Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Oct 2021
Non-Fellowship regional anesthesia training and assessment: an international Delphi study on a consensus curriculum.
While there are several published recommendations and guidelines for trainees undertaking subspecialty Fellowships in regional anesthesia, a similar document describing a core regional anesthesia curriculum for non-fellowship trainees is less well defined. We aimed to produce an international consensus for the training and teaching of regional anesthesia that is applicable for the majority of worldwide anesthesiologists. ⋯ This international consensus study provides specific information for designing a non-fellowship regional anesthesia curriculum. Implementation of a standardized curriculum has benefits for patient care through improving quality of training and quality of nerve blocks.
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Reg Anesth Pain Med · Oct 2021
Observational StudyOpening injection pressure monitoring using an in-line device does not prevent intraneural injection in an isolated nerve model.
Injection pressure monitoring using in-line devices is affordable and easy to implement into a regional anesthesia practice. However, solid evidence regarding their performance is lacking. We aimed to evaluate if opening injection pressure (OIP), measured with a disposable in-line pressure monitor, can prevent intraneural (subepineural) injection using 15 pound per square inch (PSI) as the reference safety threshold. ⋯ Our results suggest that in-line pressure monitoring may not prevent intraneural injection using an injection pressure of 15 PSI as reference threshold. Due to the preliminary nature of our study, further evidence is needed to demonstrate clinical relevance.
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Reg Anesth Pain Med · Oct 2021
The role for regional anesthesia in medical emergencies during deep space flight.
As humanity presses the boundaries of space exploration and prepares for long-term interplanetary travel, including to Mars, advanced planning for the safety and health of the crewmembers requires a multidisciplinary approach. In particular, in the event of a survivable medical emergency requiring an interventional procedure or prolonged pain management, such as traumatic limb injury or rib fracture, anesthetic protocols that are both safe and straightforward to execute must be in place. In this daring discourse, we discuss particular considerations related to the use of regional techniques in space and present the rationale that regional anesthesia techniques may be the safest option in many medical emergencies encountered during prolonged space flight.