tioners, access to
improved simulation
tools are needed in
order for them to
maintain their current
skills and learn new
ones. In day-to-day
clinical practice, nar-
rowing the range of
block procedures that
general anesthesia
practitioners perform
regularly will help
them hone their tech-
niques and competen-
cy.
I also suggest train-
ing to the highest
level of care. If
regional anesthesia is
going to be offered at
all, every anesthesia
practitioner should be
able to perform effec-
tive continuous nerve
blocks (CNBs) with
catheter insertion
because the worst
block is the one that
wears off in the mid-
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