AORA - Plexus and Nerve block Practices in India

AORA - Plexus and Nerve block Practices in India

Dear Anaesthesiologist,
You are requested to take part in the survey for "Plexus and Nerve block Practices in India" which will help us to study the usage and practices of various blocks and to develop a national Plexus and blocks registry in future.
Your consent is voluntary and this would take 10-15 min. Collected data will be used for the analysis while maintaining the anonymity. We appreciate your 'Time & Knowledge Sharing', thank you for taking up the survey.

Your Details

Name

Email

Q1: Sex

Male
Female

Q2: Age

20-30 years
31-40 years
41-50 years
51- 60 years
> 60 years

Q3: Your Current professional experience: Degree- MD/DNB, Post degree- PD

MD/DNB student
3-5 years PD
>5-10 yrs PD
>10-20 yrs PD
> 20 yrs PD

Q4: Your working Area: (Teaching hospital-DNB course)

Government college
Private college
Teaching Hospital
Corporate
Private Practitioner

Q5: How frequently are you using Blocks for perioperative care on monthly case basis?

> 70%
>50-70%
20-50%
< 20%

Q6: How frequently do you discuss the Nerve block plan with your patient?

> 70%
>50-70%
20-50%
< 20%

Q7: Reason(s) for using regional blocks (May mark multiple choices):

Safety
Improved outcome and Pain relief
Patient's Choice
Surgeon's choice
All of the above

Q8: Where do you perform the blocks mostly?

Operating room
Pre-operative area
Dedicated procedure room
Recovery area

Q9: What are the barrier(s) to practice regional blocks in your set-up? (May mark multiple choices):

Surgeon's factors
Equipment Issues
Time factor
Knowledge/ Experience
Cost factor
Patient Refusal
PCPNDT
None

Q10: Source(s) of training for plexus and nerve blocks: (May mark multiple choices):

Self practice
Fellowship
Courses and workshops
During PG
Internet

Q11: Skin preparation done before block by using:

A) Povidone iodine
B) Chlorhexidine with alcohol
C) Spirit
D) Combination of A and B

Q12: USG probe asepsis method most commonly used by you is:

Sterile gloves
Bio film covers
Camera cover
Chlorhexidine with alcohol rubs
Dip the probe in povidine iodine
USG not available
None

Q13: How do you localize plexus/ nerves before blocks? (May mark multiple choices):

Landmark technique
PNS guided
USG Guided
USG with PNS guided

Q14: Do you routinely attach monitors before block?

Always
Only for high risk patients
Only for pediatric patients
No

Q15: If a procedure can be done safely under either regional (RA) / General Anaesthesia (GA), what is your preferred choice?

GA
RA
GA with RA for Pain relief
Patient's decision

Q16: Do you use peripheral nerve blocks in children?

> 70%
>50-70%
20-50%
< 20%

Q17: Do you sedate your patients before blocks?

A) Always
B) Apprehensive patients only
C) Only pediatric patients
D) Both B and C
E) Never

Q18: Preferred mode of plexus / nerve block practice at your place:

Single injection
Catheter for infusion in adults only
Both single injection/ catheter
Catheter for infusion in pediatric patients only

Q19: Preferred drug(s) used by you for plexus and peripheral nerve blocks: (May mark multiple choices):

Bupivacaine
Ropivacaine
Lignocaine
Bupivacaine with lignocaine
Ropivacaine with Lignocaine
Other (Please specify)

Q20: What is your preferred adjuvant for a peripheral nerve block? (May mark multiple choices):

Clonidine
Dexamethasone
Dexmedetomidine
Fentanyl
Soda bicarbonate
Other (Please specify)
None

Q21: What kind of needles do you use for blocks? (May mark multiple choices):

Echogenic Needles
Stimulating nerve block needle
Short bevel Needles
Hypodermic needles
Spinal needle
Tuohy Needle
Other

Q22: Does the cost of a block needle restrict its usage in your practice?

Always
Occasional
Rarely
Never

Q23: How do you document regional blocks?

Anesthesia chart/ e-logbook
Separate form
patient file
No documentation

Q24: In your opinion, disadvantages of Regional Blocks are: (May mark multiple choices):

Low success rate
Time required to establish
Poor acceptability
None
Others

Q25: Complications that you have seen during regional Block: (May mark multiple choices):

LA toxicity
Neurological deficits
wrong side blocked
Pneumothorax
Respiratory Depression
Cardiac Arrest
None
Others

Q26: Practice changes done after witnessing the complication: (May mark multiple choices):

Effort to improve skills and knowledge
changed to PNS guided
Changed to USG guided
Changed drug concentration
Changed drug volume
Stopped RA practice
Not Applicable
Others

Q27: Common Upper Limb Block performed at your set up: (May mark multiple choices):

Interscalene
Supraclavicular
Infraclavicular
Axillary
Isolated Nerve blocks

Q28: Common Lower Limb Block performed at your set up: (May mark multiple choices):

Femoral Nerve block
Fascia Iliaca Block
Sciatic Nerve block
Lumber plexus block
Adductor canal Block
Ankle Block
Sacral Plexus Block

Q29: Do you have 20% intra-lipid in your regional anaesthesia cart?

Yes
No

Q30: Are you member of any Regional anaesthesia society?

A) Yes, National
B) Yes, International
C) Both A & B
D) No

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