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Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study

INTRODUCTION: Regional anesthesia offers an alternative to general anesthesia and may be advantageous in low resource environments. There is a paucity of data regarding the practice of regional anesthesia in low- and middle-income countries. Using access data from a free Android app with curated reg...

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Autores principales: Moll, Vanessa, Mariano, Edward R., Kitzman, Jamie M., O'Reilly-Shah, Vikas N., Jabaley, Craig S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850494/
https://www.ncbi.nlm.nih.gov/pubmed/33524031
http://dx.doi.org/10.1371/journal.pone.0244860
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author Moll, Vanessa
Mariano, Edward R.
Kitzman, Jamie M.
O'Reilly-Shah, Vikas N.
Jabaley, Craig S.
author_facet Moll, Vanessa
Mariano, Edward R.
Kitzman, Jamie M.
O'Reilly-Shah, Vikas N.
Jabaley, Craig S.
author_sort Moll, Vanessa
collection PubMed
description INTRODUCTION: Regional anesthesia offers an alternative to general anesthesia and may be advantageous in low resource environments. There is a paucity of data regarding the practice of regional anesthesia in low- and middle-income countries. Using access data from a free Android app with curated regional anesthesia learning modules, we aimed to estimate global interest in regional anesthesia and potential applications to clinical practice stratified by World Bank income level. METHODS: We retrospectively analyzed data collected from the free Android app “Anesthesiologist” from December 2015 to April 2020. The app performs basic anesthetic calculations and provides links to videos on performing 12 different nerve blocks. Users of the app were classified on the basis of whether or not they had accessed the links. Nerve blocks were also classified according to major use (surgical block, postoperative pain adjunct, rescue block). RESULTS: Practitioners in low- and middle-income countries accessed the app more frequently than in high-income countries as measured by clicks. Users from low- and middle-income countries focused mainly on surgical blocks: ankle, axillary, infraclavicular, interscalene, and supraclavicular blocks. In high-income countries, more users viewed postoperative pain blocks: adductor canal, popliteal, femoral, and transverse abdominis plane blocks. Utilization of the app was constant over time with a general decline with the start of the COVID-19 pandemic. CONCLUSION: The use of an in app survey and analytics can help identify gaps and opportunities for regional anesthesia techniques and practices. This is especially impactful in limited-resource areas, such as lower-income environments and can lead to targeted educational initiatives.
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spelling pubmed-78504942021-02-09 Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study Moll, Vanessa Mariano, Edward R. Kitzman, Jamie M. O'Reilly-Shah, Vikas N. Jabaley, Craig S. PLoS One Research Article INTRODUCTION: Regional anesthesia offers an alternative to general anesthesia and may be advantageous in low resource environments. There is a paucity of data regarding the practice of regional anesthesia in low- and middle-income countries. Using access data from a free Android app with curated regional anesthesia learning modules, we aimed to estimate global interest in regional anesthesia and potential applications to clinical practice stratified by World Bank income level. METHODS: We retrospectively analyzed data collected from the free Android app “Anesthesiologist” from December 2015 to April 2020. The app performs basic anesthetic calculations and provides links to videos on performing 12 different nerve blocks. Users of the app were classified on the basis of whether or not they had accessed the links. Nerve blocks were also classified according to major use (surgical block, postoperative pain adjunct, rescue block). RESULTS: Practitioners in low- and middle-income countries accessed the app more frequently than in high-income countries as measured by clicks. Users from low- and middle-income countries focused mainly on surgical blocks: ankle, axillary, infraclavicular, interscalene, and supraclavicular blocks. In high-income countries, more users viewed postoperative pain blocks: adductor canal, popliteal, femoral, and transverse abdominis plane blocks. Utilization of the app was constant over time with a general decline with the start of the COVID-19 pandemic. CONCLUSION: The use of an in app survey and analytics can help identify gaps and opportunities for regional anesthesia techniques and practices. This is especially impactful in limited-resource areas, such as lower-income environments and can lead to targeted educational initiatives. Public Library of Science 2021-02-01 /pmc/articles/PMC7850494/ /pubmed/33524031 http://dx.doi.org/10.1371/journal.pone.0244860 Text en © 2021 Moll et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Moll, Vanessa
Mariano, Edward R.
Kitzman, Jamie M.
O'Reilly-Shah, Vikas N.
Jabaley, Craig S.
Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study
title Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study
title_full Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study
title_fullStr Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study
title_full_unstemmed Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study
title_short Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study
title_sort regional anesthesia educational material utilization varies by world bank income category: a mobile health application data study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850494/
https://www.ncbi.nlm.nih.gov/pubmed/33524031
http://dx.doi.org/10.1371/journal.pone.0244860
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