Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks
| Autor: | Margaretha B. Breebaart, Anahi Perlas, Sandra L. Kopp, Edward R. Mariano, Clara Lobo, Rafael Blanco, Lloyd Turbitt, Rebecca L. Johnson, Mette Dam, Hesham Elsharkawy, Ellen M. Soffin, Amit Pawa, Manoj K. Karmakar, Teresa Parras, Angela D Stengel, Maria Fernanda Rojas Gomez, Karen Boretsky, Nabil M. Elkassabany, Mario Fajardo, Athmaja Thottungal, Kwesi Kwofie, Jeff L Xu, Eml Moran, Jeff Gadsden, Paul Kessler, Peter Merjavy, Andrea Saporito, P. Hebbard, Nadia Hernandez, Sandra Coppens, David Burckett-St Laurent, Serkan Tulgar, Başak Altıparmak, Jens Børglum, Admir Hadzic, Philippe Gautier, Michael J. Barrington, Kariem El-Boghdadly, Ki Jinn Chin, Alwin Chuan, Sanjay K. Sinha, John G. McDonnell, Thomas Volk, Graeme McLeod, Xavier Capdevila, Danielle Ludwin, Brendan Carvalho, C. Egeler, Rosemary Hogg, Vishal Uppal, I. Costache, Ban C. H. Tsui, Xavier Sala-Blanch, Geert J. van Geffen, Morné Wolmarans, Brian D O'Donnell, Eric Albrecht, Margaret Holtz, Sanjib Das Adhikary, Stuart A Grant, S Bloc, Alan J. R. Macfarlane |
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| Přispěvatelé: | MÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Altıparmak, Başak |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Consensus Standardization Delphi Technique Delphi method Regional anesthesia Harmonization Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Abdominal wall 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Block (programming) Anesthesia Conduction medicine Humans Medical physics 030212 general & internal medicine Thoracic Wall Nomenclature computer.programming_language business.industry Abdominal Wall General Medicine Anesthesiology and Pain Medicine medicine.anatomical_structure ASRA-ESRA Human medicine business computer Delphi |
| Zdroj: | Regional anesthesia and pain medicine Regional Anesthesia and Pain Medicine, 46, 571-580 Regional Anesthesia and Pain Medicine, 46, 7, pp. 571-580 |
| ISSN: | 1098-7339 |
| Popis: | BackgroundThere is heterogeneity in the names and anatomical descriptions of regional anesthetic techniques. This may have adverse consequences on education, research, and implementation into clinical practice. We aimed to produce standardized nomenclature for abdominal wall, paraspinal, and chest wall regional anesthetic techniques.MethodsWe conducted an international consensus study involving experts using a three-round Delphi method to produce a list of names and corresponding descriptions of anatomical targets. After long-list formulation by a Steering Committee, the first and second rounds involved anonymous electronic voting and commenting, with the third round involving a virtual round table discussion aiming to achieve consensus on items that had yet to achieve it. Novel names were presented where required for anatomical clarity and harmonization. Strong consensus was defined as ≥75% agreement and weak consensus as 50% to 74% agreement.ResultsSixty expert Collaborators participated in this study. After three rounds and clarification, harmonization, and introduction of novel nomenclature, strong consensus was achieved for the names of 16 block names and weak consensus for four names. For anatomical descriptions, strong consensus was achieved for 19 blocks and weak consensus was achieved for one approach. Several areas requiring further research were identified.ConclusionsHarmonization and standardization of nomenclature may improve education, research, and ultimately patient care. We present the first international consensus on nomenclature and anatomical descriptions of blocks of the abdominal wall, chest wall, and paraspinal blocks. We recommend using the consensus results in academic and clinical practice. |
| Databáze: | OpenAIRE |
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