Background And Objectives: The assessment of technical skills in ultrasound-guided regional anesthesia is currently subjective and relies largely on observations of the trainer. The objective of this study was to develop a checklist to assess training progress and to detect training gaps in ultrasound-guided regional anesthesia using the Delphi method.
Methods: A 30-item checklist was developed and then e-mailed to 18 reviewers for feedback. The checklist was modified on the basis of their feedback. This process of iteration was repeated until no further feedback was received, and a consensus was reached on the final composition of the checklist. A global rating scale (GRS) was introduced as a result of the feedback.
Results: Three rounds of feedback were required to reach consensus on the composition of the checklist and the GRS. The final checklist contains 22 items, and the GRS contains 9 categories.
Conclusions: Using the Delphi method, a checklist and GRS were developed. These tools can serve as an objective means of assessing progress in ultrasound technical skills acquisition.
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http://dx.doi.org/10.1097/AAP.0b013e318246f63c | DOI Listing |
J Pain Res
January 2025
Department of General Surgery, The 955th Hospital of Chinese People's Liberation Army, Tibet, 854000, People's Republic of China.
Fracture surgeries are frequently accompanied by severe pain, necessitating efficacious pain management strategies to enhance postoperative recovery. Nerve block techniques, which are critical in mitigating pain, involve the targeted administration of local anesthetics to disrupt nerve signal transmission, thereby achieving significant analgesia. Traditionally, these techniques rely on anatomical landmarks and the clinician's expertise, which can introduce variability and potential risks.
View Article and Find Full Text PDFFront Physiol
January 2025
Susan Samueli Integrative Health Institute and Department of Medicine, University of California, Irvine, Irvine, CA, United States.
Stellate ganglion blockade (SGB) is a practical approach to managing many clinical disorders. Ultrasound-guided SGB is currently adopted as a more effective and safer method in humans. Developing this technique in rats would facilitate further study of SGB application.
View Article and Find Full Text PDFRev Esp Patol
January 2025
Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Background: Sarcoidosis, a granulomatous inflammatory disease, exhibits diverse clinical manifestations, often affecting multiple organs. Diagnostic challenges arise due to its similarities with tuberculosis, particularly in high-burden areas. Differentiating between the two relies on clinical judgment, laboratory tests, imaging, and invasive procedures.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Anaesthetics, Guy's and St Thomas NHS Foundation Trust, London SE1 9RT, UK.
: The pericapsular nerve group (PENG) block is a novel ultrasound-guided regional technique that may provide analgesia to patients undergoing hip surgery. It has been extensively studied in recent years, but the evidence of superiority over other regional anaesthetic techniques is inconclusive. This review aimed to compare outcomes of the PENG block in patients undergoing hip surgery with standard techniques under general anaesthesia.
View Article and Find Full Text PDFLife (Basel)
December 2024
Department of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.
The evolution of regional anesthesia techniques has markedly influenced the management of postoperative pain, particularly in thoracic surgery. As part of a multimodal analgesic approach, fascial plane blocks have gained prominence due to their efficacy in providing targeted analgesia with minimal systemic side effects. Among these, the superficial intercostal plane (SPIP) block and deep parasternal intercostal plane (DPIP) block are of notable interest.
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