A pragmatic approach to evaluating new techniques in regional anesthesia and acute pain medicine

Anesthesiologists set up regional anesthesia and acute pain medicine programs in order to improve the patient outcomes and experience. Given the increasing frequency and volume of newly described techniques, applying a pragmatic framework can guide clinicians on how to critically review and consider...

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Bibliographic Details
Published in:Pain management (London) 2018-11, Vol.8 (6), p.475-485
Main Authors: Mudumbai, Seshadri C, Auyong, David B, Memtsoudis, Stavros G, Mariano, Edward R
Format: Article
Language:English
Subjects:
access
Anesthesia
Anesthesiology
Bone surgery
Clinical medicine
disparities
Efficiency
grading system
Health care policy
implementation
Joint surgery
Narcotics
novel techniques
outcomes
Pain management
Patients
regional anesthesia
Ultrasonic imaging
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Summary:Anesthesiologists set up regional anesthesia and acute pain medicine programs in order to improve the patient outcomes and experience. Given the increasing frequency and volume of newly described techniques, applying a pragmatic framework can guide clinicians on how to critically review and consider implementing the new techniques into clinical practice. A proposed framework should consider how a technique: increases access; enhances efficiency; decreases disparities and improves outcomes. Quantifying the relative contribution of these four factors using a point system, which will be specific to each practice, can generate an overall scorecard to help clinicians make decisions on whether or not to incorporate a new technique into clinical practice or replace an incumbent technique within a clinical pathway.
ISSN:1758-1869
1758-1877
DOI:10.2217/pmt-2018-0017