Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analysis of current literature.

Autor:	Memtsoudis SG; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA memtsoudiss@hss.edu.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Cozowicz C; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical Private University, Salzburg, Austria., Bekeris J; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical Private University, Salzburg, Austria., Bekere D; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical Private University, Salzburg, Austria., Liu J; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Soffin EM; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Mariano ER; Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, Palo Alto, California, USA.; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA., Johnson RL; Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA., Go G; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA., Hargett MJ; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA., Lee BH; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Wendel P; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Brouillette M; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Kim SJ; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Baaklini L; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Wetmore DS; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Hong G; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Goto R; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA., Jivanelli B; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA., Athanassoglou V; Nuffield Department of Anaesthetics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Argyra E; Faculty of Medicine, Aretaieion University Hospital, Athens, Greece., Barrington MJ; Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, Portland, Oregon, USA., Borgeat A; Anesthesiology, Balgrist University Hospital, Zurich, Switzerland., De Andres J; Anesthesia, Critical Care and Multidisciplinary Pain Management Department, Valencia University General Hospital, Valencia, Spain.; Anesthesia Unit, Surgical Specialties Department, School of Medicine, University of Valencia, Valencia, Spain., El-Boghdadly K; Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK., Elkassabany NM; Anesthesiology and Critical Care, University Of Pennsylvania, Philadelphia, Pennsylvania, USA., Gautier P; Department of Anesthesiology and Resuscitation, Clinique Sainte-Anne Saint-Remi, Brussels, Belgium., Gerner P; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical Private University, Salzburg, Austria., Gonzalez Della Valle A; Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA.; Department of Orthopedic Surgery, Weill Cornell Medical College, New York, New York, USA., Goytizolo E; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Guo Z; Department of Anesthesiology, Peking Universtiy Shougang Hospital, Beijing, China., Hogg R; Department of Anaesthesia, Belfast Health and Social Care Trust, Belfast, UK., Kehlet H; Department of Clinical Medicine, Rigshosp, Copenhagen, Denmark., Kessler P; Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Hessen, Germany., Kopp S; Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA., Lavand'homme P; Anesthesiology, St Luc Hospital, University Catholic of Louvain, Brussels, Belgium., Macfarlane A; School of Medicine, Dentistry & Nursing, Glasgow Royal Infirmary and Stobhill Ambulatory Hospital, Glasgow, UK., MacLean C; Center for the Advancement of Value in Musculoskeletal Care, Hospital for Special Surgery, New York, New York, USA.; Center for the Advancement of Value in Musculoskeletal Care, Weill Cornell Medical College, New York, New York, USA., Mantilla C; Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA., McIsaac D; Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada., McLawhorn A; Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA.; Department of Orthopedic Surgery, Weill Cornell Medical College, New York, New York, USA., Neal JM; Anesthesiology, Virginia Mason Medical Center, Seattle, Washington, USA.; Benaroya Research Institute, Virginia Mason Medical Center, Seattle, Washington, USA., Parks M; Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA., Parvizi J; Orthopedic Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA., Peng P; Anesthesia, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada., Pichler L; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical Private University, Salzburg, Austria., Poeran J; Orthopaedics/Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA., Poultsides L; Department of Orthopaedic Surgery, New York Langone Orthopaedic Hospital, New York, New York, USA., Schwenk ES; Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Sites BD; Anesthesiology, Dartmouth Medical School, Hanover, New Hampshire, USA., Stundner O; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical Private University, Salzburg, Austria.; Department of Anesthesiology and Intensive Care, Medical University of Innsbruck, Innsbruck, Tyrol, Austria., Sun EC; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA., Viscusi E; Department of Anesthesiology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Votta-Velis EG; Department of Anesthesiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois, USA., Wu CL; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., YaDeau J; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA., Sharrock NE; Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, New York, New York, USA.; Department of Anesthesiology, Critical Care and Pain Management, Weill Cornell Medical College, New York, New York, USA.
Jazyk:	angličtina
Zdroj:	Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2021 Nov; Vol. 46 (11), pp. 971-985. Date of Electronic Publication: 2021 Aug 25.
DOI:	10.1136/rapm-2021-102750
Abstrakt:	Background: Evidence-based international expert consensus regarding the impact of peripheral nerve block (PNB) use in total hip/knee arthroplasty surgery. Methods: A systematic review and meta-analysis: randomized controlled and observational studies investigating the impact of PNB utilization on major complications, including mortality, cardiac, pulmonary, gastrointestinal, renal, thromboembolic, neurologic, infectious, and bleeding complications.Medline, PubMed, Embase, and Cochrane Library including Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, NHS Economic Evaluation Database, were queried from 1946 to August 4, 2020.The Grading of Recommendations Assessment, Development, and Evaluation approach was used to assess evidence quality and for the development of recommendations. Results: Analysis of 122 studies revealed that PNB use (compared with no use) was associated with lower ORs for (OR with 95% CIs) for numerous complications (total hip and knee arthroplasties (THA/TKA), respectively): cognitive dysfunction (OR 0.30, 95% CI 0.17 to 0.53/OR 0.52, 95% CI 0.34 to 0.80), respiratory failure (OR 0.36, 95% CI 0.17 to 0.74/OR 0.37, 95% CI 0.18 to 0.75), cardiac complications (OR 0.84, 95% CI 0.76 to 0.93/OR 0.83, 95% CI 0.79 to 0.86), surgical site infections (OR 0.55 95% CI 0.47 to 0.64/OR 0.86 95% CI 0.80 to 0.91), thromboembolism (OR 0.74, 95% CI 0.58 to 0.96/OR 0.90, 95% CI 0.84 to 0.96) and blood transfusion (OR 0.84, 95% CI 0.83 to 0.86/OR 0.91, 95% CI 0.90 to 0.92). Conclusions: Based on the current body of evidence, the consensus group recommends PNB use in THA/TKA for improved outcomes. Recommendation: PNB use is recommended for patients undergoing THA and TKA except when contraindications preclude their use. Furthermore, the alignment of provider skills and practice location resources needs to be ensured. Evidence level: moderate; recommendation: strong. Competing Interests: Competing interests: SGM is a director on the boards of the American Society of Regional Anesthesia and Pain Medicine (ASRA) and the Society of Anesthesia and Sleep Medicine (SASM). He is a one-time consultant for Sandoz and the holder of US Patent Multicatheter Infusion System. US-2017-0361063. He is the owner of SGM Consulting, LLC and Centauros Healthcare Analytics and Consulting. SGM is also a shareholder in Parvizi Surgical Innovations LLC and HATH. None of the above relations influenced the conduct of the present project. (© American Society of Regional Anesthesia & Pain Medicine 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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