Assessment of Regional Anaesthesia Exposure and Utilisation by Anaesthetists in Nigeria
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Abstract
Background: Although regional anaesthesia (RA) is a vital component of modern anaesthesia, it is underutilised and RA exposure appears to be limited in Nigeria.
Aim: This study explored the exposure and use of RA among anaesthesia residents in Nigeria.
Material: This was a prospective, cross-sectional study. A simple, convenience-based sampling was employed. Participants were contacted via Google forms using a self-administered structured questionnaire. The self-reported levels of access, exposure, competence, practice, and mentorship were assessed. Descriptive statistics were used to summarise results.
Results: From 180 questionnaires, 129 were returned, i.e., 71.6% response rate. Of the responder’s centers, 92 (71.3%) were fully accredited, while 35 (27.1%) had partial accreditation. Daily exposure to SA and EA was 64 (49.6%) and 11 (8.5%), respectively, with 120 (93.0%) and 36 (27.9%) reporting competence. Daily or weekly exposure to PNBs was ≤ 5% in all categories. Four (3.1%) had competence in LLNB. Spinal and epidural kits were accessible to 126 (97.7%) and 85 (65.9%), respectively, while 6 (4.6%) had nerve stimulators and 11 (8.5%) had ultrasound. Mentorship was universal i.e., 129 (100%) for neuraxial techniques, but 9 (6.9%) for PNBs.
Conclusion: The study highlights gaps in regional anaesthesia practice in Nigeria. Despite universal access to neuraxial blocks, limited exposure to PNBs reduces proficiency. Improving RA services requires access to equipment, mentorship, simulation, and curriculum reforms aligning with global standards.
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1. Fallon F, Moorthy A, Skerritt C, Crowe GG, Buggy DJ. Latest advances in regional anaesthesia. Medicina. 2024; 60 (5): 735 – 748. doi:10.3390/medicina60050735.
2. Fairley M. Regional anaesthesia. In: Freedman R, Herbert L, O’Donnell A, Ross N, Editors. Oxford Handbook of Anaesthesia. 5th Edition. Oxford: Oxford University Press; 2022. p. 1099–1145. doi: 10.1093/ med/ 9780198853053.001.0001
3. Rukewe A, Fatiregun A. The use of regional anesthesia by anesthesiologists in Nigeria. Anesth Analg. 2010; 110 (1) :243 - 244. doi:10.1213/ANE.0b013e3181c0f00e.
4. Ulisubisya MM. The critical condition of anaesthesia provision in low-income and middle-income countries. Lancet Glob Health. 2016; 4 (9): 597 – 598. doi:10.1016/S2214-109X(16)30129-5.
5. Dohlman LE, Kwikiriza A, Ehie O. Benefits and Barriers to Increasing Regional Anesthesia in Resource-Limited Settings. Local Reg Anesth. 2020; 13: 147 – 158. doi: 10.2147/LRA.S236550.
6. Abubakar I, Dalglish SL, Angell B, Sanuade O, Abimbola S, Adamu AL, et al. The Lancet Nigeria Commission: investing in health and the future of the nation. Lancet. 2022; 399 (10330): 1155 – 200. doi:10.1016/S0140-6736(21)02488-0.
7. Nigerian Society of Anaesthetist. NSA: Only 1,200 Anaesthetists in Nigeria for 200 million Nigerians. Health Digest [Internet]. 2022 [cited 2025 Aug 27]. Available from: https://healthdigest.ng/nsa-only-anaesthetists/
8. Law TJ, Lipnick MS, Morriss W, Gelb AW, Mellin-Olsen J, Filipescu D, et al. Collaborators. The global anesthesia workforce survey: updates and trends in the anesthesia workforce. Anesth Analg. 2024; 139 (1) : 15 – 24. doi:10.1213/ANE.0000000000006836.
9. Umeh UO. Examining disparities in regional anaesthesia and pain medicine. Br J Anaesth. 2024; 132 (5): 1033 – 1040. doi: 10.1016/j.bja.2024.02.015.
10. Topor B, Oldman M, Nicholls B. Best practices for safety and quality in peripheral regional anaesthesia. BJA Educ. 2020; 20 (10): 341 – 347. doi:10.1016/j.bjae.2020.04.007.
11. Smith MP, Sprung J, Zura A, Mascha E, Tetzlaff JE. A survey of exposure to regional anesthesia techniques in American anesthesia residency training programs. Reg Anesth Pain Med. 1999; 24 (1): 11 – 16. doi:10.1016/S1098-7339(99)90159-1.
12. Bellew B, St-Laurent DB, Shaw M, Ashken T, Womack J, Debenham J, et al. Regional anaesthesia training in the UK – a national survey. BJA Open. 2023; 8: 01 – 09. doi:10.1016/j.bjao.2023.100241.
13. Kietaibl S, Blank A, De Robertis E. Medical training in anaesthesiology: Updated European requirements. Eur J Anaesthesiol. 2019; 36 (7): 473 – 476. doi: 10.1097/EJA.0000000000001023.
14. Diachun CAB. Society for Education in Anesthesia: Supporting, Enriching, and Advancing Anesthesia Education. ASA Monitor. 2025; 89 (9): 12 –14. doi: 10.1097/01.ASM.0001162288.48852.91.