Lewis Owen, Lloyd James, Ferry Jenny, Macfarlane Alan J R, Womack Jonathan, El-Boghdadly Kariem, Shelton Clifford L, Schaff Olivia, Quick Tom J, Smith Andrew F, Cannons Karin, Pearson Annabel, Heelas Leila, Rodger Daniel, Marshall John, Pellowe Carol, Bowness James S, Kearns Rachel J
Department of Anaesthesia, Aneurin Bevan University Health Board, Newport, UK.
Department of Anaesthesia, NHS Greater Glasgow and Clyde, Glasgow, UK.
Anaesthesia. 2025 Feb;80(2):170-178. doi: 10.1111/anae.16473. Epub 2024 Nov 25.
Regional anaesthesia provides important clinical benefits to patients but is underutilised. A barrier to widespread adoption may be the focus of regional anaesthesia research on novel techniques rather than evaluating and optimising existing approaches. Research priorities in regional anaesthesia identified by anaesthetists have been published, but the views of patients, carers and other healthcare professionals have not been considered previously. Therefore, we launched a multidisciplinary research priority setting partnership that aimed to establish key regional anaesthesia research priorities for the UK.
Research suggestions from key stakeholders (defined by their interaction with regional anaesthesia) were gathered using an online survey. These suggestions were analysed to identify common themes and then combined to formulate indicative research questions. After an extensive literature review, unanswered and partially answered questions were prioritised via an interim online survey and then ranked as a top 10 list during a final live virtual multidisciplinary prioritisation workshop.
In total, 210 individuals completed the initial survey and suggested 518 research questions. Fifty-seven indicative questions were formed, of which three were considered fully answered after literature review and one not feasible. The interim online survey received 335 responses, which identified the 24 highest priority questions from the 53 presented. At the final live prioritisation workshop, through a nominal group process, we identified the top 10 regional anaesthesia research priorities. These aligned with three broad thematic areas: pain management (two questions); patient safety (six questions); and recovery from surgery (two questions).
This initiative has resulted in a list of research questions prioritised by patients, carers and a multidisciplinary group of healthcare professionals that should be used to inform and support future regional anaesthesia research in the UK.
区域麻醉对患者具有重要的临床益处，但目前未得到充分利用。广泛采用区域麻醉的一个障碍可能是区域麻醉研究侧重于新技术，而不是评估和优化现有方法。麻醉医生确定的区域麻醉研究重点已发表，但患者、护理人员和其他医疗保健专业人员的观点此前未被考虑。因此，我们发起了一项多学科研究重点设定合作项目，旨在确定英国区域麻醉的关键研究重点。
通过在线调查收集关键利益相关者（根据他们与区域麻醉的互动来定义）的研究建议。对这些建议进行分析以确定共同主题，然后合并以制定指示性研究问题。在进行广泛的文献综述后，通过中期在线调查对未回答和部分回答的问题进行优先排序，然后在最终的现场虚拟多学科优先排序研讨会上将其列为前10名。
共有210人完成了初始调查，并提出了518个研究问题。形成了57个指示性问题，其中3个在文献综述后被认为已得到充分回答，1个不可行。中期在线调查收到了335份回复，从提出的53个问题中确定了24个优先级最高的问题。在最终的现场优先排序研讨会上，通过名义小组法，我们确定了区域麻醉研究的前10大重点。这些重点与三个广泛的主题领域一致：疼痛管理（2个问题）；患者安全（6个问题）；以及手术恢复（2个问题）。
该倡议产生了一份由患者、护理人员和多学科医疗保健专业人员小组确定优先级的研究问题清单，应用于为英国未来的区域麻醉研究提供信息并提供支持。
