Recommendations for anatomical structures to identify on ultrasound for the performance of intermediate and advanced blocks in ultrasound-guided regional anesthesia.

Autor:	Ashken T; Department of Anaesthetics, University College London, London, UK., Bowness J; OxSTaR, Oxford University, Oxford, UK james.bowness@jesus.ox.ac.uk.; Department of Anaesthesia, Aneurin Bevan Health Board, Newport, UK., Macfarlane AJR; Department of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK.; University of Glasgow, Glasgow, UK., Turbitt L; Department of Anaesthesia, Belfast Health and Social Care Trust, Belfast, UK., Bellew B; Department of Surgery and Cancer, Imperial College London, London, UK.; Department of Anaesthesia, Imperial College Healthcare NHS Trust, London, UK., Bedforth N; Department of Anaesthesia and Critical Care, 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., El-Boghdadly K; Department of Anaesthesia and Perioperative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.; Centre for Human & Applied Physiological Sciences, King's College London, London, UK., Elkassabany NM; Department of Anesthesiology and Critical 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, UK., French JLH; Department of Anaesthesia, Nottingham University Hospitals NHS Trust, Nottingham, UK., Grant C; Department of Anaesthesia, NHS Tayside, Dundee, UK., Gupta A; Anaesthetics, Gateshead Health NHS Foundation Trust, Gateshead, UK., Gupta RK; Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Gürkan Y; Department of Anesthesiology and Reanimation, School of Medicine, Koç University, Istanbul, Turkey., Haslam N; Department of Anaesthesia, South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK., Higham H; Nuffield Department of Anaesthesia, Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Hogg RMG; 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; Department of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK.; School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK., Lobo C; Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE., McKinlay S; Department of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK.; University of Glasgow, Glasgow, UK., 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., Memtsoudis S; Department of Anesthesiology, Critical Care & Pain Management, Hospital for Specialist Surgery, New York City, New York, USA.; Weill Cornell Medical College, New York City, New York, USA., Merjavy P; Department of Anaesthesia, Craigavon Area Hospital, Portadown, UK., Narayanan M; Department of Anaesthesia, Frimley Park Hospital, Frimley, UK., Noble JA; IBME, University of Oxford, Oxford, UK., Phillips D; Department of Anaesthesia, Aneurin Bevan Health Board, Newport, UK., Rosenblatt M; Anesthesiology, Perioperative and Pain Medicine, Mount Sinai Health System, New York City, New York, USA., Sadler A; Department of Anaesthesia, NHS Tayside, Dundee, UK., Sebastian MP; Department of Anaesthetics, Royal National Orthopaedic Hospital NHS Trust, Stanmore, London, UK., Schwenk ES; Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., 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, Andalucía, Spain., Volk T; Department of Anaesthesiology, Intensive Care and 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., Pawa A; Department of Anaesthesia and Perioperative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.; Faculty of Life Sciences and Medicine, King's College London, London, UK.
Jazyk:	angličtina
Zdroj:	Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2022 Dec; Vol. 47 (12), pp. 762-772. Date of Electronic Publication: 2022 Sep 05.
DOI:	10.1136/rapm-2022-103738
Abstrakt:	Recent recommendations describe a set of core anatomical structures to identify on ultrasound for the performance of basic blocks in ultrasound-guided regional anesthesia (UGRA). This project aimed to generate consensus recommendations for core structures to identify during the performance of intermediate and advanced blocks. An initial longlist of structures was refined by an international panel of key opinion leaders in UGRA over a three-round Delphi process. All rounds were conducted virtually and anonymously. Blocks were considered twice in each round: for "orientation scanning" (the dynamic process of acquiring the final view) and for "block view" (which visualizes the block site and is maintained for needle insertion/injection). A "strong recommendation" was made if ≥75% of participants rated any structure as "definitely include" in any round. A "weak recommendation" was made if >50% of participants rated it as "definitely include" or "probably include" for all rounds, but the criterion for strong recommendation was never met. Structures which did not meet either criterion were excluded. Forty-one participants were invited and 40 accepted; 38 completed all three rounds. Participants considered the ultrasound scanning for 19 peripheral nerve blocks across all three rounds. Two hundred and seventy-four structures were reviewed for both orientation scanning and block view; a "strong recommendation" was made for 60 structures on orientation scanning and 44 on the block view. A "weak recommendation" was made for 107 and 62 structures, respectively. These recommendations are intended to help standardize teaching and research in UGRA and support widespread and consistent practice. Competing Interests: Competing interests: AD, YG, CG, LFV-V, TV, and MW are members of the Executive Board of the ESRA. NME, RKG, and MR are members of the Board of Directors of the ASRA. ERM, SM, and ESS sit on ASRA Committees. TA, AG, NH, DFJ, RJK, AJRM, AP, MPS, AT, LT, SW, and JW are members of the Board of RA-UK. KEB is the Scientific Officer for the Difficult Airway Society. JSB, DBSL, AJRM, DP, and AT declare honoraria and/or research funding from Intelligent Ultrasound. JAN is a Senior Scientific Advisor for Intelligent Ultrasound. AP declares honoraria from GE Healthcare, Butterfly Net, Sintetica UK, 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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