Have you ever used peripheral regional anaesthesia as the sole anaesthetic technique in a child?
Of 99 patients, 82% were successful!
Success rate increased with age, from 67% in 6-year-olds to 100% in 12-year-olds.
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Racial and ethnic disparities exist in obstetric anaesthesia.
Patients categorised as Asian or Black had lower odds of receiving neuraxial analgesia when compared with those from White backgrounds.
#anaesthesia #obstetrics #pain #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16581
Editorial: ‘Pain as regional anaesthesia wears off’ or ‘rebound pain’: what's in a name?
Is it better to give dexamethasone intravenously or via the perineural route?
This systematic review & meta-analysis shows that iv dexamethasone was associated with a high probability of 
incidence of rebound pain after peripheral nerve block.
#anaesthesia #medicine #pain #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16566
Does the ROUTE that you give dexamethasone for rebound pain following peripheral nerve blocks matter?
For those of you who missed the, ahem, discussion around ultrasound-guided neuraxial puncture last week, it's not too late to check out the editorial and join the debate!
#anaesthesia #medicine #regionalanaesthesia #pain #POCUS #obstetrics #pain #healthcare
"In the face of clear evidence of benefit, clinicians appear reluctant to fully embrace ultrasound in neuraxial puncture. This [is similar] to the implementation of videolaryngoscopy into routine clinical care."
#anaesthesia #medicine #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16558
Should anaesthetists be using peri-operative ultrasound for neuraxial procedures?
Ultrasound is commonly used for venous access and peripheral nerve blocks.
Why not spinals and epidurals?
#anaesthesia #medicine #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16558
In patients having hip fracture surgery, those with postoperative delirium had a higher incidence of major and mild postoperative cognitive decline than patients without delirium (82.3% vs. 23.7%).
#anaesthesia #medicine #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16545
Hip fracture surgery - GA vs RA
The incidence of cognitive decline at 12 months was nearly the same - 29.7% in GA vs. 25.4% in RA.
Original Article: Incidence of 12-month postoperative cognitive decline following regional vs. general anaesthesia in older patients undergoing hip fracture surgery: follow-up of the RAGA trial
Compared with general anaesthesia, does regional anaesthesia decrease the incidence of 12-month postoperative cognitive decline?
#anaesthesia #medicine #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16545
How should we design ultrasound-guided regional anaesthesia simulation training?
Optimal combinations of instructional design features for higher-level outcomes (such as behavioural change in the professional setting and patient outcomes) remain unclear.
Review Article: Instructional design features in ultrasound-guided regional anaesthesia simulation-based training: a systematic review
In ultrasound-guided regional anaesthesia simulation-based medical education, the most common instructional design features identified included expert instructor presence; repetitive practice; multiple learning strategies; and feedback.
Looking for some #regionalanaesthesia research inspiration?
Here are some top-ranked research priority questions in regional anaesthesia reformulated as possible research studies.
Featuring rib & hip fractures, mastectomies, AI & dexamethasone!
#medicine #MedMastodon #anaesthesia #healthcare
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16518
Research priorities in #regionalanaesthesia identified by anaesthetists have been published, BUT the views of patients, carers & other healthcare professionals have not been considered.
Enter the Regional Anaesthesia UK (RA-UK) priority setting partnership!
#medicine #anaesthesia #healthcare #MedMastodon
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16473
Erector spinae plane block v rectus sheath block
• What primary endpoints establish superiority between blocks?
• Without assessing standardised endpoints eg time of first activity, GI recovery, duration of hospital stay and patient satisfaction, how can we know the clinical significance?
• How generalisable is this study to other countries?
#medicine #MedMastodon #healthcare #anaesthesia #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16466
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16421
What are the issues with fascial plane blocks?
• Non-robust research
• Prolific researchers have had multiple retractions
• Likely publication bias
• Outcome measures are difficult to define
• Plethora of 'novel' blocks make interpreting results difficult
• Blocks don't cover visceral pain
#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #medicine #pain #healthcare #MedMastodon
Too good to be true? Erector spinae block in low-resource settings: navigate with caution
#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #healthcare #medicine #MedMastodon
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16426
