Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Reg Anesth Pain Med. 2021 Sep;46(9):820-821. doi: 10.1136/rapm-2020-102416. Epub 2021 May 5.
The practice of ultrasound-guided regional anesthesia (UGRA) by emergency medicine physicians in the emergency department (ED) is increasing. The need for effective alternatives to opioid analgesia in the acute care setting likely exceeds the current capacity of UGRA-trained anesthesia teams. In this daring discourse, we outline several matters of relevance to be considered as protocols are put into place to facilitate the practice of UGRA by emergency medicine physicians in the ED. There are opportunities for collaboration between anesthesiology and emergency medicine societies in guideline development as well as educational resources. The sustained interest in UGRA shown by many emergency medicine physicians should be viewed open-mindedly by anesthesiologists. Failure to collaborate on local and national scales could lead to delays in the development and implementation of patient-centered, safe procedural care, and limit patient access to the benefits of regional anesthesia.
越来越多的急诊医师在急诊部施行超声引导下区域麻醉（UGRA）。在急性护理环境中，对阿片类镇痛药的有效替代的需求可能超过了 UGRA 训练有素的麻醉团队的现有能力。在本次大胆的论述中，我们概述了在制定方案以促进急诊医师在急诊部施行 UGRA 时需要考虑的一些相关事项。麻醉学会和急诊医学学会之间在指南制定和教育资源方面有协作的机会。许多急诊医师对 UGRA 的持续兴趣应得到麻醉师的开放心态看待。如果不在地方和国家范围内进行合作，可能会导致以患者为中心的安全程序护理的发展和实施延迟，并限制患者获得区域麻醉的益处。
