Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks
Kariem El-Boghdadly
1, 2, 3, 4
,
Morné Wolmarans
5, 6
,
Angela D Stengel
7
,
Eric Albrecht
8, 9
,
Ki Jinn Chin
10, 11
,
Hesham Elsharkawy
12, 13, 14
,
Sandra L Kopp
12, 15
,
Edward R. Mariano
16, 17, 18, 19
,
Jeff L. Xu
12, 20, 21
,
Sanjib Adhikary
22, 23
,
Başak Altiparmak
12, 24
,
Michael J Barrington
25
,
Sebastien Bloc
26, 27, 28
,
Rafael Blanco
29, 30
,
Karen Boretsky
31, 32
,
Jens Børglum
33, 34
,
Margaretha Breebaart
35, 36
,
David Burckett-St Laurent
37, 38
,
Xavier Capdevila
39, 40
,
Brendan Carvalho
41
,
Alwin Chuan
42
,
Steve Coppens
12, 43
,
Ioana Costache
44, 45
,
Mette Dam
5, 46
,
Christian Egeler
47
,
Mario Fajardo
12, 48
,
Jeff Gadsden
49
,
Philippe Emmanuel Gautier
10, 50
,
Stuart Alan Grant
12, 51
,
Admir Hadzic
33, 52, 53
,
Peter Hebbard
54, 55
,
Nadia Hernandez
12, 56
,
Rosemary Hogg
8, 57
,
Margaret Holtz
58
,
Rebecca L. Johnson
22, 59
,
Manoj K. Karmakar
60, 61
,
Paul Kessler
62, 63
,
Kwesi Kwofie
64, 65
,
Clara Lobo
66, 67
,
Danielle Ludwin
68
,
Alan Macfarlane
69, 70
,
John McDonnell
71
,
G.A. McLeod
8, 72, 73, 74
,
Peter Merjavy
75
,
Eml Moran
76
,
Brian D. O’Donnell
77, 78
,
Teresa Parras
79
,
Amit Pawa
8, 80, 81
,
Anahi Perlas
82, 83
,
Maria Fernanda Rojas Gomez
84
,
Xavier Sala-Blanch
12, 85, 86, 87
,
Andrea Saporito
44, 88
,
Sanjay Kumar Sinha
12, 89
,
Ellen M. Soffin
90, 91
,
Athmaja Thottungal
92
,
Ban Tsui
41, 93
,
S Kinik Tulgar
94, 95
,
Lloyd Turbitt
96
,
Vishal Uppal
44, 97
,
Geert J. van Geffen
12, 98
,
Thomas Volk
99, 100, 101
,
Nabil M. Elkassabany
102, 103
1
Department of Anaesthesia and Perioperative Medicine
2
Guy's and St Thomas' NHS Foundation Trust
3
Centre for Human & Applied Physiological Sciences
5
Anaesthesiology
6
Norfolk and Norwich University Hospital NHS Trust
7
American Society of Regional Anesthesia and Pain Medicine
8
Department of Anaesthesia
10
Department of Anesthesia
11
University Of Toronto
|
12
Anesthesiology
16
Anesthesiology and Perioperative Care Service
17
VA Palo Alto Health Care System
|
18
Department of Anesthesiology, Perioperative and Pain Medicine
22
Anesthesiology and Perioperative Medicine
26
Anesthesiology Department
27
Ambroise Pare Hospital Group
28
Clinical Research Department
29
Anaesthesia and Intensive Care
30
King's College Hospital Dubai
|
31
Anesthesiology, Critical Care and Pain Medicine
33
Department of Anesthesiology
35
Department of Health Sciences
37
Anaesthesia
38
Royal Gwent Hospital
39
Anesthesiology and Critical Care Department
40
Hôpital Lapeyronie
42
University of New South Wales Faculty of Medicine
|
44
Anesthesia
47
Swansea Bay University Health Board
50
CHIREC
52
Ziekenhuis Oost-Limburg
53
NYSORA
54
Department of Anesthesia Northeast Health Wangaratta, Ultrasound Education Group
57
Belfast Health and Social Care Trust
58
Georgia Anesthesiologists PC
60
Department of Anesthesia and Intensice Care
62
Anesthesiology, Intensive Care and Pain Medicine
64
Faculty of Medicine
66
Anestesiologia
67
Hospital das Forças Armadas Polo do Porto
|
69
Department of Cardiology
70
Glasgow Royal Infirmary
|
72
Ninewells Hospital
73
Instittute of Academic Anaesthesia
75
Southern Health and Social Care Trust
76
Letterkenny University Hospital
|
77
Department of Anesthesia and Intensive Care Medicine
79
St George's Healthcare NHS Trust
80
ST THOMAS' HOSPITAL
81
Regional Anaesthesia - UK
|
82
Anesthesia and Pain Management
84
Clinica Cirulaser Andes
86
Human Anatomy and Embryology
88
Ospedale Regionale di Bellinzona e Valli Bellinzona
|
89
Saint Francis Hospital and Medical Center
|
90
Department of Anesthesiology, Critical Care and Pain Management
91
HOSPITAL FOR SPECIAL SURGERY
92
Kent and Canterbury Hospital
93
Anesthesiology, Perioperative and Pain Medicine
94
Anesthesiology and reanimatiom
96
Royal Victoria Hospital Laboratory and Mortuary Services
99
Department of Anaesthesiology, Intensive Care and Pain Therapy
102
Anesthesiology and Critical Care
Publication type: Journal Article
Publication date: 2021-06-18
scimago Q1
wos Q1
SJR: 1.411
CiteScore: 9.6
Impact factor: 3.5
ISSN: 10987339, 15328651
PubMed ID:
34145070
General Medicine
Anesthesiology and Pain Medicine
Abstract
Background
There is heterogeneity in the names and anatomical descriptions of regional anesthetic techniques. This may have adverse consequences on education, research, and implementation into clinical practice. We aimed to produce standardized nomenclature for abdominal wall, paraspinal, and chest wall regional anesthetic techniques.
Methods
We conducted an international consensus study involving experts using a three-round Delphi method to produce a list of names and corresponding descriptions of anatomical targets. After long-list formulation by a Steering Committee, the first and second rounds involved anonymous electronic voting and commenting, with the third round involving a virtual round table discussion aiming to achieve consensus on items that had yet to achieve it. Novel names were presented where required for anatomical clarity and harmonization. Strong consensus was defined as ≥75% agreement and weak consensus as 50% to 74% agreement.
Results
Sixty expert Collaborators participated in this study. After three rounds and clarification, harmonization, and introduction of novel nomenclature, strong consensus was achieved for the names of 16 block names and weak consensus for four names. For anatomical descriptions, strong consensus was achieved for 19 blocks and weak consensus was achieved for one approach. Several areas requiring further research were identified.
Conclusions
Harmonization and standardization of nomenclature may improve education, research, and ultimately patient care. We present the first international consensus on nomenclature and anatomical descriptions of blocks of the abdominal wall, chest wall, and paraspinal blocks. We recommend using the consensus results in academic and clinical practice.
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El-Boghdadly K. et al. Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks // Regional Anesthesia and Pain Medicine. 2021. Vol. 46. No. 7. pp. 571-580.
GOST all authors (up to 50)
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El-Boghdadly K. et al. Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks // Regional Anesthesia and Pain Medicine. 2021. Vol. 46. No. 7. pp. 571-580.
Cite this
RIS
Cite this
BibTex (up to 50 authors)
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@article{2021_El-Boghdadly,
author = {Kariem El-Boghdadly and Morné Wolmarans and Angela D Stengel and Eric Albrecht and Ki Jinn Chin and Hesham Elsharkawy and Sandra L Kopp and Edward R. Mariano and Jeff L. Xu and Sanjib Adhikary and Başak Altiparmak and Michael J Barrington and Sebastien Bloc and Rafael Blanco and Karen Boretsky and Jens Børglum and Margaretha Breebaart and David Burckett-St Laurent and Xavier Capdevila and Brendan Carvalho and Alwin Chuan and Steve Coppens and Ioana Costache and Mette Dam and Christian Egeler and Mario Fajardo and Jeff Gadsden and Philippe Emmanuel Gautier and Stuart Alan Grant and Admir Hadzic and Peter Hebbard and Nadia Hernandez and Rosemary Hogg and Margaret Holtz and Rebecca L. Johnson and Manoj K. Karmakar and Paul Kessler and Kwesi Kwofie and Clara Lobo and Danielle Ludwin and Alan Macfarlane and John McDonnell and G.A. McLeod and Peter Merjavy and Eml Moran and Brian D. O’Donnell and Teresa Parras and Amit Pawa and Anahi Perlas and Maria Fernanda Rojas Gomez and others},
title = {Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks},
journal = {Regional Anesthesia and Pain Medicine},
year = {2021},
volume = {46},
publisher = {Ovid Technologies (Wolters Kluwer Health)},
month = {jun},
url = {https://doi.org/10.1136/rapm-2020-102451},
number = {7},
pages = {571--580},
doi = {10.1136/rapm-2020-102451}
}
Cite this
MLA
Copy
El-Boghdadly, Kariem, et al. “Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks.” Regional Anesthesia and Pain Medicine, vol. 46, no. 7, Jun. 2021, pp. 571-580. https://doi.org/10.1136/rapm-2020-102451.