Skip to main content

Teaching the Epidural Block

  • Chapter
  • First Online:
Epidural Technique In Obstetric Anesthesia

Abstract

Epidural block is a complex procedure and requires cognitive skills such as the knowledge of the anatomy and of the procedure along with psychomotor skills such as the skills required to perform the technique.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Birnbach DJ, Santos AC, Bourlier RA, et al. The effectiveness of video technology as an adjunct to teach and evaluate epidural anesthesia performance skills. Anesthesiology. 2002;96:5–9.

    Article  Google Scholar 

  2. Tien JC, Lim MJ, Leong WL, et al. Nine-year audit of post-dural puncture headache in a tertiary obstetric hospital in Singapore. Int J Obstet Anesth. 2016;28:34–8.

    Article  CAS  Google Scholar 

  3. Vaugham N, Dubey VN, Wee MYK, et al. Advanced epidural simulator with 3D flexible spine and haptic Interface. J Med Devices. 2014;6:017524.

    Article  Google Scholar 

  4. Ghelber O, Gebhard R, Katz J, et al. The CompuFlo® helps inexperienced operators identify the epidural space in a simulator model. EJA. 2006;23:242.

    Article  Google Scholar 

  5. Capogna G, Coccoluto A, Capogna E, et al. Objective evaluation of a new epidural simulator by the CompuFlo® epidural instrument. Anesthesiol Res Pract. 2018;2018:4710263.

    PubMed  PubMed Central  Google Scholar 

  6. Capogna E, Coccoluto A, Gibiino G, et al. CompuFlo® assisted training vs conventional training for the identification of the ligamentum flavum with an epidural simulator: a brief report. Anesthesiol Res Pract. 2019;2019:3804743.

    PubMed  PubMed Central  Google Scholar 

  7. Friedman Z, Katznelson R, Devito I, et al. Objective assessment of manual skills and proficiency in performing epidural anesthesia-video-assisted validation. Reg Anesth Pain Med. 2006;31:304–10.

    Article  Google Scholar 

  8. Ringsted C, Ostergaard D, Scherpbier A. Embracing the new paradigm of assessment in residency training: an assessment programme for first-year residency training in anesthesiology. Med Teach. 2003;25:54–62.

    Article  CAS  Google Scholar 

  9. Sivarajan M, Miller E, Hardy C, et al. Objective evaluation of clinical performance and correlation with knowledge. Anesth Analg. 1984;63:603–7.

    Article  CAS  Google Scholar 

  10. McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review. Med Educ. 2008;42:338–49.

    Article  Google Scholar 

  11. Wright TP. Factors affecting the cost of airplanes. J Aeronaut Sci. 1936;3:122–8.

    Article  Google Scholar 

  12. Kopacz DJ, Neal JM, Pollock JE. The regional anesthesia ‘learning curve’. What is the minimum number of epidural and spinal blocks to reach consistency? Reg Anesth. 1996;21:182–90.

    CAS  PubMed  Google Scholar 

  13. Starkie T, Drake EJ. Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum). Can J Anaesth. 2013;60:1228–39.

    Article  Google Scholar 

  14. Drake EJ, Coghill J, Sneyd JR. Defining competence in obstetric epidural anaesthesia for inexperienced trainees. BJA. 2015;114:951–571.

    Article  CAS  Google Scholar 

  15. Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg. 2007;193:797–804.

    Article  Google Scholar 

  16. Zivkovic N, van Samkar G, Hermanns H, et al. Face and construct validity of TU-Delft epidural simulator and the value of real-time visualization. Reg Anesth Pain Med. 2019. pii: rapm-2018-100161. https://doi.org/10.1136/rapm-2018-100161. [Epub ahead of print].

    Article  Google Scholar 

  17. Friedman Z, Siddiqui N, Katznelson R, et al. Clinical impact of epidural Anesthesia simulation on short- and long-term learning curve: high- versus low-fidelity model training. Reg Anesth Pain Med. 2009;34:229–32.

    Article  Google Scholar 

  18. Beed P, Hawkins M, Roller C. Moving learners towards independence: the power of scaffolded instruction. Read Teach. 1991;44:648–55.

    Google Scholar 

  19. Reznick R, Regehr G, MacRae H, et al. Testing technical skill via an innovative ‘bench station’ examination. Am J Surg. 1997;173:226–30.

    Article  CAS  Google Scholar 

  20. Martin JA, Regehr G, Reznick R, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273–8.

    Article  CAS  Google Scholar 

  21. Tien T, Pucher PH, Sodergren MH, et al. Eye tracking for skills assessment and training: a systematic review. J Surg Res. 2014;191:169–78.

    Article  Google Scholar 

  22. Khan RS, Tien G, Atkins MS, et al. Analysis of eye gaze: do novice surgeons look at the same location as expert surgeons during a laparoscopic operation? Surg Endosc Other Interv Tech. 2012;26:3536–40.

    Article  Google Scholar 

  23. Vine SJ, Masters RS, McGrath JS, et al. Cheating experience: guiding novices to adopt the gaze strategies of experts expedites the learning of technical laparoscopic skills. Surgery. 2012;152:32–40.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Capogna, G. (2020). Teaching the Epidural Block. In: Epidural Technique In Obstetric Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-45332-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-45332-9_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-45331-2

  • Online ISBN: 978-3-030-45332-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics