• B Kleinman, J I Perlman, C Anderson, K Frey, R A Stevens, and R Belusko.
• Department of Anesthesiology, Loyola University Stritch School of Medicine, Maywood, IL, USA.
• J Clin Anesth. 1999 Jun 1;11(4):301-4.

Study ObjectiveTo describe a collaborative effort of the departments of ophthalmology and anesthesiology to teach anesthesiology residents regional ocular anesthesia; to detect any differences in positive or negative outcomes after blocks performed by anesthesiology residents versus blocks performed by ophthalmology residents.DesignProspective descriptive, study.SettingOutpatient surgery in a university-affiliated veterans affairs hospital.Patients614 patients requiring elective ocular surgery.InterventionsOutcomes from patients who underwent regional anesthesia performed by ophthalmology residents were compared to outcomes from patients who received anesthesia from anesthesiology residents.Measurements And Main ResultsA detailed description of the collaborative teaching program in ocular anesthesia is presented. Ophthalmology residents performed the majority of regional ocular blocks (87% vs. 13%). There was no statistical difference in the incidence of negative outcomes, such as retrobulbar hemorrhage, between ophthalmology residents and anesthesiology residents (3/534 vs. 1/80) or in the incidence of successful blocks (90% for ophthalmology residents vs. 88% for anesthesiology residents).ConclusionsRegional ocular anesthetic techniques can be safely and successfully taught to residents in anesthesiology.

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