Comparison of ‘Two models’ Anaesthesiologist-Technician verses Anaesthesiologist- Junior Anaesthesiologist models to evaluate ‘anaesthetic ready time’ in orthopaedic infant surgery. A Randomized Controlled Trial.

Paediatric regional anaesthesia (RA) today is one of the fastest growing and exciting aspects of paediatric anaesthesia, which requires an ongoing fervour to learn. Application of paediatric regional anaesthesia in neonates, infants, toddlers and children is undertaken to treat perioperative pain without disturbing the physiological milieu. It provides excellent pain relief and allows caregivers to use multimodal analgesic techniques and decrease the use of opioids. Considerable progress has been made in the practice of PRA over the past few years including the availability of information on safety and the incorporation of ultrasound guidance. The primary aim of the study was to determine whether the two-attending anaesthesiologist model decreases the amount of operating room time required for a combined general anaesthesia and ultrasound-guided regional nerve block for lower limb surgery [caudal block and or supra-inguinal fascia iliaca block] in children requiring a simultaneous general anaesthetic as compared to a single anaesthesiologist model.