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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
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Guidelines for Nursing Documentation II01:26

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Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
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Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project.

Hassan M Ahmed1, Benjamin P Atterton2, Gillian G Crowe2

  • 1Department of Anaesthesia, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Regional Anesthesia and Pain Medicine
|February 23, 2022
PubMed
Summary

This study established expert consensus on essential documentation for regional anesthesia. The findings provide crucial recommendations for improving anesthesia quality, education, and research.

Keywords:
Delphi processanesthesiadocumentationinternational consensusminimum standardsnerve blockneuraxialregional anesthesia

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Area of Science:

  • Anesthesiology
  • Medical Informatics

Background:

  • Lack of standardized documentation guidelines in regional anesthesia hinders quality improvement, education, and research.
  • Established the need for expert consensus on key documentation aspects in regional anesthesia.

Framework:

  • Utilized a modified Delphi process involving international regional anesthesia experts.
  • Incorporated anonymous electronic voting across two rounds and a virtual round table discussion.

Implementation:

  • Seventy-seven collaborators participated in initial voting rounds, with 50 in the final discussion.
  • Experts evaluated 83 potential documentation items, achieving strong consensus on 51.

Implications:

  • Provides the first expert-endorsed recommendations for regional anesthesia documentation.
  • Aims to enhance the quality, consistency, and utility of regional anesthesia records.
  • Supports advancements in anesthesia education and clinical research through improved data capture.