Journal article
ASRA Pain Medicine consensus practice infection control guidelines for regional anesthesia and pain medicine
Regional anesthesia and pain medicine
01/20/2025
DOI: 10.1136/rapm-2024-105651
PMID: 39837579
Abstract
BackgroundTo provide recommendations on risk mitigation, diagnosis and treatment of infectious complications associated with the practice of regional anesthesia, acute and chronic pain management.MethodsFollowing board approval, in 2020 the American Society of Regional Anesthesia and Pain Medicine (ASRA Pain Medicine) commissioned evidence-based guidelines for best practices for infection control. More than 80 research questions were developed and literature searches undertaken by assigned working groups comprising four to five members. Modified US Preventive Services Task Force criteria were used to determine levels of evidence and certainty. Using a modified Delphi method, >50% agreement was needed to accept a recommendation for author review, and >75% agreement for a recommendation to be accepted. The ASRA Pain Medicine Board of Directors reviewed and approved the final guidelines.ResultsAfter documenting the incidence and infectious complications associated with regional anesthesia and interventional pain procedures including implanted devices, we made recommendations regarding the role of the anesthesiologist and pain physician in infection control, preoperative patient risk factors and management, sterile technique, equipment use and maintenance, healthcare setting (office, hospital, operating room), surgical technique, postoperative risk reduction, and infection symptoms, diagnosis, and treatment. Consensus recommendations were based on risks associated with different settings and procedures, and keeping in mind each patient’s unique characteristics.ConclusionsThe recommendations are intended to be multidisciplinary guidelines for clinical care and clinical decision-making in the regional anesthesia and chronic interventional pain practice. The issues addressed are constantly evolving, therefore, consistent updating will be required.
Details
- Title: Subtitle
- ASRA Pain Medicine consensus practice infection control guidelines for regional anesthesia and pain medicine
- Creators
- David Anthony Provenzano - Pain Diagnostics and Interventional Care, Sewickley, Pennsylvania, USAMichael Hanes - Jax Spine and Pain Centers, Jacksonville, Florida, USAChristine Hunt - Mayo Clinic in FloridaHonorio T Benzon - Northwestern UniversityJay S Grider - University of KentuckyKelly Cawcutt - University of Nebraska Medical CenterTina L Doshi - Johns Hopkins UniversitySalim Hayek - Case Western Reserve UniversityBryan Hoeltzer - International Spine, Pain & PerformanceRebecca L Johnson - Mayo ClinicHari Kalagara - Mayo Clinic in FloridaSandra Kopp - Mayo ClinicRandy W Loftus - Mayo ClinicAlan James Robert Macfarlane - University of GlasgowAmeet S Nagpal - Medical University of South CarolinaStephanie A Neuman - Gundersen Health SystemAmit Pawa - St Thomas' HospitalAmy C S Pearson - Aurora Health CareJulie Pilitsis - Arizona State UniversityEellan Sivanesan - Johns Hopkins UniversityRakesh V Sondekoppam - Stanford UniversityJan Van Zundert - Ziekenhuis Oost-LimburgSamer Narouze - University Hospitals of Cleveland
- Resource Type
- Journal article
- Publication Details
- Regional anesthesia and pain medicine
- Publisher
- BMJ Publishing Group Ltd
- DOI
- 10.1136/rapm-2024-105651
- PMID
- 39837579
- ISSN
- 1098-7339
- eISSN
- 1532-8651
- Grant note
- American Society of Regional Anesthesia and Pain Medicine (http://dx.doi.org/10.13039/100002605)
- Language
- English
- Electronic publication date
- 01/20/2025
- Academic Unit
- Anesthesia
- Record Identifier
- 9984775269802771
Metrics
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