Regional anesthesia for transplantation surgery ‐ A White Paper Part 2: Abdominal transplantation surgery
Fuente:
Wiley Open Access
Gespeichert in:
| Hauptverfasser: | , , , , , , , , |
|---|---|
| Format: | Artículo Open Access |
| Veröffentlicht: |
Wiley
2024
|
| Schlagworte: | |
| Online-Zugang: | |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| _version_ | 1867011263927681024 |
|---|---|
| author | Michael Ander Neal Mugve Cara Crouch Cale Kassel Kyota Fukazawa Robert Isaak Ranjit Deshpande Charles McLendon Jiapeng Huang |
| author_facet | Michael Ander Neal Mugve Cara Crouch Cale Kassel Kyota Fukazawa Robert Isaak Ranjit Deshpande Charles McLendon Jiapeng Huang Michael Ander Neal Mugve Cara Crouch Cale Kassel Kyota Fukazawa Robert Isaak Ranjit Deshpande Charles McLendon Jiapeng Huang |
| collection | Wiley Open Access |
| contents | Regional anesthesia for transplantation surgery ‐ A White Paper Part 2: Abdominal transplantation surgery Michael Ander Neal Mugve Cara Crouch Cale Kassel Kyota Fukazawa Robert Isaak Ranjit Deshpande Charles McLendon Jiapeng Huang Clinical Transplantation AbstractTransplantation surgery continues to evolve and improve through advancements in transplant technique and technology. With the increased availability of ultrasound machines as well as the continued development of Enhanced Recovery after Surgery (ERAS) protocols, regional anesthesia has become an essential component of providing analgesia and minimizing opioid use perioperatively. Many centers currently utilize peripheral and neuraxial blocks during transplantation surgery, but these techniques are far from standardized practices. The utilization of these procedures is often dependent on transplantation centers’ historical methods and perioperative cultures. To date, no formal guidelines or recommendations exist which address the use of regional anesthesia in transplantation surgery. In response, the Society for the Advancement of Transplant Anesthesia (SATA) identified experts in both transplantation surgery and regional anesthesia to review available literature concerning these topics. The goal of this task force was to provide an overview of these publications to help guide transplantation anesthesiologists in utilizing regional anesthesia. The literature search encompassed most transplantation surgeries currently performed and the multitude of associated regional anesthetic techniques. Outcomes analyzed included analgesic effectiveness of the blocks, reduction in other analgesic modalities—particularly opioid use, improvement in patient hemodynamics, as well as associated complications. The findings summarized in this systemic review support the use of regional anesthesia for postoperative pain control after transplantation surgeries. Part 1 of the manuscript focused on regional anesthesia performed in thoracic transplantation surgeries, and part 2 in abdominal transplantations. Specifically, regional anesthesia in liver, kidney, pancreas, intestinal, and uterus transplants or applicable surgeries are discussed. 10.1111/ctr.15227 http://creativecommons.org/licenses/by-nc/4.0/ |
| doi_str_mv | 10.1111/ctr.15227 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_15227 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Regional anesthesia for transplantation surgery ‐ A White Paper Part 2: Abdominal transplantation surgery Michael Ander Neal Mugve Cara Crouch Cale Kassel Kyota Fukazawa Robert Isaak Ranjit Deshpande Charles McLendon Jiapeng Huang Clinical Transplantation Regional anesthesia for transplantation surgery ‐ A White Paper Part 2: Abdominal transplantation surgery Michael Ander Neal Mugve Cara Crouch Cale Kassel Kyota Fukazawa Robert Isaak Ranjit Deshpande Charles McLendon Jiapeng Huang Clinical Transplantation AbstractTransplantation surgery continues to evolve and improve through advancements in transplant technique and technology. With the increased availability of ultrasound machines as well as the continued development of Enhanced Recovery after Surgery (ERAS) protocols, regional anesthesia has become an essential component of providing analgesia and minimizing opioid use perioperatively. Many centers currently utilize peripheral and neuraxial blocks during transplantation surgery, but these techniques are far from standardized practices. The utilization of these procedures is often dependent on transplantation centers’ historical methods and perioperative cultures. To date, no formal guidelines or recommendations exist which address the use of regional anesthesia in transplantation surgery. In response, the Society for the Advancement of Transplant Anesthesia (SATA) identified experts in both transplantation surgery and regional anesthesia to review available literature concerning these topics. The goal of this task force was to provide an overview of these publications to help guide transplantation anesthesiologists in utilizing regional anesthesia. The literature search encompassed most transplantation surgeries currently performed and the multitude of associated regional anesthetic techniques. Outcomes analyzed included analgesic effectiveness of the blocks, reduction in other analgesic modalities—particularly opioid use, improvement in patient hemodynamics, as well as associated complications. The findings summarized in this systemic review support the use of regional anesthesia for postoperative pain control after transplantation surgeries. Part 1 of the manuscript focused on regional anesthesia performed in thoracic transplantation surgeries, and part 2 in abdominal transplantations. Specifically, regional anesthesia in liver, kidney, pancreas, intestinal, and uterus transplants or applicable surgeries are discussed. 10.1111/ctr.15227 http://creativecommons.org/licenses/by-nc/4.0/ |
| title | Regional anesthesia for transplantation surgery ‐ A White Paper Part 2: Abdominal transplantation surgery |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.15227 |