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Diaphragm-sparing brachial plexus blocks: a focused review of current evidence and their role during the COVID-19 pandemic / Laura Girón Arango
Título : Diaphragm-sparing brachial plexus blocks: a focused review of current evidence and their role during the COVID-19 pandemic Tipo de documento : documento electrónico Autores : Laura Girón Arango, Fecha de publicación : 2020 Títulos uniformes : Current Opinion in Anaesthesiology Idioma : Inglés (eng) Palabras clave : brachial plexus COVID-19 diaphragm-sparing nerve block phrenic nerve regional anesthesia Resumen : Purpose of review: Given that COVID-19 can severely impair lung function, regional anesthesia techniques avoiding phrenic nerve paralysis are relevant in the anesthetic management of suspected/confirmed COVID-19 patients requiring shoulder and clavicle surgical procedures. The objective of this review is to provide an overview of recently published studies examining ultrasound-guided diaphragm-sparing regional anesthesia techniques for the brachial plexus (BP) to favor their preferent use in patients at risk of respiratory function compromise. Recent findings: In the last 18 months, study findings on various diaphragm-sparing regional anesthesia techniques have demonstrated comparable block analgesic effectivity with a variable extent of phrenic nerve paralysis. The impact of hemi-diaphragmatic function impairment on clinical outcomes is yet to be established. Summary: Existing diaphragm-sparing brachial plexus regional anesthesia techniques used for shoulder and clavicle surgery may help minimize pulmonary complications by preserving lung function, especially in patients prone to respiratory compromise. Used as an anesthetic technique, they can reduce the risk of exposure of healthcare teams to aerosol-generating medical procedures (AGMPs), albeit posing an increased risk for hemi-diaphragmatic paralysis. Reducing the incidence of phrenic nerve involvement and obtaining opioid-sparing analgesia without jeopardizing efficacy should be prioritized goals of regional anesthesia practice during the COVID-19 pandemic. Mención de responsabilidad : Cubillos, Javier; Girón-Arango, Laura; Muñoz-Leyva, Felipe Referencia : Curr Opin Anaesthesiol. 2020 Oct;33(5):685-691. DOI (Digital Object Identifier) : 10.1097/ACO.0000000000000911 PMID : 32826625 En línea : https://journals.lww.com/co-anesthesiology/Abstract/2020/10000/Diaphragm_sparing [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5129 Diaphragm-sparing brachial plexus blocks: a focused review of current evidence and their role during the COVID-19 pandemic [documento electrónico] / Laura Girón Arango, . - 2020.
Obra : Current Opinion in Anaesthesiology
Idioma : Inglés (eng)
Palabras clave : brachial plexus COVID-19 diaphragm-sparing nerve block phrenic nerve regional anesthesia Resumen : Purpose of review: Given that COVID-19 can severely impair lung function, regional anesthesia techniques avoiding phrenic nerve paralysis are relevant in the anesthetic management of suspected/confirmed COVID-19 patients requiring shoulder and clavicle surgical procedures. The objective of this review is to provide an overview of recently published studies examining ultrasound-guided diaphragm-sparing regional anesthesia techniques for the brachial plexus (BP) to favor their preferent use in patients at risk of respiratory function compromise. Recent findings: In the last 18 months, study findings on various diaphragm-sparing regional anesthesia techniques have demonstrated comparable block analgesic effectivity with a variable extent of phrenic nerve paralysis. The impact of hemi-diaphragmatic function impairment on clinical outcomes is yet to be established. Summary: Existing diaphragm-sparing brachial plexus regional anesthesia techniques used for shoulder and clavicle surgery may help minimize pulmonary complications by preserving lung function, especially in patients prone to respiratory compromise. Used as an anesthetic technique, they can reduce the risk of exposure of healthcare teams to aerosol-generating medical procedures (AGMPs), albeit posing an increased risk for hemi-diaphragmatic paralysis. Reducing the incidence of phrenic nerve involvement and obtaining opioid-sparing analgesia without jeopardizing efficacy should be prioritized goals of regional anesthesia practice during the COVID-19 pandemic. Mención de responsabilidad : Cubillos, Javier; Girón-Arango, Laura; Muñoz-Leyva, Felipe Referencia : Curr Opin Anaesthesiol. 2020 Oct;33(5):685-691. DOI (Digital Object Identifier) : 10.1097/ACO.0000000000000911 PMID : 32826625 En línea : https://journals.lww.com/co-anesthesiology/Abstract/2020/10000/Diaphragm_sparing [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5129 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001388 AC-2020-065 Archivo digital Producción Científica Artículos científicos Disponible Reply To Dr Roy et al: Total postoperative analgesia for hip surgeries: PENG block with LFCN block / Laura Girón Arango
Título : Reply To Dr Roy et al: Total postoperative analgesia for hip surgeries: PENG block with LFCN block Tipo de documento : documento electrónico Autores : Laura Girón Arango, Fecha de publicación : 2019 Títulos uniformes : Regional Anesthesia and Pain Medicine Idioma : Inglés (eng) Palabras clave : Acute pain lower extremity regional anesthesia Mención de responsabilidad : Laura Girón-Arango, Vicente Roqués, Philip Peng Referencia : Reg Anesth Pain Med. 2019 Mar 28 DOI (Digital Object Identifier) : 10.1136/rapm-2019-100505 PMID : 30923249 En línea : https://rapm.bmj.com/content/44/6/684.2.info Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4257 Reply To Dr Roy et al: Total postoperative analgesia for hip surgeries: PENG block with LFCN block [documento electrónico] / Laura Girón Arango, . - 2019.
Obra : Regional Anesthesia and Pain Medicine
Idioma : Inglés (eng)
Palabras clave : Acute pain lower extremity regional anesthesia Mención de responsabilidad : Laura Girón-Arango, Vicente Roqués, Philip Peng Referencia : Reg Anesth Pain Med. 2019 Mar 28 DOI (Digital Object Identifier) : 10.1136/rapm-2019-100505 PMID : 30923249 En línea : https://rapm.bmj.com/content/44/6/684.2.info Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4257 Reserva
Reservar este documentoEjemplares(1)
Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001236 AC-2019-025 Archivo digital Producción Científica Artículos científicos Disponible