Pratique de l’anesthésie régionale pendant la pandémie de COVID-19 : un sondage international auprès des membres de trois sociétés d’anesthésie régionale

Uppal, Vishal; Shanthanna, Harsha; Kalagara, Hari; Sondekoppam, Rakesh V.; Hakim, Sameh M.; Rosenblatt, Meg A.; Pawa, Amit; Macfarlane, Alan; Μoka, Eleni; Narouze, Samer

doi:10.1007/s12630-021-02150-8

Cited by 12 publications

(6 citation statements)

References 19 publications

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“…The anaesthesiologist community has implemented alternative analgesic approaches to spare opioids in light of the opioid crisis and drug shortage [8 ▪▪ ], thus regional anaesthesia techniques became more popular in many surgical protocols. Unfortunately, the dramatical drop down in elective surgeries during COVID-19, decreased the number of regional techniques [9,10].…”

Section: Clinical Areas Affected By the Coronavirus Disease 19 Outbreakmentioning

confidence: 99%

Retailoring training programmes in anaesthesia and intensive care after the coronavirus disease 2019 outbreak

Pereda

Hert

Tahan

et al. 2023

Current Opinion in Anaesthesiology

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Purpose of reviewIn this review, we want to collect all the adaptations that anaesthesiology training has faced because of the health crisis and social distancing measures resulting from coronavirus 2019 disease (COVID-19). We reviewed new teaching tools launched during the COVID-19 outbreak worldwide and particularly those implemented by the European Society of Anaesthesiology and Intensive Care (ESAIC) and the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC).Recent findingsGlobally, COVID-19 has interrupted health services and all aspects of training programmes. These unprecedented changes have led to teaching and trainee support innovation tools, focusing on online learning and simulation programmes. Airway management, critical care and regional anaesthesia, have been enhanced during the pandemic, while there were major obstacles in paediatrics, obstetrics and pain medicine.SummaryThe COVID-19 pandemic has altered profoundly the functioning of health systems worldwide. Anaesthesiologists and trainees have fought on the front lines of the battle against COVID-19. As a result, training in anaesthesiology during the last 2 years has focused on managing patients in intensive care. New training programmes have been designed to continue teaching residents of this speciality, focusing on e-learning and advanced simulation. It is necessary to present a review describing the impact that this turbulent period has had on the different subsections of anaesthesiology and to review the innovative measures that have been implemented to address these possible deficits in education and training.

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Section: Clinical Areas Affected By the Coronavirus Disease 19 Outbreakmentioning

confidence: 99%

Retailoring training programmes in anaesthesia and intensive care after the coronavirus disease 2019 outbreak

Pereda

Hert

Tahan

et al. 2023

Current Opinion in Anaesthesiology

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“…An email survey of members of the American Society for Regional Anesthesia and Pain Medicine, UK Regional Anesthesia, and the European Society for Regional Anesthesia and Pain Therapy involving 729 anesthesiologists from 73 countries found that the use of regional anesthesia increased or remained the same, arguing that its use does not produce aerosols and reduces the risk of possible complications to patients. Only 2% of those surveyed decreased the use of regional anesthesia compared to the pre-pandemic period, being the most common reason for the possibility of urgent conversion to general anesthesia [85].…”

Section: Regional Anesthesiamentioning

confidence: 99%

Regional Anesthesia in Times of COVID-19

Whizar-Lugo¹,

Iñiguez-López²,

Castorena-Arellano³

2022

Topics in Regional Anesthesia

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The globalized coronavirus pandemic 2019 has kept us on our toes. Although confusion is widespread and there is a trend toward normalization of almost all human activities, outbreaks remain frequent. The majority of patients with COVID-19 have a trivial to moderate clinical course; a small group develops severe pneumonia and other life-threatening complications. Vaccination against this virus has contributed to better control of the pandemic, but there are no antiviral drugs that have demonstrated efficacy; therefore, the management of surgical patients confirmed or suspected of this disease is a challenge for health care workers, including the anesthesiologists, as well as the non-COVID-19 patients who at a given moment could become carriers or sick. General anesthesia produces aerosols and risks medical and technical personnel being infected, especially those who manage the airway. On the other hand, regional anesthesia has advantages over general anesthesia because the airway is not handled; however, its limited duration is the most important concern. It is reasonable that regional anesthesia occupies a preponderant place in the safe management of all patients, as long as the type of surgery allows it, the anesthesiologist has sufficient skills and patients accept the proposed technique. At this time of globalized crisis due to COVID-19, the intrapandemic anesthetic management of patients undergoing surgery continues to be a changing task, a challenge that has been solved as new data based on solid scientific evidence arise, besides the development of drugs, safer vaccines, equipment, and health prophylactic methods. There is a clear tendency to use regional anesthesia whenever this is possible.

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“…We read the paper entitled ‘The practice of regional anesthesia during the COVID-19 pandemic: an international survey of members of three regional anesthesia societies’ by Dr Uppal et al, with great interest 1. Increasingly, since the resumption of elective surgical activities at full capacity, patients, even recovered from severe forms of COVID-19, are scheduled for interventions.…”

mentioning

confidence: 99%