Best Practice and Research. Clinical Anaesthesiology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Pain measurement and critical review of analgesic trials: pain scores, functional pain measurements, limits and bias of clinical trials
Publication date: Available online 12 August 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Adrien Lemoine, Valeria Martinez, Francis BonnetRandomized clinical trials designed to assess analgesic agents and/or techniques used for postoperative pain control have several limitations, which are addressed in this article. Efficacy of analgesics cannot be limited to the evaluation of pain intensity or the amount of opioid rescue medication, but it also means to evaluate parameters such as the delay and duration of the effect, the number of patients with satisfactory pain control, and side effects. Becau...
Source: Best Practice and Research Clinical Anaesthesiology - September 12, 2019 Category: Anesthesiology Source Type: research

Incidence of vocal cord paresis following ultrasound-guided interscalene nerve block: An observational cohort study
ConclusionsAlthough larger studies are required to determine the true incidence of vocal cord paresis following US-guided IBPB, our results suggest that incidence of unwanted nerve blockade other than brachial plexus is much lower than that previously described. (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - August 30, 2019 Category: Anesthesiology Source Type: research

Postoperative acute pain challenges in patients with cancer
In conclusion, the management of acute postoperative pain in patients with cancer can be challenging. (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - August 30, 2019 Category: Anesthesiology Source Type: research

Perioperative hemodynamic monitoring: Still a place for cardiac filling pressures?
Publication date: Available online 22 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Christian Schmidt, Astrid Ellen Berggreen, Matthias HeringlakeThe clinical usefulness of the so-called “static” cardiac filling pressures - central (CVP) and pulmonary-artery-occlusion-pressure (PAOP) – has come into question for guiding hemodynamic therapy due to their poor ability to predict fluid responsiveness in comparison with other monitoring modalities such as transpulmonary thermodilution-derived volumetric measurements, dynamic variables for assessing fluid responsiveness, and the potential ris...
Source: Best Practice and Research Clinical Anaesthesiology - August 21, 2019 Category: Anesthesiology Source Type: research

Best practice & research clinical anaesthesiology: Advances in haemodynamic monitoring for the perioperative patient: Perioperative cardiac output monitoring
Publication date: Available online 22 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Berthold Bein, Jochen RennerLess invasive or even completely non-invasive haemodynamic monitoring technologies have evolved during the last decades. Even established, invasive devices such as the pulmonary artery catheter and transpulmonary thermodilution have still an evidence-based place in the perioperative setting, albeit only in special patient populations. Accumulating evidence suggests to use continuous haemodynamic monitoring, especially flow-based variables such as stroke volume or cardiac output to p...
Source: Best Practice and Research Clinical Anaesthesiology - August 18, 2019 Category: Anesthesiology Source Type: research

Postoperative ward monitoring – Why and what now?
Publication date: Available online 23 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Ashish K. Khanna, Sanchit Ahuja, Robert S. Weller, Timothy N. HarwoodThe postoperative ward is considered an ideal nursing environment for stable patients transitioning out of the hospital. However, approximately half of all in-hospital cardiorespiratory arrests occur here and are associated with poor outcomes. Current monitoring practices on the hospital ward mandate intermittent vital sign checks. Subtle changes in vital signs often occur at least 8–12 h before an acute event, and continuous monitoring of...
Source: Best Practice and Research Clinical Anaesthesiology - August 15, 2019 Category: Anesthesiology Source Type: research

Pain measurement and critical review of analgesic trials
Publication date: Available online 12 August 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Adrien Lemoine, Valeria Martinez, Francis BonnetAbstractRandomized clinical trials designed to assess analgesic agents and/or techniques used for postoperative pain control, have several limitations, which are addressed in this article. Efficacy of analgesics cannot be limited to the evaluation of pain intensity or the amount of opioid rescue medication, but also means to evaluate parameters such as the delay and duration of the effect, the number of patients with satisfactory pain control, and side effects....
Source: Best Practice and Research Clinical Anaesthesiology - August 13, 2019 Category: Anesthesiology Source Type: research

Novel utilization of fascial layer blocks in hip and knee procedures
Publication date: Available online 17 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Jinlei Li, Shuai Tang, David Lam, Anja Hergrueter, Jeremy Dennis, Henry LiuPurposeof review: Novel motor-sparing peripheral nerve blocks in hip and knee procedures are desirable.Recent findingsThe application of ultrasound (US) in fascial plane blocks has improved the efficacy and effectiveness of obturator nerve block, lateral femoral cutaneous nerve block, and quadratus lumborum block. The improved performance of these fascial plane blocks has led to additional clinical applications to the hip and knee proce...
Source: Best Practice and Research Clinical Anaesthesiology - August 10, 2019 Category: Anesthesiology Source Type: research

PECS, serratus plane, erector spinae, and paravertebral blocks: A comprehensive review
Publication date: Available online 17 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Erik M. Helander, Michael P. Webb, Julia Kendrick, Tim Montet, Aaron J. Kaye, Elyse M. Cornett, Alan David KayeThoracic planar blocks represent a novel and rapidly expanding facet of regional anesthesia. These recently described techniques represent the potential for excellent analgesia, enhanced technical safety profiles, and reduced physiological side effects versus traditional techniques in thoracic anesthesia. Regional techniques, particularly those described in this review, have potential implications for...
Source: Best Practice and Research Clinical Anaesthesiology - August 9, 2019 Category: Anesthesiology Source Type: research

Interfascial plane blocks
This article will define interfascial plane blocks, discuss the potential benefits, review the most common techniques and the evidence supporting their indication, and guide clinicians in selecting an appropriate interfascial plane block for different types of surgical procedures. (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - August 9, 2019 Category: Anesthesiology Source Type: research

The Role of Regional Anesthesia in the Propagation of Cancer: A Comprehensive Review
Publication date: Available online 31 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Sudipta Sen, Veerandra Koyyalamudi, Darwin D. Smith, Ricardo A. Weis, Michael Molloy, Allyson L. Spence, Aaron J. Kaye, Carmen C. Labrie-Brown, O. Morgan Hall, Elyse M. Cornett, Alan David KayeAbstractCancer incidence worldwide will eclipse 18 million in 2019 with nearly 10 million cancer related deaths. It is estimated that in the United States, almost 40% of all individuals alive today will be diagnosed with cancer in their lifetimes. Surgical resection of primary tumors remains a cornerstone of cancer treat...
Source: Best Practice and Research Clinical Anaesthesiology - July 31, 2019 Category: Anesthesiology Source Type: research

Postoperative acute pain challenges in the cancer patient
In conclusion, the management of acute postoperative pain in patients with cancer can be challenging. (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - July 27, 2019 Category: Anesthesiology Source Type: research

Postoperative pain management in the era of ERAS: an overview
This article presents an improved approach to developing pain management guidelines, as well as pragmatic approach to procedure-specific perioperative pain management that could be incorporated in an ERAS pathway. (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - July 27, 2019 Category: Anesthesiology Source Type: research

Fascia Iliaca Block, History, Technique, and Efficacy in Clinical Practice
Publication date: Available online 26 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Mark R. Jones, Matthew B. Novitch, O. Morgan Hall, Andrew P. Bourgeois, George M. Jeha, Rachel J. Kaye, Vwaire Orhurhu, Mariam Salisu Orhurhu, Matthew Eng, Elyse M. Cornett, Alan David KayeAbstractThe facsia iliaca block (FIB) is a relatively new regional technique where local anesthetic is delivered within the fascia iliaca region. Indications for a FIB include surgical anesthesia to the lower extremity after knee, femoral shaft, hip surgery, management of cancer pain or pain secondary to inflammatory conditi...
Source: Best Practice and Research Clinical Anaesthesiology - July 27, 2019 Category: Anesthesiology Source Type: research

Recent Technological Advancements in Regional Anesthesia
Publication date: Available online 25 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Sudipta Sen, Michelle Ge, Amit Prabhakar, Vanessa Moll, Rachel J. Kaye, Elyse M. Cornett, O.Morgan Hall, Ira.W. Padnos, Richard D. Urman, Alan David KayeAbstractJust two decades ago, regional anesthesia was performed blindly with dubious outcomes and little support from surgeons and patients. Technological advances in regional anesthesia have revolutionized techniques and greatly improved outcomes. Ultrasound technology continues to advance and has become more affordable. Improvements have come in the form of ...
Source: Best Practice and Research Clinical Anaesthesiology - July 26, 2019 Category: Anesthesiology Source Type: research