Complications of Retrobulbar Block in the Operating Room

Abstract This simulation functions as a tool for training, evaluating, and reinforcing material learned in the classroom and operating room. Trainees with different backgrounds and experiences can utilize this simulation module for further learning about the complications of retrobulbar block. This supplemental simulation-based learning allows for training that is not dependent upon chance encounters with patients receiving retrobulbar blocks, reduces patient risk by giving learners a chance to become aware of the condition before treating a real patient, is observable and repeatable, and allows for the freedom to make mistakes and reflect upon different actions in the future. This scenario may be implemented in Maintenance of Certification in Anesthesiology and continuing medical education programs as well. The scenario is used for practice, evaluation, and self-identification of weaknesses in the learner's knowledge base in regard to perioperative management of the complications of retrobulbar block. It includes an instructor's guide, scenario file, technical guide, debriefing document, and evaluation form. The simulation can be used as a source of performance improvement and continued learning in faculty but was not ever conceived to be a summative assessment tool. Several anesthesia residents have participated in this scenario, with frequent revisions and updates made based on feedback. In our simulation center, we expect to run these scenarios about 15 times annually. We have also used this scenario as the basis for a larger interprofessional simulation for operative teams to develop better teamwork and communication strategies.