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3. Standardizing nomenclature in regional anesthesia:An ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks

Author

El-Boghdadly, Kariem, Wolmarans, Morné, Stengel, Angela D., Albrecht, Eric, Chin, Ki Jinn, Elsharkawy, Hesham, Kopp, Sandra, Mariano, Edward R., Xu, Jeff L., Adhikary, Sanjib, Altlparmak, Başak, Barrington, Michael J., Bloc, Sébastien, Blanco, Rafael, Boretsky, Karen, Børglum, Jens, Breebaart, Margaretha, Laurent, David Burckett St, Capdevila, Xavier, Carvalho, Brendan, Chuan, Alwin, Coppens, Steve, Costache, Ioana, Dam, Mette, Egeler, Christian, Fajardo, Mario, Gadsden, Jeff, Gautier, Philippe Emmanuel, Grant, Stuart Alan, Hadzic, Admir, Hebbard, Peter, Hernandez, Nadia, Hogg, Rosemary, Holtz, Margaret, Johnson, Rebecca L., Karmakar, Manoj Kumar, Kessler, Paul, Kwofie, Kwesi, Lobo, Clara, Ludwin, Danielle, MacFarlane, Alan, McDonnell, John, McLeod, Graeme, Merjavy, Peter, Moran, E. M.L., O'Donnell, Brian D., Parras, Teresa, Pawa, Amit, Perlas, Anahi, Rojas Gomez, Maria Fernanda, Sala-Blanch, Xavier, Saporito, Andrea, Sinha, Sanjay Kumar, Soffin, Ellen M., Thottungal, Athmaja, Tsui, Ban C.H., Tulgar, Serkan, Turbitt, Lloyd, Uppal, Vishal, Van Geffen, Geert J., Volk, Thomas, Elkassabany, Nabil M., El-Boghdadly, Kariem, Wolmarans, Morné, Stengel, Angela D., Albrecht, Eric, Chin, Ki Jinn, Elsharkawy, Hesham, Kopp, Sandra, Mariano, Edward R., Xu, Jeff L., Adhikary, Sanjib, Altlparmak, Başak, Barrington, Michael J., Bloc, Sébastien, Blanco, Rafael, Boretsky, Karen, Børglum, Jens, Breebaart, Margaretha, Laurent, David Burckett St, Capdevila, Xavier, Carvalho, Brendan, Chuan, Alwin, Coppens, Steve, Costache, Ioana, Dam, Mette, Egeler, Christian, Fajardo, Mario, Gadsden, Jeff, Gautier, Philippe Emmanuel, Grant, Stuart Alan, Hadzic, Admir, Hebbard, Peter, Hernandez, Nadia, Hogg, Rosemary, Holtz, Margaret, Johnson, Rebecca L., Karmakar, Manoj Kumar, Kessler, Paul, Kwofie, Kwesi, Lobo, Clara, Ludwin, Danielle, MacFarlane, Alan, McDonnell, John, McLeod, Graeme, Merjavy, Peter, Moran, E. M.L., O'Donnell, Brian D., Parras, Teresa, Pawa, Amit, Perlas, Anahi, Rojas Gomez, Maria Fernanda, Sala-Blanch, Xavier, Saporito, Andrea, Sinha, Sanjay Kumar, Soffin, Ellen M., Thottungal, Athmaja, Tsui, Ban C.H., Tulgar, Serkan, Turbitt, Lloyd, Uppal, Vishal, Van Geffen, Geert J., Volk, Thomas, and Elkassabany, Nabil M.

Abstract

Background There 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. Methods We 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. Results Sixty 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. Conclusions Harmonization 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.

Published
2021

11. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia

Author

Tsui, Ban C.H. editor., Suresh, Santhanam. editor., SpringerLink (Online service), Tsui, Ban C.H. editor., Suresh, Santhanam. editor., and SpringerLink (Online service)

Abstract

This is the first comprehensive text-atlas that shows how to use ultrasound technology and nerve stimulation techniques to guide regional blockade in children. Clinical chapters follow a sequential, highly illustrated format that provides step-by-step guidance and include cases, clinical pearls, and troubleshooting tips. Nearly 400 figures, consisting of ultrasound images, MRI images, and schematics, have been assembled to maximize understanding of pediatric neuroanatomy and its relationship to surrounding anatomical structures. To help the novice user, the book features side-by-side presentation of unlabeled and labeled ultrasound images. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia focuses on common approaches, supplemented in clinical pearls and notes by alternative approaches, and emphasizes dynamic and systematic scanning techniques. It is intended for pediatric anesthesiologists who wish to incorporate regional blockade into their repertoire and designed as a refresher and resource for all regional anesthesiologists seeking to refine their skills. Unique Selling Points: Internationally renowned experts Presents two technologies proven to improve block success when used together Superb coverage of pediatric anatomy in relation to regional anesthesia Equipment, set-up, pain assessment, local anesthetic pharmacology, and patient safety consider ations for child patients.

Published
2016

12. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia / edited by Ban C.H. Tsui, Santhanam Suresh.

Author

Tsui, Ban C.H. editor., Suresh, Santhanam. editor., SpringerLink (Online service), Tsui, Ban C.H. editor., Suresh, Santhanam. editor., and SpringerLink (Online service)

Abstract

This is the first comprehensive text-atlas that shows how to use ultrasound technology and nerve stimulation techniques to guide regional blockade in children. Clinical chapters follow a sequential, highly illustrated format that provides step-by-step guidance and include cases, clinical pearls, and troubleshooting tips. Nearly 400 figures, consisting of ultrasound images, MRI images, and schematics, have been assembled to maximize understanding of pediatric neuroanatomy and its relationship to surrounding anatomical structures. To help the novice user, the book features side-by-side presentation of unlabeled and labeled ultrasound images. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia focuses on common approaches, supplemented in clinical pearls and notes by alternative approaches, and emphasizes dynamic and systematic scanning techniques. It is intended for pediatric anesthesiologists who wish to incorporate regional blockade into their repertoire and designed as a refresher and resource for all regional anesthesiologists seeking to refine their skills. Unique Selling Points: Internationally renowned experts Presents two technologies proven to improve block success when used together Superb coverage of pediatric anatomy in relation to regional anesthesia Equipment, set-up, pain assessment, local anesthetic pharmacology, and patient safety consider ations for child patients.

Published
2016

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