207 Implementation of training in ultrasound guided regional anaesthetic ‘Plan A’ nerve blocks during the covid pandemic – training must go on!

Background and AimsThere has been a significant impact on anaesthetic teaching and training within the UK owing to the COVID-19 pandemic. Most of the teaching needs are met using virtual methods. Hands on skills such as regional anaesthesia are not suitable for a virtual teaching format. Therefore, we aimed to continue and provide regional anaesthesia training in a large tertiary teaching hospital in a COVID-safe manner.MethodsWe implemented training of ‘Plan A’ blocks1. This included dedicated theatre space, ultrasound equipment and use of HDMI technology for projection. The training was delivered in small groups in a safe and socially distanced manner. Information about the delivery of content, participant satisfaction and confidence in block performance were collected using a survey. All teaching was delivered by a Consultant and trainee with interest in regional anaesthesia. Approval was obtained form the local audit department.ResultsData was collated after a four-month cycle of teaching. Attendees ranged from core trainees (67%) to junior registrars (33%). 95% participants found the content, hands on experience and presenters’ knowledge to be excellent. 86% of participants felt they had better confidence in their block skills after the training. Overall satisfaction with delivery of the training was recorded as excellent in 95% of candidates.ConclusionsContinuing regional anaesthesia training in the COVID-19 pandemic has been beneficial for trainees in terms of improvement in skills and to boost their morale. This has been particularly relevant as there has been a drive to reduce aerosol generating procedures and improve safety for anaesthetists and theatre staff2.