RT Journal Article
T1 Recommendations for anatomical structures to identify on ultrasound for the performance of intermediate and advanced blocks in ultrasound-guided regional anesthesia.
A1 Ashken, Toby
A1 Bowness, James
A1 Macfarlane, Alan James Robert
A1 Turbitt, Lloyd
A1 Bellew, Boyne
A1 Bedforth, Nigel
A1 Burckett-St Laurent, David
A1 Delbos, Alain
A1 El-Boghdadly, Kariem
A1 Elkassabany, Nabil M
A1 Ferry, Jenny
A1 Fox, Ben
A1 French, James L H
A1 Grant, Calum
A1 Gupta, Ashwani
A1 Gupta, Rajnish K
A1 Gürkan, Yavuz
A1 Haslam, Nat
A1 Higham, Helen
A1 Hogg, Rosemary M G
A1 Johnston, David F
A1 Kearns, Rachel Joyce
A1 Lobo, Clara
A1 McKinlay, Sonya
A1 Mariano, Edward R
A1 Memtsoudis, Stavros
A1 Merjavy, Peter
A1 Narayanan, Madan
A1 Noble, J Alison
A1 Phillips, David
A1 Rosenblatt, Meg
A1 Sadler, Amy
A1 Sebastian, Maria Paz
A1 Schwenk, Eric S
A1 Taylor, Alasdair
A1 Thottungal, Athmaja
A1 Valdés-Vilches, Luis Fernando
A1 Volk, Thomas
A1 West, Simeon
A1 Wolmarans, Morné
A1 Womack, Jonathan
A1 Pawa, Amit
K1 lower extremity (regional anesthesia)
K1 pain management
K1 regional anesthesia
K1 ultrasonography
K1 upper extremity (regional anesthesia)
AB 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.
YR 2022
FD 2022-09-05
LK http://hdl.handle.net/10668/20168
UL http://hdl.handle.net/10668/20168
LA en
DS RISalud
RD Apr 7, 2025