Viscusi, Eugene
Mayo Clinic
Department of Anesthesiology, Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA.
Citations 2
Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project
Lotfy, Ahmed , Atterton, B, Crowe, G, Barratta, Jaime L, Johnson, Mark , Viscusi, Eugene R. , Adhikary, Sanjib Das , Albrecht, Éric , Boretsky, Karen , Boublik, Jan , Breslin, Dara S., Ch’ng, Alan Swee Hock , Chuan, Alwin , Conroy, Patrick , Daniel, Craig O. , Daszkiewicz, Andrzej , Delbos, Alain, Dîrzu, Dan Sebastian , Dmytrіiev, Dmytro , Fennessy, Paul , Frizelle, Henry P., Gadsden, Jeff, Gautier, Philippe , Hardman, H. David , Harrop‐Griffiths, W., Hebbard, Peter , Hernandez, Nadia , Hlásny, Jakub , Iohom, Gabriella , Kalagara, Hari , Kinirons, B., Leng, Jody C. , Lim, Yean Chin , Lobo, Clara , Ludwin, Danielle, Macfarlane, Alan , Machi, Anthony , Mahon, Padraig, Mannion, Stephen , McLeod, David H., Merjavy, Peter , Miščuks, Aleksejs , Mitchell, Christopher H. , Μoka, Εleni , Moran, Peter, Ngui, Ann, Nin, Olga C. , OʼDonnell, Brian D. , Pawa, Amit , Perlas, Anahi , Pozek, John-Paul J., Rebelo, Humberto C, Roqués, V, Schroeder, Kristopher M. , Schwartz, Gary , Shorten, George , Stevens, Markus F. , Turbitt, Lloyd , Valdés-Vilches, Luis Fernando , Webster, Katrina, Wolmarans, Morné , Woodworth, Glenn E. , Worek, Andrew K, Moran, EML , Ahmed, Hassan M , Viscusi, Eugene , Adhikary, Sanjib , Byrne, Kelly , Chuan, Alwin , Dirzu, Dan Sebastian , Dmytriiev, Dmytro , Gupta, Rajnish K , Ip, Vivian H Y , Jeng, Christina L , Johnson, Rebecca L , Lim, Yean Chin , Macfarlane, Alan James Robert , Machi, Anthony T , Merjavy, Peter , Pawa, Amit , Perlas, Anahi , Porter, Steven B , Schwenk, Eric S , Sermeus, Luc , Srinivasan, Karthikeyan , Theodoraki, Kassiani , Volk, Thomas , Wilson, Sylvia H , Woodworth, Glenn , Moran, E M Louise , Kalagara, Hari , Lobo, Clara , Moka, Eleni , Albrecht, Eric , Crowe, Gillian-Genevieve , Ch'ng, Alan, Fischer, H. B. J. , Gupta, Rajnish K. , Gürkan, Yavuz , Ip, Vivian , Johnson, Rebecca L. , Lansdown, Andrew Kenneth, Porter, Steven B. , Schwenk, Eric S. , Volk, Thomas , Webster, Katrina, Wiesmann, Thomas
Regional Anesthesia & Pain Medicine | February 22, 2022 | Volume: 47 | Issue: 5 | Pages: 301-308
Background and objectives Documentation is important for quality improvement, education, and research. There is currently a lack of recommendations regarding key aspects of documentation in regional anesthesia. The aim of this study was to establish recommendations for documentation in regional anesthesia. Methods Following the formation of the executive committee and a directed literature review, a long list of potential documentation components was created. A modified Delphi process was then employed to achieve consensus amongst a group of international experts in regional anesthesia. This consisted of 2 rounds of anonymous electronic voting and a final virtual round table discussion with live polling on items not yet excluded or accepted from previous rounds. Progression or exclusion of potential components through the rounds was based on the achievement of strong consensus. Strong consensus was defined as ≥75% agreement and weak consensus as 50%–74% agreement. Results Seventy-seven collaborators participated in both rounds 1 and 2, while 50 collaborators took part in round 3. In total, experts voted on 83 items and achieved a strong consensus on 51 items, weak consensus on 3 and rejected 29. Conclusion By means of a modified Delphi process, we have established expert consensus on documentation in regional anesthesia.
Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analys
Memtsoudis, Stavros G. , Cozowicz, Crispiana , Bekeris, Janis, Bekere, Dace, Liu, Jiabin , Soffin, Ellen M. , Mariano, Edward R. , Johnson, Rebecca L. , Go, George , Hargett, Mary J. , Lee, Bradley H. , Wendel, Pamela , Brouillette, Mark , Kim, Sang Jo, Baaklini, Lila , Wetmore, Douglas S., Hong, Genewoo , Goto, Rie , Jivanelli, Bridget , Athanassoglou, Vassilis , Αrgyra, Eriphili, Barrington, Michael J. , Borgeat, Alain , El‐Boghdadly, Kariem , Elkassabany, Nabil , Gautier, Philippe , Gerner, Peter, Valle, Alejandro González Della , Goytizolo, Enrique A. , Guo, Zhenggang , Hogg, Rosemary , Kehlet, Henrik , Kessler, Paul, Lavand"homme, Patricia, Macfarlane, Alan , McIsaac, Dan , Neal, Joseph M. , Peng, Philip , Pichler, Lukas, Poultsides, Lazaros, Sites, Brian D. , Stundner, Ottokar , Sun, Eric, Viscusi, Eugene R. , Votta‐Velis, E. Gina, YaDeau, Jacques T. , Sharrock, Nigel E. , Barrington, Michael John , El-Boghdadly, K , Elkassabany, Nabil M , Kopp, Sandra , Mantilla, Carlos, Neal, Joseph M , Poeran, Jashvant , Schwenk, Eric S , Stundner, Ottokar , Viscusi, Eugene , Wu, Christopher L , Mariano, Edward R , Johnson, Rebecca L , Soffin, Ellen M , Macfarlane, Alan James Robert , Andrés, José De , Kessler, Paul, Kopp, Sandra L. , Lavand"homme, Patricia, MacLean, Catherine H. , Mantilla, Carlos B. , McLawhorn, Alexander S. , Parks, Michael L. , Parvizi, Javad , Schwenk, Eric S.
Regional Anesthesia & Pain Medicine | August 25, 2021 | Volume: 46 | Issue: 11 | Pages: 971-985
Background Evidence-based international expert consensus regarding the impact of peripheral nerve block (PNB) use in total hip/knee arthroplasty surgery. Methods A systematic review and meta-analysis: randomized controlled and observational studies investigating the impact of PNB utilization on major complications, including mortality, cardiac, pulmonary, gastrointestinal, renal, thromboembolic, neurologic, infectious, and bleeding complications. Medline, PubMed, Embase, and Cochrane Library including Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, NHS Economic Evaluation Database, were queried from 1946 to August 4, 2020. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to assess evidence quality and for the development of recommendations. Results Analysis of 122 studies revealed that PNB use (compared with no use) was associated with lower ORs for (OR with 95% CIs) for numerous complications (total hip and knee arthroplasties (THA/TKA), respectively): cognitive dysfunction (OR 0.30, 95% CI 0.17 to 0.53/OR 0.52, 95% CI 0.34 to 0.80), respiratory failure (OR 0.36, 95% CI 0.17 to 0.74/OR 0.37, 95% CI 0.18 to 0.75), cardiac complications (OR 0.84, 95% CI 0.76 to 0.93/OR 0.83, 95% CI 0.79 to 0.86), surgical site infections (OR 0.55 95% CI 0.47 to 0.64/OR 0.86 95% CI 0.80 to 0.91), thromboembolism (OR 0.74, 95% CI 0.58 to 0.96/OR 0.90, 95% CI 0.84 to 0.96) and blood transfusion (OR 0.84, 95% CI 0.83 to 0.86/OR 0.91, 95% CI 0.90 to 0.92). Conclusions Based on the current body of evidence, the consensus group recommends PNB use in THA/TKA for improved outcomes. Recommendation: PNB use is recommended for patients undergoing THA and TKA except when contraindications preclude their use. Furthermore, the alignment of provider skills and practice location resources needs to be ensured. Evidence level: moderate; recommendation: strong.