• Curr Opin Anaesthesiol · Dec 2022

    Review

    Regional anaesthesia: what surgical procedures, what blocks and availability of a "block room"?

    • Arwien Nanda and Marc Van de Velde.
    • Department of Cardiovascular Sciences, KU Leuven and Department of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium.
    • Curr Opin Anaesthesiol. 2022 Dec 1; 35 (6): 698709698-709.

    Purpose Of ReviewWith an expected rise in day care procedures with enhanced recovery programs, the use of specific regional anaesthesia can be useful. In this review, we will provide insight in the used regional block and medication so far known and its applicability in a day care setting.Recent FindingsRegional anaesthesia has been improved with the aid of ultrasound-guided placement. However, it is not commonly used in the outpatient setting. Old, short acting local anaesthetics have found a second life and may be especially beneficial in the ambulatory setting replacing more long-acting local anaesthetics such as bupivacaine.To improve efficiency, a dedicated block room may facilitate the performance of regional anaesthesia. However, cost-efficacy for improved operating time, patient care and hospital efficiency has to be established.SummaryRegional anaesthesia has proven to be beneficial in ambulatory setting. Several short acting local anaesthetics are favourable over bupivacaine in the day care surgery. And if available, there are reports of the benefit of an additional block room used in a parallel (monitored) care of patients.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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