Student Anesthetist Learning Curve Perspectives on Sciatic Nerve Localization Proficiency - A Pilot Study

Abstract

Regional anesthesia techniques are invaluable tools in the armamentarium of anesthesia practitioners. Utilization of visual and palpable anatomical landmarks in localizing deep-seated peripheral nerves has long been the mainstay of regional anesthesia. Accurate placement of local anesthetics is imperative to obtaining successful neural blockade. Disagreement exists concerning the utility of a peripheral nerve stimulator in nerve sheath location. Regardless of the technique used, anatomical landmarks and underlying structures need to be fully understood. Very little research exists addressing how best to instruct anesthesia students in regional nerve blockade. In this study, McAuliffe's (1993) model for advanced nursing practice education was used as a theoretical framework which describes the fact that multiple representations, or multiple attempts are required to obtain a level of proficiency. In this study, a student registered nurse anesthetist (SRNA) attempted to locate the sciatic nerve using anatomical landmarks on a rat model. The data revealed that 15 attempts were required before an appropriate level of proficiency was obtained.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2000
Accession Number
ADA421437

Entities

People

  • Alan S. Lovejoy

Organizations

  • Uniformed Services University of the Health Sciences

Tags

DTIC Thesaurus Topics

  • Analgesia
  • Anesthesia
  • Anesthesia And Analgesia
  • Anesthesiology
  • Anesthetics
  • Health Services
  • Medical Personnel
  • Peripheral Nervous System
  • Sciatic Nerve

Readers

  • Medical or Health Care Field.
  • Neuroscience
  • Systems Analysis and Design