Time to Standardize Regional Anesthesia Blocks: An International Effort for a Good Cause

Vol 3 | Issue 1 | January-June 2022 | Page 01-02 | Rafael Blanco

DOI: 10.13107/ijra.2022.v03i01.045


Authors: Rafael Blanco [1]

[1] Department of Anaesthesia, King’s College Hospital London, Dubai, UAE.

Address of Correspondence
Dr. Rafael Blanco,
Department of Anaesthesia, King’s College Hospital London, Dubai, UAE.
E-mail: rafablanco@mac.com


During the last 10 years, we have seen an explosion of novel nerve blocks based on different ways of describing either anatomical targets, fascial planes, or local anesthetic distributions. The introduction of ultrasound machines in regional anesthesia had a major impact factor in this. To put our readers in perspective more than 100 published blocks have been developed during this time. Very wisely, a group of sixty internationally recognized experts in the field of regional anesthesia embarked on a project to reach a consensus on this matter. These could be useful for educating or researching the new generation of interventional pain and regional anesthetists.

The project called the international Delphi consensus study on its first publication concentrated on abdominal, paraspinal and chest thoracic wall blocks. This is based on the popularity of these novel blocks when we look at publications in recent years.
The conclusion of the Delphi paper stated a strong consensus for the majority of block approaches. The following are some examples of this:
The posterior TAP and the lateral quadratus lumborum blocks were unified into the latter. For the paraspinal blocks there was a weak or no consensus so it will require more time for this.
The rhomboid intercostal plane block achieved strong consensus for the anatomical description only but this was not the case for the serratus plane block. Equally the PECS block did not achieve strong consensus into changing to inter pectoral plane block so will be discretionary for the time being. The same applies to the PECS II block into pecto-serratus block, which will be discretionary based on weak consensus.

Finally, there was a strong consensus that the superficial, deep, or muscle-related planes composed of connective tissue should be called fascial planes rather than interfascial planes applying only in reference to anatomical descriptions.

It is very important to address that this publication is the first of this kind and may be prone to bias and different answers, depending on the way the questions were formulated but it is a starting point. It aims to see the real impact over the coming years in the field. Simple, clear and descriptive approaches should be the three pillars to be used in regional anesthesia, the same as the three pillars that resume a good standard of care: education, research and clinical application. This year 2022 we will hopefully see published a second round on the matter, this time involving upper and lower limb blocks so we are optimistic in terms of a new era in regional anesthesia.

It is undeniable that we are living in a time of immense popularity of regional anesthesia specialty and we must not lose momentum to build recognition of the work well done. We have brought back the importance of basic medical subjects like anatomy, attracting interest within the anesthesiologist. We want our specialty to make sense and provide clear evidence of why we need to block and why the idea of “no patient without a block” or a “multimodal approach” is our goal. Regional anaesthesiologists are highly skilled doctors, with invaluable hands-on skills. Our colleagues know that and we should be proud of that. Other fields that are closely connected like chronic pain interventional medicine should be reviewed in the years to come and perhaps by them we could also address nomenclature and the technique effectiveness.

As part of this editorial, we would like to encourage our readers to work together in this direction, continue researching and sharing their expertise, their findings, for the benefit of our global community. Reevaluation will also be needed as some of the names in previously published article has gained popularity and most probably will be difficult to revert.


References


El-Boghdadly K, Wolmarans M, Stengel AD, et al. Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks Reg Anesth Pain Med 2021;46:571–580.


How to Cite this Article: Blanco R | Time to Standardize Regional Anesthesia Blocks: An International Effort for a Good Cause | International Journal of Regional Anaesthesia | January-June 2022; 3(1): 01-02.

 


(Abstract Text HTML)    (Download PDF)


81 replies
  1. tinyurl.com
    tinyurl.com says:

    of course like your web site however you have to test the spelling on several of your
    posts. A number of them are rife with spelling issues and I find it very bothersome to inform the truth nevertheless I’ll
    definitely come again again.

    Reply
  2. http://tinyurl.com/yb3unamb
    http://tinyurl.com/yb3unamb says:

    Hello there, just became aware of your blog through Google, and found that it’s really informative.
    I am gonna watch out for brussels. I’ll appreciate if you continue this in future.
    A lot of people will be benefited from your writing. Cheers!

    Reply
  3. tinyurl.com
    tinyurl.com says:

    I do not know whether it’s just me or if everybody else experiencing issues
    with your website. It seems like some of the written text on your content
    are running off the screen. Can someone else please provide feedback and let me know if this
    is happening to them as well? This may be a problem with my browser because
    I’ve had this happen previously. Thanks

    Reply
  4. cheap flights now
    cheap flights now says:

    I’m truly enjoying the design and layout of your website.
    It’s a very easy on the eyes which makes it much more pleasant for me
    to come here and visit more often. Did you hire out a developer to create your theme?
    Fantastic work!

    Reply
  5. cheap flight tickets
    cheap flight tickets says:

    Hey I know this is off topic but I was wondering
    if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates.

    I’ve been looking for a plug-in like this for quite some
    time and was hoping maybe you would have some experience
    with something like this. Please let me know if you run into anything.
    I truly enjoy reading your blog and I look forward to your new updates.

    Reply
  6. israelxclub.co.il
    israelxclub.co.il says:

    Im excited to discover this web site. I need to to thank you for ones time for this wonderful read!! I definitely savored every bit of it and I have you bookmarked to look at new information in your web site.

    Reply
  7. cheapflights
    cheapflights says:

    I don’t even know how I ended up here, but I thought this post was great.
    I don’t know who you are but certainly you are going to a famous blogger if you aren’t already
    😉 Cheers!

    Reply
  8. gamefly
    gamefly says:

    I’ve been browsing online more than three hours as of late, but I never
    discovered any attention-grabbing article like yours.
    It is pretty value sufficient for me. Personally, if all site owners and bloggers made good content as you did,
    the net will probably be much more helpful than ever before.

    Reply
  9. gay porn
    gay porn says:

    My brother recommended I might like this website. He was totally right.

    This post actually made my day. You cann’t imagine just how much time I had
    spent for this information! Thanks!

    Reply
  10. Israel night club
    Israel night club says:

    I was excited to discover this website. I want to to thank you for your time for this wonderful read!! I definitely liked every part of it and i also have you book-marked to look at new things on your website.

    Reply
  11. tinyurl.com
    tinyurl.com says:

    I simply could not go away your web site prior to suggesting that I really
    enjoyed the usual info an individual provide to your guests?
    Is going to be back regularly to inspect new posts

    Reply
  12. נערות ליווי בחיפה
    נערות ליווי בחיפה says:

    Its like you read my mind! You appear to know a lot about this, like you wrote the book in it or something.
    I think that you could do with a few pics to drive
    the message home a bit, but instead of that, this is wonderful
    blog. A great read. I will definitely be back.

    Reply
  13. hi
    hi says:

    I’m amazed, I must say. Rarely do I encounter a blog that’s both educative and amusing, and let me tell you, you’ve hit the nail on the head. The issue is something which not enough men and women are speaking intelligently about. I am very happy I stumbled across this during my search for something relating to this.|

    Reply
  14. Margret
    Margret says:

    I have been exploring for a little for any high quality
    articles or weblog posts in this kind of house .
    Exploring in Yahoo I finally stumbled upon this web site.
    Reading this information So i’m glad to convey that I’ve
    a very good uncanny feeling I came upon exactly what I needed.

    I such a lot indubitably will make sure to do not disregard
    this site and give it a look regularly.

    Reply
  15. Marina
    Marina says:

    Great blog here! Also your website loads up very fast!
    What host are you using? Can I get your affiliate link to your
    host? I wish my website loaded up as fast as yours lol

    Reply
  16. Archer
    Archer says:

    Hey There. I found your blog using msn. This is a really well written article.
    I’ll make sure to bookmark it and return to read more of your useful info.

    Thanks for the post. I will certainly comeback.

    Reply
  17. Fredrick
    Fredrick says:

    After looking at a handful of the blog articles on your web page, I seriously appreciate
    your way of blogging. I added it to my bookmark site list and will be checking back in the near future.
    Take a look at my website as well and tell me how you feel.

    Reply
  18. Blythe
    Blythe says:

    Heya i’m for the primary time here. I came across this board and I to find It truly helpful & it helped me out much.
    I hope to present one thing back and help others
    like you helped me.

    Reply
  19. Jamel
    Jamel says:

    Spot on with this write-up, I honestly feel this amazing site needs much more attention. I’ll probably
    be back again to read through more, thanks for the information!

    Reply
  20. Juana
    Juana says:

    My coder is trying to convince me to move to .net from PHP.
    I have always disliked the idea because of the expenses. But he’s tryiong none the less.
    I’ve been using WordPress on numerous websites for about a year and am worried about switching to another platform.
    I have heard great things about blogengine.net.

    Is there a way I can transfer all my wordpress content into it?

    Any kind of help would be really appreciated!

    Reply
  21. Waldo
    Waldo says:

    Its like you read my mind! You seem to know so much
    about this, like you wrote the book in it or something.
    I think that you can do with some pics to drive the message home a bit,
    but instead of that, this is magnificent blog.
    A great read. I will certainly be back.

    Reply
  22. t.co
    t.co says:

    Hi, i read your blog occasionally and i own a similar one and i was
    just wondering if you get a lot of spam feedback?
    If so how do you prevent it, any plugin or anything you can advise?
    I get so much lately it’s driving me crazy so any
    support is very much appreciated.

    Reply
  23. Jaunita
    Jaunita says:

    Hello! I could have sworn I’ve visited this site before but after browsing through
    many of the articles I realized it’s new to me. Anyhow, I’m certainly happy I discovered
    it and I’ll be bookmarking it and checking back often!

    Reply
  24. http://tinyurl.com
    http://tinyurl.com says:

    I am curious to find out what blog system you have been utilizing?
    I’m having some minor security issues with my latest site and I’d like to find something more risk-free.
    Do you have any recommendations?

    Reply
  25. Santo
    Santo says:

    An impressive share! I have just forwarded this onto a coworker who had been conducting a little homework on this.
    And he actually bought me dinner due to the fact that I found it for him…

    lol. So allow me to reword this…. Thanks for the meal!!
    But yeah, thanks for spending time to talk about this topic here on your web page.

    Reply
  26. tinyurl.com
    tinyurl.com says:

    Hey, I think your blog might be having browser compatibility issues.
    When I look at your blog site in Safari, it looks fine but
    when opening in Internet Explorer, it has some overlapping.
    I just wanted to give you a quick heads up! Other then that, great blog!

    Reply
  27. t.co
    t.co says:

    My partner and I stumbled over here coming from a different website and thought I might as well check things out.
    I like what I see so i am just following
    you. Look forward to exploring your web page yet again.

    Reply
  28. http://tinyurl.com/2bywgkqk
    http://tinyurl.com/2bywgkqk says:

    Hello would you mind stating which blog platform you’re
    working with? I’m planning to start my own blog in the near future but I’m having a tough time making
    a decision between BlogEngine/Wordpress/B2evolution and Drupal.
    The reason I ask is because your design seems different then most blogs and I’m
    looking for something unique. P.S
    Sorry for getting off-topic but I had to ask!

    Reply
  29. gralion torile
    gralion torile says:

    You could certainly see your enthusiasm in the work you write. The world hopes for more passionate writers such as you who aren’t afraid to say how they believe. At all times follow your heart. “We may pass violets looking for roses. We may pass contentment looking for victory.” by Bern Williams.

    Reply
  30. tinyurl.com
    tinyurl.com says:

    Its like you read my mind! You seem to know
    a lot about this, like you wrote the book in it or something.
    I think that you can do with a few pics to drive the message home a little bit,
    but instead of that, this is magnificent blog.
    A fantastic read. I will certainly be back.

    Reply
  31. http://tinyurl.com
    http://tinyurl.com says:

    Great beat ! I wish to apprentice while you amend your website, how
    can i subscribe for a blog site? The account aided me a acceptable
    deal. I had been tiny bit acquainted of this
    your broadcast offered bright clear idea

    Reply
  32. raycon
    raycon says:

    I like what you guys tend to be up too. This kind
    of clever work and exposure! Keep up the excellent works guys I’ve added you guys to blogroll.

    Take a look at my web page :: raycon

    Reply
  33. tinyurl.com
    tinyurl.com says:

    I like the valuable info you provide in your articles. I will bookmark your
    blog and check again here frequently. I am quite certain I will learn lots of new stuff right here!
    Best of luck for the next!

    Reply
  34. tinyurl.com
    tinyurl.com says:

    I do not know if it’s just me or if perhaps everybody else experiencing problems with your site.
    It seems like some of the text in your content are running off the
    screen. Can someone else please provide feedback and let me
    know if this is happening to them as well?
    This may be a issue with my internet browser because I’ve had this happen before.
    Many thanks

    Reply
  35. tinyurl.com
    tinyurl.com says:

    My coder is trying to convince me to move to .net from PHP.
    I have always disliked the idea because of the expenses.
    But he’s tryiong none the less. I’ve been using Movable-type on various websites for about a year and am concerned about switching
    to another platform. I have heard great things about
    blogengine.net. Is there a way I can transfer all my wordpress posts into
    it? Any help would be greatly appreciated!

    Reply
  36. tinyurl.com
    tinyurl.com says:

    Hi there! This is my first visit to your blog! We are
    a collection of volunteers and starting a new project in a community in the same niche.
    Your blog provided us beneficial information to
    work on. You have done a wonderful job!

    Reply
  37. special
    special says:

    My partner and I stumbled over here by a different web address and thought I might as
    well check things out. I like what I see so now i’m following
    you. Look forward to looking at your web page again.

    my page special

    Reply
  38. tinyurl.com
    tinyurl.com says:

    Do you mind if I quote a couple of your posts as long as I provide
    credit and sources back to your site? My website is in the very same niche as yours
    and my users would truly benefit from some of the information you present here.
    Please let me know if this okay with you. Thank you!

    Reply
  39. tinyurl.com
    tinyurl.com says:

    I will immediately clutch your rss as I can’t in finding your e-mail subscription hyperlink or e-newsletter service.
    Do you’ve any? Please allow me realize so that I may subscribe.

    Thanks.

    Reply
  40. graliontorile
    graliontorile says:

    obviously like your web site but you have to check the spelling on several of your posts. A number of them are rife with spelling problems and I find it very troublesome to tell the truth however I will definitely come again again.

    Reply
  41. teknik angkat besi
    teknik angkat besi says:

    Oh my goodness! Impressive article dude! Thank you so much, However I am
    experiencing issues with your RSS. I don’t understand why I cannot join it.

    Is there anyone else having similar RSS problems? Anyone who knows the solution can you kindly respond?
    Thanx!!

    Reply

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *