Recommendations for anatomical structures to identify on ultrasound for the performance of intermediate and advanced blocks in ultrasound-guided regional anesthesia
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Le résumé fourni par la source
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.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Recommendations for anatomical structures to identify on ultrasound for the performance of intermediate and advanced blocks in ultrasound-guided regional anesthesia
- Date Crossref
- 05/09/2022
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University College London Department of Anaesthetics pays non établi dans la noticeUniversité ou école supérieure
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Aneurin Bevan University Health Board pays non établi dans la noticeÉtablissement de santé
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John Radcliffe Hospital pays non établi dans la noticeÉtablissement de santé
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University of Oxford pays non établi dans la noticeUniversité ou école supérieure
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Glasgow Royal Infirmary pays non établi dans la noticeÉtablissement de santé
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University of Glasgow pays non établi dans la noticeUniversité ou école supérieure
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Belfast Health and Social Care Trust pays non établi dans la noticeÉtablissement de santé
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Imperial College Healthcare NHS Trust Department of Anaesthesia pays non établi dans la noticeÉtablissement de santé
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Imperial College London Department of Surgery and Cancer pays non établi dans la noticeUniversité ou école supérieure
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Nottingham University Hospitals NHS Trust Department of Anaesthesia and Critical Care pays non établi dans la noticeÉtablissement de santé
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Royal Cornwall Hospital Trust pays non établi dans la noticeÉtablissement de santé
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Royal Cornwall Hospital Department of Anaesthesia pays non établi dans la noticeÉtablissement de santé
Department of Anaesthetics — University College London, Aneurin Bevan University Health Board et John Radcliffe Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.