Document Detail


The ASRA evidence-based medicine assessment of ultrasound-guided regional anesthesia and pain medicine: Executive summary.
MedLine Citation:
PMID:  20216019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The American Society of Regional Anesthesia and Pain Medicine charged an expert panel to examine the evidence basis for ultrasound guidance as a nerve localization tool in the clinical practices of regional anesthesia and interventional pain medicine. METHODS: The panel searched, examined, and assessed the literature of ultrasound-guided regional anesthesia (UGRA) from the past 20 years. The qualities of studies were graded using the Jadad score. Strength of evidence and recommendations were graded using an accepted rating tool. RESULTS: The panel made specific literature-based assessments concerning the relative advantages and limitations of UGRA relative to traditional nerve localization methods as they pertained to block characteristics and complications. Assessments and recommendations were made for upper and lower extremity, neuraxial, and truncal blocks and include pediatrics and interventional pain medicine. CONCLUSIONS: Ultrasound guidance improves block characteristics (particularly performance time and surrogate measures of success) that are often block specific and that may impart an efficiency advantage depending on individual practitioner circumstances. Evidence for UGRA impacting patient safety is currently limited to the demonstration of improvements in the frequency of surrogate events for serious complications.
Authors:
Joseph M Neal; Richard Brull; Vincent W S Chan; Stuart A Grant; Jean-Louis Horn; Spencer S Liu; Colin J L McCartney; Samer N Narouze; Anahi Perlas; Francis V Salinas; Brian D Sites; Ban Chi-ho Tsui
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Publication Detail:
Type:  Consensus Development Conference; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Regional anesthesia and pain medicine     Volume:  35     ISSN:  1532-8651     ISO Abbreviation:  Reg Anesth Pain Med     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-03-10     Completed Date:  2010-07-19     Revised Date:  2010-10-06    
Medline Journal Info:
Nlm Unique ID:  9804508     Medline TA:  Reg Anesth Pain Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S1-9     Citation Subset:  IM    
Affiliation:
Virginia Mason Medical Center, Seattle, WA, USA. anejmn@vmmc.org
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MeSH Terms
Descriptor/Qualifier:
Anesthesiology / standards*
Evidence-Based Medicine*
Humans
Lower Extremity / innervation
Nerve Block / methods,  standards*
Pain / prevention & control
Peripheral Nerves / ultrasonography*
Randomized Controlled Trials as Topic
Risk Factors
Societies, Medical
Ultrasonography, Interventional / adverse effects,  standards*
United States
Upper Extremity / innervation
Comments/Corrections
Erratum In:
Reg Anesth Pain Med. 2010 May-Jun;35(2):325

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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