10-30T10:00:26","date_gmt":"2023-10-30T08:00:26","guid":{"rendered":"https:\/\/eu.bd.com\/iv-news\/?p=5815"},"modified":"2024-02-19T15:23:51","modified_gmt":"2024-02-19T14:23:51","slug":"what-can-we-learn-from-the-new-regional-anaesthesia-survey","status":"publish","type":"post","link":"https:\/\/eu.bd.com\/iv-news\/scientific-publications\/what-can-we-learn-from-the-new-regional-anaesthesia-survey\/","title":{"rendered":"What can we learn from the new regional anaesthesia survey?"},"content":{"rendered":"<p>Over the last 20 years, regional anaesthesia practices have evolved with increased use, largely thanks to ultrasound, technical improvements and lower costs. With these changes, how does the use of regional anaesthesia vary across Europe?<br \/>\nHow do new technologies and techniques impact the applications of regional anaesthesia, as well as the reporting of complications?<\/p>\n<h2>Regional anaesthesia survey structure<\/h2>\n<p><span data-contrast=\"none\">To greater understand the current landscape of regional anaesthesia practiced in Europe, an advisory board of seven anaesthesiologists launched a European-wide survey focusing on the following key topics:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Current regional anaesthesia practices<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Patient safety<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Training<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Awareness of NRFit\u2122 (neuraxial regional block fit connector) systems<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Regarding NRFit\u2122, there was debate among the board regarding its use and benefits. NRFit\u2122 connectors meet ISO 80369-6, specifying that they must be incompatible with small bore connectors used in other applications to reduce the risk of misconnection. <\/span><\/p>\n<p><span data-contrast=\"none\">While some members saw the benefits, others were more focused on other safety priorities. <\/span><\/p>\n<p><span data-contrast=\"none\">This contention showed that even among their small group, there was little consensus, highlighting the need for the survey and clear guidelines.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The scope of the survey stretched across Europe, with a total of 794 anonymous respondents from 36 European countries, primarily from the United Kingdom, Italy, France, Germany, Belgium, the Netherlands, Spain, Greece and Portugal.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">More on this topic:<\/span><\/b> <a href=\"https:\/\/eu.bd.com\/iv-news\/news-innovation\/expert-opinions-on-emerging-trends-in-regional-anaesthesia-in-europe\/\"><span data-contrast=\"none\">Expert opinions on emerging trends in regional anaesthesia in Europe<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h2>Regional anaesthesia survey results<\/h2>\n<h3>The increasing use of regional anaesthesia<\/h3>\n<p><span data-contrast=\"none\">The survey respondents showed us that the use of regional anaesthesia has grown over the last five years and is supported by new technologies as well as national and international guidelines. <\/span><\/p>\n<p><span data-contrast=\"none\">This increase in usage can also be attributed to the development of new and less invasive blocks, such as interfascial plane blocks.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The results showed the most common procedure for administering regional anaesthesia among the respondents was spinal anaesthesia (single injection), which was primarily used for limb surgery, Caesarian section and abdominal procedures.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">When asked what has changed the most in regional anaesthesia usage over the last five years, the highest increase reported was in upper and lower limb surgery as well as postoperative pain, with a median increase of about 50%.<\/span><\/p>\n<p><span data-contrast=\"none\">However, this varied greatly based on clinical application and location.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">This variation led the survey authors to investigate more differences in clinical application by country. <\/span><\/p>\n<p><span data-contrast=\"none\">The survey authors were not surprised to find that there was significant variation in which regional anaesthesia procedure was typically used for a particular clinical application.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">They gave the example of lower limb surgery: the most common regional anaesthesia procedure used was either spinal anaesthesia (single injection) or PNB (peripheral nerve block) single shot; however, the use of PNB continuous infusion ranged from 21% in Greece to up to 91% in GSA (Germany, Switzerland, Austria).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">More on this topic: <\/span><\/b><a href=\"https:\/\/eu.bd.com\/iv-news\/news-innovation\/regional-anaesthesia-practices-insights-from-a-european-survey-conducted-by-bd-with-esra-the-european-society-of-regional-anaesthesia-and-pain-therapy\/\"><span data-contrast=\"none\">Regional anaesthesia practices \u2013 Insights from a European survey conducted by BD with ESRA \u2013 The European Society of Regional Anaesthesia and Pain Therapy<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h3>Use of ultrasound in regional anaesthesia<\/h3>\n<p><span data-contrast=\"none\">The use of ultrasound when placing regional anaesthesia blocks was generally high across the survey, but there was some country-to-country variation, with the majority of countries having over 80% of respondents using ultrasound, but only 45-46% in Greece.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">There was no significant correlation between ultrasound use and institution type or size, but they did find the less experienced respondents (0 to 5 years) had the highest rate of ultrasound usage (94%). <\/span><\/p>\n<p><span data-contrast=\"none\">As well, institutions with a dedicated pain service utilised ultrasound techniques slightly more than those which didn&#8217;t have such a service.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h3>Monitoring and complication reporting<\/h3>\n<p><span data-contrast=\"none\">Efficacy monitoring was most commonly performed by anaesthesiologists, followed by ward and pain nurses.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">There was some variation in the methods for checking for appropriate analgesic effect. <\/span><\/p>\n<p><span data-contrast=\"none\">The most common methods used included pain sensation, ability to sense temperature, associated motor blockade and vasodilation, and the preferred method varied by respondent age and experience. <\/span><\/p>\n<p><span data-contrast=\"none\">It was not clear when each test was used or if more than one was required to deem that the block was successful.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Across all countries, the median failure rate of regional anaesthesia blocks was 5%, with the highest rates seen for PNB single shot, PNB continuous infusion and interfascial plane block (median 10%).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">When asked which complications were systematically monitored and reported, there were some inconsistencies. <\/span><\/p>\n<p><span data-contrast=\"none\">The survey authors used infection as one example: reported by 74% of respondents from GSA, but only 34% from France.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">More shockingly, the authors found that 33% of respondents from Italy and 28% from France noted that no complications were systematically monitored and reported. <\/span><\/p>\n<p><span data-contrast=\"none\">This highlighted a lack of consensus as to not just which complications should be tracked, but if they should even be tracked at all.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h3>Regional anaesthesia guidelines and training<\/h3>\n<p><span data-contrast=\"none\">This variation could be explained by which guidelines each country follows. While some countries mainly used European\/ESRA (European Society of Regional Anaesthesia &amp; Pain Therapy) guidelines, others preferred local and national guidelines, or even hospital-specific guidelines.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">70% of respondents stated that they had an internal or regional team that provided regional anaesthesia training, while others were trained by professional societies or universities.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">With predominantly internal training, it can be difficult to track exactly how or when individual institutions are updating their policies and practices. The survey authors also didn&#8217;t have information on the frequency and timing of updates to guidelines, and suspect that they could be \u201cseriously outdated.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h3>Awareness and use of NRFit\u2122 connectors<\/h3>\n<p><span data-contrast=\"none\">The inconsistencies in NRFit\u2122 awareness could be one sign of the use of outdated guidelines and protocols. In fact, there was high variation in NRFit\u2122 awareness, ranging from 86% in the UK and Ireland to 19% in Italy. Only 3% of Italian respondents were currently using NRFit\u2122.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Following a video introduction to NRFit\u2122, the respondents were asked if they thought the NRFit\u2122 connector played an important role in regional anaesthesia. Naturally, those previously familiar with NRFit\u2122 rated its role in patient safety higher than those previously unfamiliar, with one exception in Nordic Europe.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">NRFit\u2122 connectors were most prevalently used in the UK and Ireland, but still most respondents said that it is already in use or will be implemented in the next five years. However, 30% did say that they thought it would never be implemented.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The survey authors found a correlation between country and likelihood to implement NRFit\u2122, with Benelux needing more information, Eastern Europe being more likely to implement NRFit\u2122 in the next five years, and those from Nordic Europe being more likely to select \u201cnever.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The most common barrier to implementing NRFit\u2122 was financial. Some respondents did note challenges in production availability, lack of epidural systems, national buy-in from the UK NHS, prioritisation of COVID-19, delays in agreeing on standards and a lack of interest from staff.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">More on this topic: <\/span><\/b><a href=\"https:\/\/eu.bd.com\/iv-news\/scientific-publications\/converting-to-nrfit-europe-cannot-stop-the-train-to-a-safer-standard-for-spinal-anaesthesia1\/\"><b><span data-contrast=\"none\">Converting to NRFit\u2122 \u2013 Europe cannot stop the train to a safer standard for spinal anaesthesia<\/span><\/b><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h2>Building regional anaesthesia best practices<\/h2>\n<p><span data-contrast=\"none\">Following the survey results, the authors highlighted key focus areas to address some of the variation:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Conduct further research evaluating the various methods of checking block efficacy to determine European best practice<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:720,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240,&quot;335559991&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Define and create a universal template or system for capturing data related to regional anaesthesia complications<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:720,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240,&quot;335559991&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Develop and implement an educational programme on the benefits of NRFit\u2122 coupled with clear processes for how to implement it, which could facilitate its uptake in Europe<\/span><\/li>\n<\/ul>\n<div class=\"su-button-center\"><a href=\"https:\/\/eu.bd.com\/iv-news\/category\/scientific-publications\/\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#2D89EF;border-color:#246ec0;border-radius:6px\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color:#FFFFFF;padding:0px 18px;font-size:14px;line-height:28px;border-color:#6cadf4;border-radius:6px;text-shadow:none\"> Read more scientific publications <\/span><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Over the last 20 years, regional anaesthesia practices have evolved with increased use, largely thanks to ultrasound, technical improvements and&#8230;<\/p>\n","protected":false},"author":8,"featured_media":5820,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-5815","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-scientific-publications","speciality-anesthesiology","speciality-critical-care-emergency-care","speciality-infection-prevention","speciality-patient-safety","speciality-vascular-access","contenttype-publications","target-doctor","target-hospital-director-manager","target-infection-prevention","target-nursing"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What can we learn from the new regional anaesthesia survey? - BD IV News<\/title>\n<meta name=\"description\" content=\"Learn more about the variation in regional anaesthesia 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