Regional anaesthesia
Anaesthesiology · Topic 5
Source: NMC CBME Curriculum 2024 · Volume III · Anaesthesiology · Topic 5 · combined PDF page 453
Practice questions
- A patient taking an antithrombotic drug is being considered for a peripheral nerve block. Which block category is specifically described in the ESAIC/ESRA guideline as not requiring the antithrombotic timing intervals used for higher-risk blocks?
- For a higher-bleeding-risk regional procedure in a patient taking an anticoagulant, which set of factors is stated to influence the recommended timing intervals?
- A clinician proposes shortening the recommended antithrombotic interval because the block will be performed under ultrasound guidance. Which statement best reflects the joint ESAIC/ESRA guideline?
- A patient receiving antithrombotic therapy has an indwelling regional catheter. Which management point is emphasized by the guideline?
- Which statement about drug measurements and reversal in antithrombotic-treated patients is supported by the joint guideline summary?
- In the systematic review of regional anaesthesia and persistent postoperative pain, chronic postsurgical pain was defined as pain arising after surgery and persisting for longer than:
- A network meta-analysis of 158 randomized trials compared regional anaesthesia with no block for chronic postsurgical pain. Which summary best matches its overall result?
- Which operation was specifically listed in the CPSP network meta-analysis as showing a reduced CPSP incidence with regional anaesthesia compared with no block?
- For thoracotomy, the network meta-analysis compared regional techniques with no block. Which finding correctly describes the relative estimates reported for neuraxial and peripheral techniques?
- What did the CPSP network meta-analysis conclude about long-term opioid use after surgery?
- A meta-analysis of anaesthetic strategies found that techniques incorporating regional anaesthesia generally ranked highest for postoperative pain. Which interpretation is most consistent with its reported findings?
- When regional anaesthesia was used, how did postoperative pain outcomes compare between opioid-free and opioid-inclusive anaesthesia in the supplied network meta-analysis?
- In the network meta-analysis of six perioperative strategies, which outcome was associated with lower rates in opioid-free approaches, particularly when regional techniques were employed?
- Which statement best summarizes opioid requirements in the network meta-analysis when regional anaesthesia was absent?
- In the single-shot regional modality review for primary total hip arthroplasty, which technique ranked highest for static pain at six hours?
- Which modality ranked highest for static pain at 12 hours after primary total hip arthroplasty in the supplied network meta-analysis?
- For dynamic pain at six hours after primary total hip arthroplasty, which modality had the highest reported ranking?
- Which modality ranked highest for dynamic pain at 12 hours after primary total hip arthroplasty in the component network meta-analysis?
- In the hip arthroplasty review, which single-shot regional modality ranked highest for total morphine consumption at 24 hours?
- Qualitative analysis of the hip arthroplasty regional-modality review associated which group of blocks with increased motor blockade affecting quadriceps or adductor muscles?
- A systematic review assessed instructional design features in simulation-based ultrasound-guided regional anaesthesia training. Which combination was commonly present and associated with improvement across multiple learning outcomes?
- In the systematic review of simulation-based ultrasound-guided regional anaesthesia training, which outcome level was assessed less often than the lower Kirkpatrick levels?
- A trainee asks whether the optimal combination of instructional design features for improving patient outcomes in ultrasound-guided regional anaesthesia simulation is established. Which response best reflects the systematic review?
- According to the supplied review of patients with chronic preoperative pain, which statement best characterizes the supported short-term role of regional analgesia?
- A patient with chronic preoperative pain has anxiety and pain catastrophizing. Which interpretation is most consistent with the supplied review?
- Which statement best represents the review's conclusion about long-term effects of regional analgesia in patients with chronic preoperative pain?
- A meta-analysis of randomized trials compared regional with general anaesthesia for minimally invasive urinary stone procedures. Which outcome showed a statistically significant difference in the primary analysis?
- In the primary analysis of randomized trials for minimally invasive urinary stone procedures, which statement about postoperative pain and complications is most accurate?
- A clinician concludes from the urinary-stone meta-analysis that regional anaesthesia definitively improves stone clearance and shortens hospital stay. Which appraisal is most appropriate?