Evidence map›Paper›PMID 36836081›Full record

ReviewJournal of clinical medicine2023

Peripheral Regional Anesthesia Using Local Anesthetics: Old Wine in New Bottles?

Lukas Gasteiger, Lukas Kirchmair, Elisabeth Hoerner, Ottokar Stundner, Markus W Hollmann

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Lukas GasteigerDepartment of Anesthesia and Critical Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0002-4659-9114
Lukas KirchmairDepartment of Anesthesia and Critical Care Medicine, Hospital Schwaz, 6130 Schwaz, Austria.
Elisabeth HoernerDepartment of Anesthesia and Critical Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Ottokar StundnerDepartment of Anesthesia and Critical Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Markus W HollmannDepartment of Anesthesiology, Amsterdam University Medical Center, University of Amsterdam, 1100 Amsterdam, The Netherlands.ORCID 0000-0001-8248-0244
Innsbruck Medical University · ATHanusch Hospital · ATUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the past decade, numerous efforts were undertaken aiming at prolonging the analgesic effect of regional anesthesia. With the development of extended-release formulations and enhanced selectivity for nociceptive sensory neurons, a very promising contribution to the development of pain medications has been achieved. At present, liposomal bupivacaine is the most popular, non-opioid, controlled drug delivery system, but its duration of action, which is still controversially discussed, and its expensiveness have decreased initial enthusiasm. Continuous techniques can be seen as an elegant alternative for providing a prolonged duration of analgesia, but for logistic or anatomical reasons, they are not always the best choice. Therefore, focus has been directed towards the perineural and/or intravenous addition of old and established substances. As for perineural application, most of these so-called 'adjuvants' are used outside their indication, and their pharmacological efficacy is often not or only poorly understood. This review aims to summarize the recent developments for prolonging the duration of regional anesthesia. It will also discuss the potential harmful interactions and side effects of frequently used analgesic mixtures.

Indexed as

adjuvantslocal anestheticsprolongation of actionregional anesthesia

Identifiers

PMID36836081
PMCPMC9962037
OpenAlexW4321096519

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.