Abstract
Regional anesthesia (RA) techniques, especially peripheral nerve blocks (PNBs) and central neuraxial anesthesia/analgesia, are more difficult to learn than the basic skills to conduct general anesthesia (GA). RA has not been conducted as a structured rotation for the promotion of consistency as the other subspecialty rotations within anesthesia, but the goals of RA are to develop and cultivate proficiency in motor skills aligned with quality and safe patient care. RA training and practice must impart knowledge, judgment, motor skill proficiency, didactic training, and continued assessment of learned knowledge and skills.
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References
Ballantyne JC, Carr DB, deFerranti S, et al. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg. 1998;86:598–612.
Block BM, Liu SS, Rowlingson AJ, et al. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA 2003;290:2455–63.
Goldman L, et al. Multifactorial index of cardiac risk in noncardiac surgical patients. N Engl J Med. 1977;297:845.
Jorgensen H, Wetterslev J, Moiniche S, et al. Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery. Cochrane Database Syst Rev. 2000;CD001893.
Joshi GP, Bonnet F, Shah R, et al. A systematic review of randomized trials evaluating regional techniques for postthoracotomy analgesia. Anesth Analg. 2008;107:1026–40.
Kehlet H. Postoperative opioid sparing to hasten recovery: what are the issues? Anesthesiology 2005;102:1083–5.
Liu SS, Block BM, Wu CL. Effects of perioperative central neuraxial analgesia on outcome after coronary artery bypass surgery: a meta-analysis. Anesthesiology 2004;101:153–61.
Liu SS, Richman JM, Thirlby RC, Wu CL. Efficacy of continuous wound catheters delivering local anesthetic for postoperative analgesia: a quantitative and qualitative systematic review of randomized controlled trials. J Am Coll Surg. 2006;203:914–32.
Liu SS, Strodtbeck WM, Richman JM, Wu CL. A comparison of regional versus general anesthesia for ambulatory anesthesia: a meta-analysis of randomized controlled trials. Anesth Analg. 2005;101:1634–42.
Liu SS, Wu CL. Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence. Anesth Analg 2007;104:689–702.
Marhofer P, Chan VW. Ultrasound-guided regional anesthesia: current concepts and future trends. Anesth Analg. 2007;104:1265–1269.
McDonald SB. Is neuraxial blockade contraindicated in the patient with aortic stenosis? Reg Anesth Pain Med. 2004 Sep–Oct;29(5):496–5.
Richman JM, Liu SS, Courpas G, et al. Does continuous peripheral nerve block provide superior pain control to opioids? A meta-analysis. Anesth Analg. 2006;102:248–57.
Rigg JR, Jamrozik K, Myles PS, et al. Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial. Lancet 2002;359:1276–82.
Torsher L, et al. Risk of patients with severe aortic stenosis undergoing noncardiac surgery. Am J Cardiol. 1998;81:448–52.
Wu CL, Cohen SR, Richman JM, et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology 2005;103:1079–88.
Wu CL, Hsu W, Richman JM, et al. Postoperative cognitive function as an outcome of regional anesthesia and analgesia. Reg Anesth Pain Med. 2004;29:257–68.
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Halaszynski, T., Wardhan, R., Freck, E. (2011). Regional Anesthesia Techniques. In: Vadivelu, N., Urman, R., Hines, R. (eds) Essentials of Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-0-387-87579-8_20
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DOI: https://doi.org/10.1007/978-0-387-87579-8_20
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