Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative Review
Multi-modal analgesic strategies, including regional anesthesia techniques, have been shown to contribute to a reduction in the use of opioids and associated side effects in the perioperative setting. Consequently, those so-called multi-modal approaches are recommended and have become the state of t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/4/1104 |
| _version_ | 1797297881708756992 |
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| author | Sascha Ott Lukas M. Müller-Wirtz Gokhan Sertcakacilar Yasin Tire Alparslan Turan |
| author_facet | Sascha Ott Lukas M. Müller-Wirtz Gokhan Sertcakacilar Yasin Tire Alparslan Turan |
| author_sort | Sascha Ott |
| collection | DOAJ |
| description | Multi-modal analgesic strategies, including regional anesthesia techniques, have been shown to contribute to a reduction in the use of opioids and associated side effects in the perioperative setting. Consequently, those so-called multi-modal approaches are recommended and have become the state of the art in perioperative medicine. In the majority of intensive care units (ICUs), however, mono-modal opioid-based analgesic strategies are still the standard of care. The evidence guiding the application of regional anesthesia in the ICU is scarce because possible complications, especially associated with neuraxial regional anesthesia techniques, are often feared in critically ill patients. However, chest and abdominal wall analgesia in particular is often insufficiently treated by opioid-based analgesic regimes. This review summarizes the available evidence and gives recommendations for peripheral regional analgesia approaches as valuable complements in the repertoire of intensive care physicians’ analgesic portfolios. |
| first_indexed | 2024-03-07T22:26:51Z |
| format | Article |
| id | doaj.art-99a5b2e522ff4320a4a134f782390a72 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-07T22:26:51Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-99a5b2e522ff4320a4a134f782390a722024-02-23T15:22:18ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01134110410.3390/jcm13041104Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative ReviewSascha Ott0Lukas M. Müller-Wirtz1Gokhan Sertcakacilar2Yasin Tire3Alparslan Turan4Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USAMulti-modal analgesic strategies, including regional anesthesia techniques, have been shown to contribute to a reduction in the use of opioids and associated side effects in the perioperative setting. Consequently, those so-called multi-modal approaches are recommended and have become the state of the art in perioperative medicine. In the majority of intensive care units (ICUs), however, mono-modal opioid-based analgesic strategies are still the standard of care. The evidence guiding the application of regional anesthesia in the ICU is scarce because possible complications, especially associated with neuraxial regional anesthesia techniques, are often feared in critically ill patients. However, chest and abdominal wall analgesia in particular is often insufficiently treated by opioid-based analgesic regimes. This review summarizes the available evidence and gives recommendations for peripheral regional analgesia approaches as valuable complements in the repertoire of intensive care physicians’ analgesic portfolios.https://www.mdpi.com/2077-0383/13/4/1104regional anesthesiaperipheral nerve blockschest wall blocksabdominal wall blocksairway blocksICU |
| spellingShingle | Sascha Ott Lukas M. Müller-Wirtz Gokhan Sertcakacilar Yasin Tire Alparslan Turan Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative Review Journal of Clinical Medicine regional anesthesia peripheral nerve blocks chest wall blocks abdominal wall blocks airway blocks ICU |
| title | Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative Review |
| title_full | Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative Review |
| title_fullStr | Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative Review |
| title_full_unstemmed | Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative Review |
| title_short | Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians—A Narrative Review |
| title_sort | non neuraxial chest and abdominal wall regional anesthesia for intensive care physicians a narrative review |
| topic | regional anesthesia peripheral nerve blocks chest wall blocks abdominal wall blocks airway blocks ICU |
| url | https://www.mdpi.com/2077-0383/13/4/1104 |
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