ABSTRACT
Regional anaesthesia techniques are an important adjunct to perioperative care of breast surgery patients. This chapter focuses on the practical application, evidence base and advantages of peripheral nerve block regional anaesthesia in the anaesthetic management of patients undergoing breast surgery. Functional anatomy and fascial plane blocks are discussed alongside paravertebral and paraspinal techniques. Guidance on the performance the range of ultrasound-guided blocks is provided. The role that regional anaesthesia may have in reducing the risk of breast cancer recurrence following mastectomy surgery is explored.
Subject(s)
Anesthesia, Conduction/methods , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/surgery , Mastectomy/methods , Ultrasonography, Interventional/methods , Female , Humans , Mastectomy/adverse effectsABSTRACT
INTRODUCTION: The number of accidents involving emergency vehicles is a major concern for emergency service providers. OBJECTIVES: This study assessed the effectiveness of adding a driving simulator to a traditional training program. METHODS: The sample consisted of students attending the National Emergency Medical Services Academy in Lafayette, Louisiana. Each participant self-scheduled two days in which he or she would attend the driving portion of the training class. A total of 52 participants were in the control group and 50 participants were in the treatment group. In addition to the classroom training, the treatment group used a driving simulator prior to driving on the competency course. RESULTS: The treatment group took significantly less time to drive through the competency course on the first run than did the control group. It also acquired significantly fewer penalty points on the first run and required significantly fewer runs to complete the course. CONCLUSIONS: Simulators can be effective training tools for teaching emergency vehicle drivers.
