N. Bedforth
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View article: Recommendations for anatomical structures to identify on ultrasound for the performance of intermediate and advanced blocks in ultrasound-guided regional anesthesia
Recommendations for anatomical structures to identify on ultrasound for the performance of intermediate and advanced blocks in ultrasound-guided regional anesthesia Open
Recent recommendations describe a set of core anatomical structures to identify on ultrasound for the performance of basic blocks in ultrasound-guided regional anesthesia (UGRA). This project aimed to generate consensus recommendations for…
View article: Erector Spinae Plane Blocks for the Early Analgesia of Rib Fractures in Trauma (ESPEAR): protocol for a multicentre pilot randomised controlled trial with feasibility and embedded qualitative assessment
Erector Spinae Plane Blocks for the Early Analgesia of Rib Fractures in Trauma (ESPEAR): protocol for a multicentre pilot randomised controlled trial with feasibility and embedded qualitative assessment Open
Introduction Patients with rib fractures commonly experience significant acute pain and are at risk of hypoxia, retained secretions, respiratory failure and death. Effective analgesia improves these outcomes. There is widespread variation …
View article: Patient-maintained versus anaesthetist-controlled propofol sedation during elective primary lower-limb arthroplasty performed under spinal anaesthesia: a randomised controlled trial
Patient-maintained versus anaesthetist-controlled propofol sedation during elective primary lower-limb arthroplasty performed under spinal anaesthesia: a randomised controlled trial Open
ISRCTN29129799.
View article: 136 Which blocks can you do? An assessment of anaesthetic trainee confidence performing common peripheral nerve blocks
136 Which blocks can you do? An assessment of anaesthetic trainee confidence performing common peripheral nerve blocks Open
Background and Aims Recent opinion has suggested focusing training on a small number of 'Plan A blocks' to improve basic regional anaesthesia competence amongst non-regional enthusiasts1. We assessed trainee confidence performing Plan A bl…
View article: 207 Implementation of training in ultrasound guided regional anaesthetic ‘Plan A’ nerve blocks during the covid pandemic – training must go on!
207 Implementation of training in ultrasound guided regional anaesthetic ‘Plan A’ nerve blocks during the covid pandemic – training must go on! Open
Background and Aims There has been a significant impact on anaesthetic teaching and training within the UK owing to the COVID-19 pandemic. Most of the teaching needs are met using virtual methods. Hands on skills such as regional anaesthes…
View article: 200 Motor sparing nerve blocks for total knee arthropalsty (TKA)- is it worth the effort?
200 Motor sparing nerve blocks for total knee arthropalsty (TKA)- is it worth the effort? Open
Background and Aims Anaesthesia and post-operative analgesia for patients undergoing total knee arthroplasty (TKA) has evolved over the last 20 years. Our aim was to carry out a quality improvement project to assess the benefit of motor sp…
View article: Impact of video games on ultrasound-guided regional anesthesia skills
Impact of video games on ultrasound-guided regional anesthesia skills Open
Background There is an association between video game practice and laparoscopic expertize in trainee surgeons. Ultrasound-guided regional anesthesia has many parallels with laparoscopic surgery. The aim of this study was to explore whether…
View article: A Prototype Patient-Maintained Propofol Sedation System Using Target Controlled Infusion for Primary Lower-Limb Arthroplasty
A Prototype Patient-Maintained Propofol Sedation System Using Target Controlled Infusion for Primary Lower-Limb Arthroplasty Open
Each year, many operations in the UK are performed with the patient awake, without the use of general anaesthesia. These include joint replacement procedures, and in order to reduce patient anxiety, the supervising anaesthetist delivers th…
View article: Femoral Nerve Block Intervention in Neck of Femur Fracture (FINOF): a randomised controlled trial
Femoral Nerve Block Intervention in Neck of Femur Fracture (FINOF): a randomised controlled trial Open
Objective Fractured neck of femur is a severely painful condition with significant mortality and morbidity. We investigated whether early and continuous use of femoral nerve block can improve pain on movement and mobility after surgery in …
View article: Peripheral nerve injury arising in anaesthesia practice
Peripheral nerve injury arising in anaesthesia practice Open
Summary In this article, we will discuss the pathophysiology of peripheral nerve injury in anaesthetic practice, including factors which increase the susceptibility of nerves to damage. We will describe a practical and evidence‐based appro…
View article: Use of a continuous positive airways pressure device for awake open shoulder surgery in a patient with obstructive sleep apnoea
Use of a continuous positive airways pressure device for awake open shoulder surgery in a patient with obstructive sleep apnoea Open
Summary A 59‐year‐old male with severe obstructive sleep apnoea (OSA), a body mass index (BMI) of 46, and a predicted difficult airway was scheduled for open left shoulder rotator cuff repair. After preoperative multidisciplinary discussio…