Anaesthesia 
Have you ever used peripheral regional anaesthesia as the sole anaesthetic technique in a child?
Of 99 patients, 82% were successful!
Success rate increased with age, from 67% in 6-year-olds to 100% in 12-year-olds.
Racial and ethnic disparities exist in obstetric anaesthesia.
Patients categorised as Asian or Black had lower odds of receiving neuraxial analgesia when compared with those from White backgrounds.
#anaesthesia #obstetrics #pain #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16581
Editorial: ‘Pain as regional anaesthesia wears off’ or ‘rebound pain’: what's in a name?
Is it better to give dexamethasone intravenously or via the perineural route?
This systematic review & meta-analysis shows that iv dexamethasone was associated with a high probability of ⬇️ incidence of rebound pain after peripheral nerve block.
#anaesthesia #medicine #pain #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16566
Does the ROUTE that you give dexamethasone for rebound pain following peripheral nerve blocks matter?
For those of you who missed the, ahem, discussion around ultrasound-guided neuraxial puncture last week, it's not too late to check out the editorial and join the debate!
#anaesthesia #medicine #regionalanaesthesia #pain #POCUS #obstetrics #pain #healthcare
"In the face of clear evidence of benefit, clinicians appear reluctant to fully embrace ultrasound in neuraxial puncture. This [is similar] to the implementation of videolaryngoscopy into routine clinical care."
#anaesthesia #medicine #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16558
Should anaesthetists be using peri-operative ultrasound for neuraxial procedures?
Ultrasound is commonly used for venous access and peripheral nerve blocks.
Why not spinals and epidurals?
#anaesthesia #medicine #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16558
In patients having hip fracture surgery, those with postoperative delirium had a higher incidence of major and mild postoperative cognitive decline than patients without delirium (82.3% vs. 23.7%).
#anaesthesia #medicine #regionalanaesthesia
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16545
Hip fracture surgery - GA vs RA
The incidence of cognitive decline at 12 months was nearly the same - 29.7% in GA vs. 25.4% in RA.