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168 Plan a blocks course
  1. T Al-Ani and
  2. R Murphy
  1. Glasgow Royal Infirmary, Glasgow, UK


Background and Aims The consistency in education and training of regional anaesthesia could be achieved by focusing teaching on basic level yet high value nerve blocks. This quality improvement project aims to standardise regional anaesthesia teaching for anaesthetic trainees by delivering a ‘Plan A’ blocks course which covers: Interscalene brachial plexus (BP), Axillary BP, Femoral nerve, Adductor canal, Popliteal sciatic, Erector spine and Rectus sheath.

Methods The course is delivered across seven sessions and repeated four times a year. Each session is focused on one block at a time and lasts for one hour, covering: detailed anatomy, sono-anatomy, landmarks and ultrasound guided block techniques. Then, trainees get supervised hands on practice of landmarks and ultrasound scanning of a model. Ethics approval is not required as per NHS Greater Glasgow and Clyde policy.

Results The course is added to our formal anaesthetic department teaching. All attendees feedback has been positive, with all stating they would be more confident performing the ‘Plan A’ blocks after this course. This strongly supports the focused learning of one block at a time.

Conclusions Designing and delivering a ‘Plan A’ blocks course focusing on one core nerve block per session could improve the quality of regional anaesthesia learning.

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