ASA | Regional anaesthesia associated with improved cancer survival

TopMedTalk - A podcast by TopMedTalk - Mondays

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This piece is a deep dive into regional anaesthesia for Enhancing Recovery. Hear how paravertebral nerve blocks can be used in breast cancer surgery, how does this effect long term outcomes for patients? There is then further discussion regarding regional anaesthesia for Ambulatory Surgery. There is also a long form discussion of electromyographic (EMG) objective monitoring on a neuromuscular blockade. How can this help reduce and discover potential poor outcomes? Further questions from the online audience are addressed such as "can you send knee surgery patients home on the day of surgery, how do you manage pain?" Since this piece was recorded it's worth nothing that these important studies were subsequently finished and published: "Recurrence of breast cancer after regional or general anaesthesia: a randomised controlled trial " https://pubmed.ncbi.nlm.nih.gov/31645288/ "Influence of perioperative anaesthetic and analgesic interventions on oncological outcomes: a narrative review " https://pubmed.ncbi.nlm.nih.gov/3125529/ "How Anesthetic, Analgesic and Other Non-Surgical Techniques During Cancer Surgery Might Affect Postoperative Oncologic Outcomes: A Summary of Current State of Evidence" https://pubmed.ncbi.nlm.nih.gov/31035321/ Presented by Desiree Chappell and Monty Mythen with their guest Professor Stuart Grant, MB ChB, FRCA Director, Medical Student Education, Duke University School of medicine.