International consensus on anatomical structures to identify on ultrasound for the performance of basic blocks in ultrasound-guided regional anesthesia.

Autor:	Bowness JS; OxSTaR, Oxford University, Oxford, UK james.bowness@jesus.ox.ac.uk.; Department of Anaesthesia, Aneurin Bevan Health Board, Newport, UK., Pawa A; Department of Anaesthesia, Guy's and St Thomas' Hospitals NHS Trust, London, UK., Turbitt L; Department of Anaesthesia, Belfast Health and Social Care Trust, Belfast, UK., Bellew B; Department of Surgery & Cancer, Imperial College London, London, UK.; Department of Anaesthesia, Imperial College Healthcare NHS Trust, London, UK., Bedforth N; Department of Anaesthesia, Nottingham University Hospitals NHS Trust, Nottingham, UK., Burckett-St Laurent D; Department of Anaesthesia, Royal Cornwall Hospitals NHS Trust, Truro, UK., Delbos A; Department of Anesthesia, Clinique Médipole Garonne, Toulouse, France., Elkassabany N; Department of Anesthesiology & Intensive Care, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA., Ferry J; Department of Anaesthesia, Aneurin Bevan Health Board, Newport, UK., Fox B; Department of Anaesthesia, Queen Elizabeth Hospital King's Lynn NHS Foundation Trust, King's Lynn, Norfolk, UK., French JLH; Department of Anaesthesia, Nottingham University Hospitals NHS Trust, Nottingham, UK., Grant C; Department of Anaesthesia, NHS Tayside, Dundee, UK., Gupta A; Department of Anaesthesia, Queen Elizabeth Hospital, Gateshead Health NHS Foundation Trust, Gateshead, UK., Harrop-Griffiths W; Department of Surgery & Cancer, Imperial College London, London, UK., Haslam N; Department of Anaesthesia, South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK., Higham H; OxSTaR, Oxford University, Oxford, UK.; Nuffield Department of Anaesthesia, Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Hogg R; Department of Anaesthesia, Belfast Health and Social Care Trust, Belfast, UK., Johnston DF; Department of Anaesthesia, Belfast Health and Social Care Trust, Belfast, UK., Kearns RJ; School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.; Department of Anaesthesia, NHS Greater Glasgow and Clyde, Glasgow, UK., Kopp S; Department of Anesthesiology & Perioperative Medicine, Mayo Clinic Graduate School for Biomedical Sciences, Rochester, Minnesota, USA., Lobo C; Anestesiologista, Hospital das Forças Armadas Polo do Porto, Porto, Portugal., McKinlay S; School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.; Department of Anaesthesia, NHS Greater Glasgow and Clyde, Glasgow, UK., Memtsoudis S; Department of Anesthesiology, Critical Care & Pain Management, Hospital for Specialist Surgery, New York, New York, USA.; Weill Cornell Medical College, New York, New York, USA., Merjavy P; Department of Anaesthesia, Craigavon Area Hospital, Portadown, UK., Moka E; Department of Anaesthesiology, Hellenic Healthcare Group (HHG), Heraklion Crete, Greece., Narayanan M; Department of Anaesthesia, Frimley Park Hospital, Frimley, UK., Narouze S; Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, Ohio, USA., Noble JA; IBME, University of Oxford, Oxford, UK., Phillips D; Department of Anaesthesia, Aneurin Bevan Health Board, Newport, UK., Rosenblatt M; Mount Sinai Health System, New York, New York, USA., Sadler A; Department of Anaesthesia, NHS Tayside, Dundee, UK., Sebastian MP; Department of Anaesthetics, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK., Taylor A; Department of Anaesthesia, NHS Tayside, Dundee, UK., Thottungal A; Department of Anaesthesia & Pain Management, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK., Valdés-Vilches LF; Anesthesia Department, Hospital Costa del Sol, Marbella, Spain., Volk T; Department of Anaesthesiology, Critical Care & Pain Therapy, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany., West S; Department of Anaesthetics, University College London, London, UK., Wolmarans M; Anaesthesiology, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK., Womack J; Department of Anaesthesia, Royal Victoria Infirmary, Newcastle upon Tyne, UK., Macfarlane AJR; School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.; Department of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK.
Jazyk:	angličtina
Zdroj:	Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2022 Feb; Vol. 47 (2), pp. 106-112. Date of Electronic Publication: 2021 Sep 22.
DOI:	10.1136/rapm-2021-103004
Abstrakt:	There is no universally agreed set of anatomical structures that must be identified on ultrasound for the performance of ultrasound-guided regional anesthesia (UGRA) techniques. This study aimed to produce standardized recommendations for core (minimum) structures to identify during seven basic blocks. An international consensus was sought through a modified Delphi process. A long-list of anatomical structures was refined through serial review by key opinion leaders in UGRA. All rounds were conducted remotely and anonymously to facilitate equal contribution of each participant. Blocks were considered twice in each round: for "orientation scanning" (the dynamic process of acquiring the final view) and for the "block view" (which visualizes the block site and is maintained for needle insertion/injection). Strong recommendations for inclusion were made if ≥75% of participants rated a structure as "definitely include" in any round. Weak recommendations were made if >50% of participants rated a structure as "definitely include" or "probably include" for all rounds (but the criterion for "strong recommendation" was never met). Thirty-six participants (94.7%) completed all rounds. 128 structures were reviewed; a "strong recommendation" is made for 35 structures on orientation scanning and 28 for the block view. A "weak recommendation" is made for 36 and 20 structures, respectively. This study provides recommendations on the core (minimum) set of anatomical structures to identify during ultrasound scanning for seven basic blocks in UGRA. They are intended to support consistent practice, empower non-experts using basic UGRA techniques, and standardize teaching and research. Competing Interests: Competing interests: AD, CL, EM, LFV-V, TV, and MW are members of the Executive Board of the European Society of Regional Anaesthesia & Pain Therapy (ESRA). NE, SK, SM, SN, and MAR are members of the Board of Directors of the American Society of Regional Anesthesia & Pain Medicine (ASRA). AG, NH, DFJ, RJK, AJRM, AP, MPS, AT, LT, SW, JW are members of the Board of Regional Anaesthesia UK (RAUK). WH-G is the Vice-President of the Royal College of Anaesthetists. JSB, DBSL, AJRM, DP & AT declare honoraria and/or research funding from Intelligent Ultrasound. JAN is a Senior Scientific Advisor for Intelligent Ultrasound Limited. AP declares consultancy fees for B Braun Medical UK and honoraria from GE Healthcare, Butterfly Net Inc, Sintetica UK Ltd, and Pacira. (© American Society of Regional Anesthesia & Pain Medicine 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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