Regional analgesia as the core component of multimodal analgesia technique: Current controversies and future directions

Article Anesthesiology

Erector spinae plane block: the ultimate ?plan A? block?

Amit Pawa et al.

Summary: The erector spinae plane block is one of the proposed 'Plan A' blocks that can be performed at all levels of the spine and provides analgesia to most regions of the body. However, current studies show that it may not be as effective as local infiltration and other Plan A blocks in upper and lower limb surgery. Therefore, there is insufficient evidence to claim it as the ultimate Plan A block.

BRITISH JOURNAL OF ANAESTHESIA (2023)

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Editorial Material Anesthesiology

Critical appraisal of randomised trials assessing regional analgesic interventions for knee arthroplasty: implications for postoperative pain guidelines development

Girish P. Joshi et al.

Summary: Guidelines are increasingly used for clinical decision-making, but the current approach to analyzing meta-analyses of pain interventions is not optimal, potentially leading to inadequate or inappropriate conclusions and clinical guidance.

BRITISH JOURNAL OF ANAESTHESIA (2022)

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Article Anesthesiology

Pain management after total knee arthroplasty PROcedure SPEcific Postoperative Pain ManagemenT recommendations

Patricia M. Lavand'homme et al.

Summary: The study identifies an optimal analgesic regimen for unilateral primary TKA, recommending paracetamol and NSAIDs, combined with specific nerve block and local infiltration analgesia, along with a single dose of intravenous dexamethasone. Morphine may be considered for hospitalized patients in rare situations. Opioids should be used as rescue analgesics postoperatively, while other analgesic interventions are not recommended. Future research on enhanced recovery programs and specific patient groups is needed.

EUROPEAN JOURNAL OF ANAESTHESIOLOGY (2022)

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