Standardization of nomenclature for paraspinal interfascial nerve block: adding some more confusion

Saikia, Priyam; Sen, Trina

doi:10.1136/rapm-2019-101203

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…This has led to dozens of novel techniques characterized by the delivery of local anesthesia around discrete nerves or within fascial planes of the chest wall to target nerves beyond there neuraxial origins. Although innovative, efforts to characterize nerve blocks have been somewhat disparate in nature and are accompanied by heterogeneous nomenclature and anatomical description [31,32,33,34]. As a result, it been challenging to disseminate, discuss, or analyze the effectiveness of these strategies as similar techniques may carry different names and, conversely, a single name may be assigned to more than one techniques.…”

Section: Regional Nomenclaturementioning

confidence: 99%

Regional analgesia for cardiac surgery

Grant

Gregory

Ouanes

2022

Current Opinion in Anaesthesiology

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Purpose of review Regional anesthesia is gaining attention as a valuable component of multimodal, opioid-sparing analgesia in cardiac surgery, where improving the patient's quality of recovery while minimizing the harms of opioid administration are key points of emphasis in perioperative care. This review serves as an outline of recent advancements in a variety of applications of regional analgesia for cardiac surgery. Recent findingsGrowing interest in regional analgesia, particularly the use of newer ''chest wall blocks'', has led to accumulating evidence for the efficacy of multiple regional techniques in cardiac surgery. These include a variety of technical approaches, with results consistently demonstrating optimized pain control and reduced opioid requirements. Regional and pain management experts have worked to derive consensus around nerve block nomenclature, which will be foundational to establish best practice, design and report future research consistently, improve medical education, and generally advance our knowledge in this vital area of perioperative patient care.

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Section: Regional Nomenclaturementioning

confidence: 99%

Regional analgesia for cardiac surgery

Grant

Gregory

Ouanes

2022

Current Opinion in Anaesthesiology

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“…Similar techniques carry different names, and techniques with the same name may represent very different technical approaches and targets. [2][3][4][5][6][7][8][9][10][11] This inconsistency may prevent clear communication in clinical…”

mentioning

confidence: 99%

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

El‐Boghdadly

Wolmarans

Stengel³

et al. 2021

Reg Anesth Pain Med

161

117

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BackgroundThere 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.MethodsWe 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.ResultsSixty 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.ConclusionsHarmonization 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.

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“…We would like to thank Drs Saikia and Sen for writing the letter “Standardization of nomenclature for paraspinal interfasical nerve block: adding some more confusion”, in response to our article 1 2. After reviewing their concerns, it appears that there are two points to address.…”

mentioning

confidence: 99%