Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Oct 2021
ReviewNarrative review of neuraxial potassium chloride administration errors: clinical features, human factors, and prevention measures.
Administration of the wrong drug via the epidural or intrathecal route can cause devastating consequences. Because of the commonality of potassium replacement therapy coupled to its potential neurotoxic profile, we suspected that injuries related to this drug error would be present in the literature. ⋯ KCl administration via epidural or intrathecal route has been reported to cause catastrophic consequences.
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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
Association between widespread pain and dementia, Alzheimer's disease and stroke: a cohort study from the Framingham Heart Study.
Chronic pain may be an early indicator of cognitive decline, but previous studies have not systematically examined the population-level associations between widespread pain and adverse cognitive outcomes and stroke. This study was designed to determine the association between widespread pain, a common subtype of chronic pain, and subsequent dementia, Alzheimer's disease dementia and stroke. ⋯ Widespread pain was associated with an increased incidence of all-cause dementia, Alzheimer's disease dementia and stroke.
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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.