Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of upper and lower limb nerve blocks.

Details

Serval ID
serval:BIB_4FA33657DBD3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of upper and lower limb nerve blocks.
Journal
Regional anesthesia and pain medicine
Author(s)
El-Boghdadly K., Albrecht E., Wolmarans M., Mariano E.R., Kopp S., Perlas A., Thottungal A., Gadsden J., Tulgar S., Adhikary S., Aguirre J., Agur AMR, Altıparmak B., Barrington M.J., Bedforth N., Blanco R., Bloc S., Boretsky K., Bowness J., Breebaart M., Burckett-St Laurent D., Carvalho B., Chelly J.E., Chin K.J., Chuan A., Coppens S., Costache I., Dam M., Desmet M., Dhir S., Egeler C., Elsharkawy H., Bendtsen T.F., Fox B., Franco C.D., Gautier P.E., Grant S.A., Grape S., Guheen C., Harbell M.W., Hebbard P., Hernandez N., Hogg RMG, Holtz M., Ihnatsenka B., Ilfeld B.M., Ip VHY, Johnson R.L., Kalagara H., Kessler P., Kwofie M.K., Le-Wendling L., Lirk P., Lobo C., Ludwin D., Macfarlane AJR, Makris A., McCartney C., McDonnell J., McLeod G.A., Memtsoudis S.G., Merjavy P., Moran EML, Nader A., Neal J.M., Niazi A.U., Njathi-Ori C., O'Donnell B.D., Oldman M., Orebaugh S.L., Parras T., Pawa A., Peng P., Porter S., Pulos B.P., Sala-Blanch X., Saporito A., Sauter A.R., Schwenk E.S., Sebastian M.P., Sidhu N., Sinha S.K., Soffin E.M., Stimpson J., Tang R., Tsui BCH, Turbitt L., Uppal V., van Geffen G.J., Vermeylen K., Vlassakov K., Volk T., Xu J.L., Elkassabany N.M.
ISSN
1532-8651 (Electronic)
ISSN-L
1098-7339
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Inconsistent nomenclature and anatomical descriptions of regional anesthetic techniques hinder scientific communication and engender confusion; this in turn has implications for research, education and clinical implementation of regional anesthesia. Having produced standardized nomenclature for abdominal wall, paraspinal and chest wall regional anesthetic techniques, we aimed to similarly do so for upper and lower limb peripheral nerve blocks.
We performed a three-round Delphi international consensus study to generate standardized names and anatomical descriptions of upper and lower limb regional anesthetic techniques. A long list of names and anatomical description of blocks of upper and lower extremities was produced by the members of the steering committee. Subsequently, two rounds of anonymized voting and commenting were followed by a third virtual round table to secure consensus for items that remained outstanding after the first and second rounds. As with previous methodology, strong consensus was defined as ≥75% agreement and weak consensus as 50%-74% agreement.
A total of 94, 91 and 65 collaborators participated in the first, second and third rounds, respectively. We achieved strong consensus for 38 names and 33 anatomical descriptions, and weak consensus for five anatomical descriptions. We agreed on a template for naming peripheral nerve blocks based on the name of the nerve and the anatomical location of the blockade and identified several areas for future research.
We achieved consensus on nomenclature and anatomical descriptions of regional anesthetic techniques for upper and lower limb nerve blocks, and recommend using this framework in clinical and academic practice. This should improve research, teaching and learning of regional anesthesia to eventually improve patient care.
Keywords
Anesthesia, Local, Brachial Plexus, Lower Extremity, Regional anesthesia, analgesia, REGIONAL ANESTHESIA
Pubmed
Web of science
Create date
07/12/2023 16:04
Last modification date
20/01/2024 7:12
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