Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of upper and lower limb nerve blocks

被引：9

作者：

El-Boghdadly, Kariem ^{[1
]}

Albrecht, Eric ^{[2
,3
,4
]}

Wolmarans, Morne ^{[5
]}

Mariano, Edward R. ^{[6
,7
]}

Kopp, Sandra ^{[2
,8
]}

Perlas, Anahi ^{[9
]}

Thottungal, Athmaja ^{[9
]}

Gadsden, Jeff ^{[9
]}

Tulgar, Serkan ^{[10
]}

Adhikary, Sanjib ^{[11
]}

Aguirre, Jose ^{[12
]}

Agur, Anne M. R. ^{[13
]}

Altiparmak, Basak ^{[14
]}

Barrington, Michael J. ^{[15
]}

Bedforth, Nigel ^{[16
]}

Blanco, Rafael ^{[17
]}

Bloc, Sebastien ^{[18
]}

Boretsky, Karen ^{[19
]}

Bowness, James ^{[20
,21
,22
]}

Breebaart, Margaretha ^{[23
,24
]}

Burckett-St Laurent, David ^{[25
]}

Carvalho, Brendan ^{[26
]}

Chelly, Jacques E. ^{[27
]}

Chin, Ki Jinn ^{[9
]}

Chuan, Alwin ^{[28
,29
]}

Coppens, Steve ^{[30
]}

Costache, Ioana ^{[31
]}

Dam, Mette ^{[32
]}

Desmet, Matthias ^{[33
]}

Dhir, Shalini ^{[34
]}

Egeler, Christian ^{[35
]}

Elsharkawy, Hesham ^{[36
]}

Bendtsen, Thomas Fichtner ^{[37
]}

Fox, Ben ^{[38
]}

Franco, Carlo D. ^{[39
]}

Gautier, Philippe Emmanuel ^{[40
]}

Grant, Stuart Alan ^{[41
]}

Grape, Sina ^{[42
]}

Guheen, Carrie ^{[43
]}

Harbell, Monica W. ^{[44
]}

Hebbard, Peter ^{[45
]}

Hernandez, Nadia ^{[46
]}

Hogg, Rosemary M. G. ^{[47
]}

Holtz, Margaret ^{[48
]}

Ihnatsenka, Barys ^{[49
]}

Ilfeld, Brian M. ^{[50
,51
]}

Ip, Vivian H. Y. ^{[52
]}

Johnson, Rebecca L. ^{[53
]}

Kalagara, Hari ^{[54
]}

Kessler, Paul ^{[55
]}

机构：

[1] Guys & St Thomas NHS Fdn Trust, Anaesthesia, London, England

[2] CHU Vaudois, Dept Anaesthesia, Lausanne, Switzerland

[3] Univ Hosp Lausanne, Lausanne, Switzerland

[4] Univ Lausanne, Lausanne, Switzerland

[5] Norfolk & Norwich Univ Hosp NHS Trust, Anaesthesiol, Norwich, Norfolk, England

[6] VA Palo Alto Hlth Care Syst, Anesthesiol & Perioperat Care Serv, Palo Alto, CA USA

[7] Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA 94305 USA

[8] Mayo Clin Rochester, Anesthesiol, Rochester, MN USA

[9] Duke Univ, Med Ctr, Durham, NC USA

[10] Samsun Univ, Anesthesiol, Canik, Turkiye

[11] Penn State, Anesthesiol & Perioperat Med, University Pk, PA USA

[12] City Hosp Zurich, Ambulatory Ctr Europaallee, Zurich, Switzerland

[13] Univ Toronto, Dept Surg, Div Anat, Toronto, ON, Canada

[14] Mugla Sitki Kocman Univ, Anesthesiol, Mugla, Turkiye

[15] Oregon Hlth & Sci Univ, Anesthesia, Portland, OR 97201 USA

[16] Nottingham Univ Hosp NHS Trust, Dept Anaesthesia & Crit Care, Nottingham, England

[17] Corniche Hosp, Anaesthesia & Intens Care, Abu Dhabi, U Arab Emirates

[18] Clin Drouot Sport, Anesthesiol Dept, Paris, France

[19] Bostons Childrens Hosp, Anesthesiol Crit Care & Pain Med, Boston, MA USA

[20] Univ Oxford, Dept Anesthesia, Oxford, England

[21] Aneurin Bevan Univ Hlth Board, Dept Anaesthesia, Newport, Gwent, Wales

[22] Univ Oxford, Nuffield Dept Clin Neurosci, Oxford, England

[23] Univ Antwerp, Dept Hlth Sci, Antwerp, Belgium

[24] Univ Hosp Antwerp, Anesthesia, Antwerp, Belgium

[25] Royal Cornwall Hosp NHS Trust, Anaesthesia, Truro, England

[26] Stanford Univ, Stanford, CA 94305 USA

[27] Univ Pittsburgh, Med Ctr Hlth Syst, Anesthesiol, Pittsburgh, PA USA

[28] Liverpool Hosp, Liverpool, NSW, Australia

[29] Univ New South Wales, South West Sydney, NSW, Australia

[30] Katholieke Univ Leuven, Anesthesiol, Univ Hosp, Leuven, Belgium

[31] Ottawa Hosp, Anesthesiol & Pain Med, Ottawa, ON, Canada

[32] Univ Hosp Hvidore, Dept Anesthesia & Intens Care, Copenhagen, Denmark

[33] AZ Groeninge, Anesthesia, Kortrijk, Belgium

[34] Schulich Sch Med & Dent, Dept Anesthesia & Perioperat Med, London, ON, Canada

[35] Swansea Bay Univ Hlth Board, Port Talbot, Wales

[36] MetroHlth Med Ctr, Anesthesiol, Cleveland, OH USA

[37] Aarhus Univ Hosp, Anesthesiol, Aarhus, Denmark

[38] Queen Elizabeth Hosp Kings Lynn NHS Fdn Trust, Anaesthesia, Kings Lynn, England

[39] Rush Univ, Med Ctr, John H Stroger Jr Hosp Cook Country, Anesthesiol, Chicago, IL 60612 USA

[40] Clin Ste Anne St Remi, Brussels, Belgium

[41] Univ North Carolina, Anesthesiol, Chapel Hill, NC 27515 USA

[42] Hop Valais, Anesthesia, Sion, Switzerland

[43] Hosp Special Surg, Anesthesia, 535 E 70th St, New York, NY 10021 USA

[44] Mayo Clin, Anesthesia, Phoenix, AZ USA

[45] Univ Melbourne, Rural Hlth Acad Ctr, Ultrasound Educ Grp, Dept Anesthesia Northeast Hlth, Wangaratta, Vic, Australia

[46] Univ Texas McGovern Med Sch, Anesthesiol, Houston, TX USA

[47] Belfast Hlth & Social Care Trust, Dept Anaesthesia, Belfast, Antrim, North Ireland

[48] WellStar Hlth Syst, Anesthesia, Marietta, GA USA

[49] Univ Florida, Anesthesiol, Gainesville, FL USA

[50] Univ Calif, Anesthesia, La Jolla, CA USA

来源：

REGIONAL ANESTHESIA AND PAIN MEDICINE | 2024年 / 49卷 / 11期

关键词：

analgesia; Anesthesia; Local; REGIONAL ANESTHESIA; Brachial Plexus; Lower Extremity;

D O I：

10.1136/rapm-2023-104884

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background Inconsistent nomenclature and anatomical descriptions of regional anesthetic techniques hinder scientific communication and engender confusion; this in turn has implications for research, education and clinical implementation of regional anesthesia. Having produced standardized nomenclature for abdominal wall, paraspinal and chest wall regional anesthetic techniques, we aimed to similarly do so for upper and lower limb peripheral nerve blocks. Methods We performed a three-round Delphi international consensus study to generate standardized names and anatomical descriptions of upper and lower limb regional anesthetic techniques. A long list of names and anatomical description of blocks of upper and lower extremities was produced by the members of the steering committee. Subsequently, two rounds of anonymized voting and commenting were followed by a third virtual round table to secure consensus for items that remained outstanding after the first and second rounds. As with previous methodology, strong consensus was defined as >= 75% agreement and weak consensus as 50%-74% agreement. Results A total of 94, 91 and 65 collaborators participated in the first, second and third rounds, respectively. We achieved strong consensus for 38 names and 33 anatomical descriptions, and weak consensus for five anatomical descriptions. We agreed on a template for naming peripheral nerve blocks based on the name of the nerve and the anatomical location of the blockade and identified several areas for future research. Conclusions We achieved consensus on nomenclature and anatomical descriptions of regional anesthetic techniques for upper and lower limb nerve blocks, and recommend using this framework in clinical and academic practice. This should improve research, teaching and learning of regional anesthesia to eventually improve patient care.

引用

页码：782 / 792

页数：11

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