Barriers to Increasing the Use of Regional Anesthesia in Peshawar, Pakistan

Abstract

Background: Despite the proven benefits of regional anesthesia (RA), its adoption in many regions, including Peshawar, Pakistan, remains limited. This study aimed to explore the barriers, perceptions, and enablers influencing the use of RA among healthcare professionals.
Methods: A hypothetical cross-sectional dataset of 70 healthcare professionals was generated. Demographic data, frequency and type of RA usage, training history, confidence levels, perceived safety, and identified barriers were analyzed. Inferential statistics including Chi-square tests and logistic regression were performed to assess associations and predictors.
Results: Formal training significantly predicted confidence in performing RA (p < 0.001), with trained professionals being 18 times more likely to report confidence. Positive perception of RA safety was strongly associated with preference for its use (p < 0.001). Key barriers included lack of equipment, insufficient training, institutional limitations, and patient misconceptions. Suggested enablers included skill-development workshops, improved equipment availability, and increased patient awareness.
Conclusion: Training, safety perception, and institutional support are critical to improving the adoption of regional anesthesia in clinical settings. Addressing these barriers through education, infrastructure development, and patient engagement could significantly enhance RA use in Pakistan