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Mashup Score: 9
Point-of-care ultrasound (POCUS) is a critical skill for all regional anesthesiologists and pain physicians to help diagnose relevant complications related to routine practice and guide perioperative management. In an effort to inform the regional anesthesia and pain community as well as address a need for structured education and training, the American Society of Regional Anesthesia and Pain Medicine (ASRA) commissioned this narrative review to provide recommendations for POCUS. The guidelines were written by content and educational experts and approved by the Guidelines Committee and the Board of Directors of the ASRA. In part I of this two-part series, clinical indications for POCUS in the perioperative and chronic pain setting are described. The clinical review addresses airway ultrasound, lung ultrasound, gastric ultrasound, the focus assessment with sonography for trauma examination and focused cardiac ultrasound for the regional anesthesiologist and pain physician. It also provi
Source: rapm.bmj.comCategories: General Medicine News, NeurologyTweet
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Mashup Score: 141Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of upper and lower limb nerve blocks - 5 month(s) ago
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 previ
Source: rapm.bmj.comCategories: General Medicine News, General HCPsTweet-
New international collaboration! Standardizing nomenclature for upper and lower limb blocks - now published in @RAPMOnline https://t.co/GNhBDVIXHR @elboghdadly @DrEAlbrecht @DrPhilipPeng @PerlasAnahi @SerkanTulgarMD @sanjibadhikary @BridgetPulos @Ropivacaine @nelkassabany https://t.co/PojMYoDi1L
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Mashup Score: 94Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of upper and lower limb nerve blocks - 5 month(s) ago
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 previ
Source: rapm.bmj.comCategories: General Medicine News, General HCPsTweet-
New international collaboration! Standardizing nomenclature for upper and lower limb blocks - now published in @RAPMOnline https://t.co/GNhBDVIXHR @elboghdadly @DrEAlbrecht @DrPhilipPeng @PerlasAnahi @SerkanTulgarMD @sanjibadhikary @BridgetPulos @Ropivacaine @nelkassabany https://t.co/PojMYoDi1L
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Mashup Score: 29Why pain physicians should consider becoming headache specialists: bridging the gap in patient care - 6 month(s) ago
Headaches are among the most common conditions that physicians encounter in their daily practice. Migraine alone affects 47 million people, nearly 15% of the US population.[1][1] Moreover, migraine tends to impact patients during their most productive years. It has been estimated that migraine
Source: rapm.bmj.comCategories: General Medicine News, NeurologyTweet-
🆕@RAPMOnline Why #PainPhysicians should consider becoming #headache specialists: bridging the gap in patient care ✅ 47 M #migraine patients in USA ✅ only 465 neurology/headache certified (UCNS) ✅ only 25 #Pain/headache certified (ABHM) @HeadacheBoard https://t.co/hJGWSCDWmf https://t.co/Gm9rXRKnOm
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Mashup Score: 53Interfascial Plane Blocks: Back to Basics - 6 month(s) ago
Abstract Ultrasound-guided interfascial plane blocks are a recent development in modern regional anesthesia research and practice and represent a new route of transmission for local anesthetic to various anatomic locations, but much more research is warranted. Before becoming overtaken with enthusiasm for these new techniques, a deeper understanding of fascial tissue anatomy and structure, as well as precise targets for needle placement, is required. Many factors may influence the ultimate spread and quality of resulting interfascial plane blocks, and these must be understood in order to best integrate these techniques into contemporary perioperative pain management protocols.
Source: rapm.bmj.comCategories: General Medicine News, General HCPsTweet-
I came across the stats for our @RAPMOnline paper "Interfascial Plane Blocks: Back to Basics" and couldn't believe it. It's been cited 154 times! 😮 All the credit goes to @kaohesham who had the great idea👏🏾 and it was fun to write this with @amit_pawa 🙌🏾 https://t.co/oImbA1kUwO https://t.co/bmSDVamc1g
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Mashup Score: 5Daring discourse: artificial intelligence in pain medicine, opportunities and challenges - 6 month(s) ago
Artificial intelligence (AI) tools are currently expanding their influence within healthcare. For pain clinics, unfettered introduction of AI may cause concern in both patients and healthcare teams. Much of the concern stems from the lack of community standards and understanding of how the tools and algorithms function. Data literacy and understanding can be challenging even for experienced healthcare providers as these topics are not incorporated into standard clinical education pathways. Another reasonable concern involves the potential for encoding bias in healthcare screening and treatment using faulty algorithms. And yet, the massive volume of data generated by healthcare encounters is increasingly challenging for healthcare teams to navigate and will require an intervention to make the medical record manageable in the future. AI approaches that lighten the workload and support clinical decision-making may provide a solution to the ever-increasing menial tasks involved in clinical
Source: rapm.bmj.comCategories: General Medicine News, NeurologyTweet-
Couldn’t agree more. AI utilization is exploding in the field of #PainMedicine without appropriate regulations Our daring discourse article @RAPMOnline exposes challenges (&opportunities) @MeredithAdamsMD @ANels_MD @nelkassabany @EMARIANOMD @elboghdadly 👉🏼https://t.co/2ltcIMO59S https://t.co/Z8Peoht2ar
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Mashup Score: 6Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report from a multisociety international working group - 9 month(s) ago
Introduction Postdural puncture headache (PDPH) can follow unintentional dural puncture during epidural techniques or intentional dural puncture during neuraxial procedures such as a lumbar puncture or spinal anesthesia. Evidence-based guidance on the prevention, diagnosis or management of this condition is, however, currently lacking. This multisociety guidance aims to fill this void and provide practitioners with comprehensive information and patient-centric recommendations to prevent, diagnose and manage patients with PDPH. Methods Based on input from committee members and stakeholders, the committee cochairs developed 10 review questions deemed important for the prevention, diagnosis and management of PDPH. A literature search for each question was performed in MEDLINE (Ovid) on 2 March 2022. The results from each search were imported into separate Covidence projects for deduplication and screening, followed by data extraction. Additional relevant clinical trials, systematic review
Source: rapm.bmj.comCategories: Latest Headlines, NeurologyTweet-
RT @DalAnesthesia: 🔎🆕article on #PDPH 🔗https://t.co/GfuSQHJvF6 @DalAnesthesia @Ropivacaine @robin_russell1 @rakesh6282 @anesthesia_mom @Zaf…
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Mashup Score: 13Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report from a multisociety international working group - 9 month(s) ago
Introduction Postdural puncture headache (PDPH) can follow unintentional dural puncture during epidural techniques or intentional dural puncture during neuraxial procedures such as a lumbar puncture or spinal anesthesia. Evidence-based guidance on the prevention, diagnosis or management of this condition is, however, currently lacking. This multisociety guidance aims to fill this void and provide practitioners with comprehensive information and patient-centric recommendations to prevent, diagnose and manage patients with PDPH. Methods Based on input from committee members and stakeholders, the committee cochairs developed 10 review questions deemed important for the prevention, diagnosis and management of PDPH. A literature search for each question was performed in MEDLINE (Ovid) on 2 March 2022. The results from each search were imported into separate Covidence projects for deduplication and screening, followed by data extraction. Additional relevant clinical trials, systematic review
Source: rapm.bmj.comCategories: Latest Headlines, NeurologyTweet-
RT @Ropivacaine: And here is the link for the full report @RAPMOnline 🆓Full report👇 🔗https://t.co/ImhoBrvhUS @ASRA_Society @NarouzeMD @K…
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Mashup Score: 4Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks - 10 month(s) ago
Background There 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. Methods We 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. Results Sixty expert Collaborators par
Source: rapm.bmj.comCategories: Healthcare Professionals, Latest HeadlinesTweet-
So many new blocks and so many names... Important international consensus project to standardize nomenclature for fascial plane blocks cited by @Nadia_Hdz_MD #CSASummerConf23 Available FREE from @RAPMOnline: https://t.co/jBxRoa0CtZ https://t.co/8GbKNYrlUB
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Mashup Score: 1Just a moment... - 4 year(s) ago
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Source: rapm.bmj.comCategories: Anesthesiology, Latest HeadlinesTweet-
Dr. Meghan Kirksey @sgmemtsoudis @jashvant_p and colleagues address the issue of seizure risk with TXA in a database study. https://t.co/221TpU4LFf @dr_rajgupta @ESchwenkMD
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RT @KalagaraHari: #ASRAPOCUS 🔺Two Bonus Articles: 🆓 🟢 1) @ASRA_Society #POCUS part 1-clinical indications: 👉 https://t.co/y6h5eV9TOl @sha…