RT @anomoorthy: See our recent correspondence to a recent excellent article published by Chin et al on BJA- initial manual bolus vs program…

@RCSICritCare @_j_clarke @RCSI_Irl @Beaumont_Dublin @UofT @RCSI_Research @AnaesTrainees @MatteoParotto @Curleyger @Beaumont_ICU Huge congrats Jen!!🥳🥳🥳

@wongjanman @BJAJournals The nature of scoping reviews is to include all available evidence so a number of the papers included were from low resource settings. I feel it’s important to represent evidence from a variety of settings #bjachat

@BJAJournals Our review was conducted to illustrate past and current evidence, to help identify areas of future research, and to assist the process of conducting a systematic review which is currently underway. #bjachat

@BJAJournals The major limitation of scoping reviews is the lack of quality assessment of the papers included which means that based on our review it is not possible to draw firm conclusions on the efficacy of any particular regional anaesthetic technique for spine surgery. #bjachat

@BJAJournals The main strengths and limitations of the review relate to the strengths and limitations of scoping reviews themselves. #bjachat

@wongjanman @BJAJournals They are also useful in demonstrating what is occurring in real practice as they include case reports, retrospective trials and grey literature which is not represented in systematic reviews. They’re illustrative more than instructive #bjachat

@wongjanman @BJAJournals The most common are the ESP blocks but TLIP blocks Retrolaminar blocks and QL blocks amongst others have been studied

@BJAJournals With the recent increase in publications on new fascial plane blocks for spine surgery such as the Erector Spinae Plane (ESP), Retrolaminar (RL), and Thoracolumbar Interfascial Plane (TLIP) blocks, we felt that a scoping review was best placed to review the scope of literature

@BJAJournals pain relief, quality of recovery and patient satisfaction. In comparison to neuraxial techniques, we found that the popularity of fascial plane blocks for spinal surgery has significantly increased since 2017. #bjachat

@BJAJournals We aimed to identify available evidence on the use of regional and neuraxial anaesthesia techniques for patients undergoing spinal surgery #bjachat

@BJAJournals several benefits of regional anaesthesia, have been suggested for spine surgery, both when used as an adjunct or alternative to GA. Variations in practice have meant that it is difficult to know which modalities achieve optimal outcomes for spinal surgery patients. 2/2 #bjachat

@BJAJournals Major spinal surgery causes more pain in the first 24 postoperative hours than most other types of surgery. The most common anaesthetic technique for patients undergoing thoracic or lumbar spine surgery is balanced general anaesthesia 1/2 #bjachat

@beckimarshRA @Steve_Coppens @Danny_Hoogma It took a LOT of work to be pro ESP in that article 😂😂 #balance

@DougMulholland 😍 imagine…. Ps. That was the most traumatic episode of tv ever