{
  "abstract": "Background and Aims Regional anaesthesia (RA) is a vital component of modern anaesthetic practice, offering targeted analgesia with fewer systemic side effects. In Bangladesh, RA is widely practised, but challenges remain regarding training, equipment, and technique standardisation. This study aimed to evaluate the current practices and barriers encountered in regional anaesthesia across the country.Methods In March 2025, a nationwide, anonymous online survey was administered to anesthesiologists and trainees in Bangladesh. The questionnaire aimed to collect demographic information, the level of training, the regional anaesthesia techniques employed, and the challenges encountered in practice. Descriptive statistics were utilized to analyze the data obtained from three hundred and twenty respondents.Results Most participants were aged 31–40 years (66.9%) and had 5–10 years of experience (30%). Spinal anaesthesia was the most commonly used technique (98.9%), followed by brachial plexus blocks (70.3%). The majority (88.9%) used landmark-based techniques, while only 36.6% utilised ultrasound guidance. Over 62% of respondents performed more than 20 RA procedures monthly, primarily for obstetric/gynaecological (92.4%) and orthopaedic (79.3%) surgeries. Epidural and TAP blocks were commonly employed for postoperative analgesia. Key barriers included limited access to ultrasound machines, lack of structured training, and institutional support.Conclusions Regional Anaesthesia is widely utilised in Bangladesh, yet practice remains largely dependent on traditional landmark techniques. Significant gaps exist in ultrasound usage and structured RA education. National investment in equipment and comprehensive training programs is necessary to enhance RA quality and safety across all institutions.",
  "authors": [
    {
      "affiliations": [
        "Division of Regional Anaesthesia and Pain Medicine, Department of Anaesthesia, Analgesia and Intensi, Bangladesh Medical University, Dhaka, Bangladesh"
      ],
      "name": "AKM Akhtaruzzaman"
    },
    {
      "affiliations": [
        "Division of Regional Anaesthesia and Pain Medicine, Department of Anaesthesia, Analgesia and Intensi, Bangladesh Medical University, Dhaka, Bangladesh"
      ],
      "name": "Mahzabin Arin Kazi"
    },
    {
      "affiliations": [
        "Department of Anaesthesia, Analgesia and Intensive Care Medicine, Shaheed Suhopwardy Medical College, Dhaka, Bangladesh"
      ],
      "name": "Md Mostafa Kamal"
    },
    {
      "affiliations": [
        "Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangladesh Medical University, Dhaka, Bangladesh"
      ],
      "name": "Dilip Kumar Bhowmick"
    },
    {
      "affiliations": [
        "Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangladesh Medical University, Dhaka, Bangladesh"
      ],
      "name": "Md Shafiqul Islam"
    }
  ],
  "title": "P069 Comprehensive survey on current practice and challenges of regional anaesthesia: Bangladesh’s perspective",
  "uid": "868cefb2-49a1-5951-8f81-d2c01a83de63"
}