{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:44:52Z","timestamp":1792806292039,"version":"4.5.0"},"reference-count":55,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Patient safety, improved quality of care, and better patient satisfaction and functional outcomes are currently the topmost priorities in regional anaesthesia (RA) and all advancements in RA move in this direction. Ultrasonography-guided central neuraxial and peripheral nerve blocks, intracluster and intratruncal injections, fascial plane blocks, diaphragm-sparing blocks, use of continuous nerve block techniques, and continuous local anaesthetic wound infiltration catheters are now topics of popular clinical interest. The safety and efficacy of nerve blocks can be improved with the help of injection pressure monitoring and the incorporation of advanced technology in the ultrasound machine and needles. Novel procedure-specific and motor-sparing nerve blocks have come up. The anaesthesiologist of the current era, with a good understanding of the sonoanatomy of the target area and the microarchitecture of nerves, along with the backup of advanced technology, can be very successful in performing RA techniques. RA is rapidly evolving and revolutionising the practice of anaesthesia.<\/jats:p>","DOI":"10.4103\/ija.ija_1021_22","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T08:48:37Z","timestamp":1674118117000},"page":"63-70","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":21,"title":["Recent advancements in regional anaesthesia"],"prefix":"10.4103","volume":"67","author":[{"given":"Madhuri S.","family":"Kurdi","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pushpa","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Dr. Vaishampayan Memorial Govt. Medical College, Solapur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parna","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Sir H.N.Reliance Foundation Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divesh","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Asian Hospital, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh M.","family":"Barde","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, RNH Hospital, Dhantoli, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kala","family":"Eswaran","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, JK Women\u2019s Hospital, Manav Kalyan Kendra, Dombivli, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1,21]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1177\/20494637221091139","article-title":"Regional anaesthesia research-where to now?","volume":"16","author":"Kearns","year":"2022","journal-title":"Br J Pain"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"474","DOI":"10.11152\/mu-2034","article-title":"Sonoanatomy of the spine:A comprehensive scanning protocol from cervical to sacral region","volume":"21","author":"Chang","year":"2019","journal-title":"Med Ultrason"},{"key":"R3-20240902","doi-asserted-by":"crossref","first-page":"205","DOI":"10.4103\/joacp.JOACP_35_20","article-title":"Comparison of the time taken for subarachnoid block using ultrasound-guided method versus landmark technique for cesarean section \u2013A randomized controlled study","volume":"37","author":"Gayathri","year":"2021","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R4-20240902","doi-asserted-by":"crossref","first-page":"228","DOI":"10.4103\/sja.SJA_619_19","article-title":"Ultrasound-assisted subarachnoid block in obese parturient:Need of the hour","volume":"14","author":"Rana","year":"2020","journal-title":"Saudi J Anaesth"},{"key":"R5-20240902","first-page":"135","article-title":"Ultrasonographic estimation of skin to sub-arachnoid space depth in the pre-eclamptic Indian parturients and its comparison with physical index based formula - A prospective observational study","volume":"5","author":"Sutagatti","year":"2019","journal-title":"Indian J Appl Radiol"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jclinane.2019.05.023","article-title":"Ultrasound-assisted epidural labor analgesia for landmark identification in morbidly obese pregnant women:A preliminary investigation","volume":"59","author":"Vernon","year":"2020","journal-title":"J Clin Anesth"},{"key":"R7-20240902","doi-asserted-by":"crossref","first-page":"356","DOI":"10.4103\/ija.IJA_446_20","article-title":"Real-time ultrasound-guided spinal anaesthesia vs pre-procedural ultrasound-guided spinal anaesthesia in obese patients","volume":"65","author":"Ravi","year":"2021","journal-title":"Indian J Anaesth"},{"key":"R8-20240902","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1007\/s12630-022-02300-6","article-title":"A novel ultrasound software system for lumbar level identification in obstetric patients","volume":"69","author":"Hetherington","year":"2022","journal-title":"Can J Anesth"},{"key":"R9-20240902","doi-asserted-by":"crossref","first-page":"1697","DOI":"10.21608\/mjcu.2019.53948","article-title":"Comparative study between single, double and intra-cluster injection in ultrasound-guided supraclavicular brachial plexus block:A randomized trial","volume":"87","author":"Refaat","year":"2019","journal-title":"Med J Cairo Univ"},{"key":"R10-20240902","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/j.bja.2019.01.006","article-title":"Incidence of sub-perineural injection using a targeted intracluster supraclavicular ultrasound-guided approach in cadavers","volume":"122","author":"Retter","year":"2019","journal-title":"Br J Anaesth"},{"key":"R11-20240902","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1136\/rapm-2019-101089","article-title":"High definition ultrasound imaging of the individual elements of the brachial plexus above the clavicle","volume":"45","author":"Karmakar","year":"2020","journal-title":"Reg Anesth Pain Med"},{"key":"R12-20240902","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1136\/rapm-2020-102304","article-title":"High-definition ultrasound imaging defines the paraneural sheath and fascial compartments surrounding the cords of the brachial plexus at the costoclavicular space and lateral infraclavicular fossa","volume":"46","author":"Areeruk","year":"2021","journal-title":"Reg Anesth Pain Med"},{"key":"R13-20240902","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1136\/rapm-2019-101260","article-title":"Intertruncal approach to the supraclavicular brachial plexus, current controversies and technical update:A daring discourse","volume":"45","author":"Siddiqui","year":"2020","journal-title":"Reg Anesth Pain Med"},{"key":"R14-20240902","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1136\/rapm-2021-102506","article-title":"Anatomical basis of fascial plane blocks","volume":"46","author":"Chin","year":"2021","journal-title":"Reg Anesth Pain Med"},{"key":"R15-20240902","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1136\/rapm-2020-102305","article-title":"Mechanisms of action of fascial plane blocks:A narrative review","volume":"46","author":"Chin","year":"2021","journal-title":"Reg Anesth Pain Med"},{"key":"R16-20240902","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1136\/rapm-2020-101909","article-title":"Fascial plane blocks:A narrative review of the literature","volume":"46","author":"Kim","year":"2021","journal-title":"Reg Anesth Pain Med"},{"issue":"Suppl 1","key":"R17-20240902","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1111\/anae.15276","article-title":"Ultrasound-guided fascial plane blocks of the chest wall:A state-of-the-art review","volume":"76","author":"Chin","year":"2021","journal-title":"Anaesthesia"},{"key":"R18-20240902","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1111\/papr.13004","article-title":"Comparison of ultrasound-guided type-II pectoral nerve block and rhomboid intercostal block for pain management following breast cancer surgery:A randomized, controlled trial","volume":"21","author":"Ciftci","year":"2021","journal-title":"Pain Practice"},{"key":"R19-20240902","article-title":"Combined fascial plane blocks as the sole regional anesthesia technique for breast surgery in high-risk patients","author":"Thota","year":"2022","journal-title":"J Anaesth Clin Pharmacol"},{"key":"R20-20240902","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1007\/s12630-022-02309-x","article-title":"Fascial plane blocks:Moving from the expansionist to the reductionist era","volume":"69","author":"Bailey","year":"2022","journal-title":"Can J Anesth"},{"key":"R21-20240902","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/ALN.0000000000002841","article-title":"Superior trunk block:A phrenic-sparing alternative to the interscalene block:A randomized controlled trial","volume":"131","author":"Kim","year":"2019","journal-title":"Anesthesiology"},{"key":"R22-20240902","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/AAP.0000000000000529","article-title":"Diaphragm-sparing nerve blocks for shoulder surgery","volume":"42","author":"Tran","year":"2017","journal-title":"Reg Anesth Pain Med"},{"key":"R23-20240902","doi-asserted-by":"crossref","DOI":"10.1136\/rapm-2019-101230","article-title":"Erector spinae block as a phrenic nerve sparing block for shoulder surgeries","author":"Nair","year":"2020","journal-title":"Reg Anesth Pain Med"},{"key":"R24-20240902","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1136\/rapm-2019-100908","article-title":"Diaphragm-sparing nerve blocks for shoulder surgery, revisited","volume":"45","author":"Tran","year":"2020","journal-title":"Reg Anesth Pain Med"},{"key":"R25-20240902","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1136\/rapm-2018-100055","article-title":"Randomized comparison between interscalene and costoclavicular blocks for arthroscopic shoulder surgery","volume":"44","author":"Aliste","year":"2019","journal-title":"Reg Anesth Pain Med"},{"key":"R26-20240902","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S1098-7339(97)80006-5","article-title":"Sympathetic block during spinal anesthesia in volunteers using lidocaine, tetracaine, and bupivacaine","volume":"22","author":"Stevens","year":"1997","journal-title":"Reg Anesth Pain Med"},{"key":"R27-20240902","doi-asserted-by":"crossref","first-page":"1494","DOI":"10.1213\/ANE.0b013e3181d5aca6","article-title":"The anatomy of the thoracic spinal canal investigated with magnetic resonance imaging","volume":"110","author":"Imbelloni","year":"2010","journal-title":"Anesth Analg"},{"key":"R28-20240902","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1097\/00115550-199823060-00008","article-title":"Influence of lumbar spine pathology on the incidence of paresthesia during spinal anesthesia","volume":"23","author":"Tetzlaff","year":"1998","journal-title":"Reg Anesth Pain Med"},{"key":"R29-20240902","first-page":"953","article-title":"Segmental spinal anesthesia:A systematic review","volume":"11","author":"Imbelloni","year":"2020","journal-title":"J Anesth Clin Res"},{"key":"R30-20240902","first-page":"001","article-title":"Thoracic spinal anesthesia with low doses of local anesthetic decreases the latency time, motor block and cardiovascular changes. Study in 636 PATIENTS","volume":"S11","author":"Imbelloni","year":"2011","journal-title":"J Anesthe Clinic Res S"},{"key":"R31-20240902","article-title":"Defining the role of thoracic spinal anaesthesia in the 21st century:A narrative review","author":"le","journal-title":"Br J Anaesth"},{"key":"R32-20240902","doi-asserted-by":"crossref","first-page":"560","DOI":"10.4103\/joacp.JOACP_679_20","article-title":"Segmental thoracic spinal anesthesia versus general anesthesia for breast cancer surgery:A prospective randomized-controlled open-label trial","volume":"38","author":"Paliwal","year":"2022","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R33-20240902","first-page":"e30184","article-title":"Thoracic segmental spinal anesthesia for emergency cholecystectomy:A case report","volume":"14","author":"Aljuba","year":"2022","journal-title":"Cureus"},{"key":"R34-20240902","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1007\/s12630-022-02245-w","article-title":"Continuous peripheral nerve blocks for outpatient orthopedic surgery:Improving patient care and hospital efficiency through knowledge translation","volume":"69","author":"Pollard","year":"2022","journal-title":"Can J Anesth"},{"key":"R35-20240902","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1111\/anae.14864","article-title":"Local anaesthetic delivery regimens for peripheral nerve catheters:A systematic review and network meta-analysis","volume":"75","author":"Law","year":"2020","journal-title":"Anaesthesia"},{"key":"R36-20240902","doi-asserted-by":"crossref","first-page":"374","DOI":"10.4103\/sja.sja_874_21","article-title":"Continuous local anesthetic wound infusion:Impact on pain score and opioid use in patients undergoing elective mastectomy","volume":"16","author":"AlFaraj","year":"2022","journal-title":"Saudi J Anaesth"},{"key":"R37-20240902","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/ALN.0000000000004118","article-title":"Evaluation of diaphragmatic function after interscalene block with liposomal bupivacaine:A randomized controlled trial","volume":"136","author":"Berg","year":"2022","journal-title":"Anesthesiology"},{"key":"R39-20240902","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/MD.0000000000027064","article-title":"Comparing the effects of dexmedetomidine and dexamethasone as perineural adjuvants on peripheral nerve block. A PRISMA-compliant systematic review and meta-analysis","volume":"100","author":"Xiong","year":"2021","journal-title":"Medicine"},{"key":"R40-20240902","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1136\/rapm-2020-101593","article-title":"Adjuncts to local anesthetic wound infiltration for postoperative analgesia:A systematic review","volume":"45","author":"Bai","year":"2020","journal-title":"Reg Anesth Pain Med"},{"key":"R41-20240902","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1097\/ACO.0000000000000776","article-title":"Functional anatomy of the nerve and optimal placement of the needle for successful (and) safe nerve blocks","volume":"32","author":"Franco","year":"2019","journal-title":"Curr Opin Anaesthesiol"},{"key":"R42-20240902","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1097\/ACO.0b013e328356bb40","article-title":"Where should the tip of the needle be located in ultrasound-guided peripheral nerve blocks?","volume":"25","author":"Choquet","year":"2012","journal-title":"Curr Opin Anaesthesiol"},{"key":"R43-20240902","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1111\/anae.13831","article-title":"Safe performance of peripheral regional anaesthesia:The significance of ultrasound guidance","volume":"72","author":"Marhofer","year":"2017","journal-title":"Anaesthesia"},{"issue":"Suppl 1","key":"R44-20240902","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1111\/anae.15232","article-title":"Novel approaches to needle tracking and visualisation","volume":"76","author":"McLeod","year":"2021","journal-title":"Anaesthesia"},{"key":"R45-20240902","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.4103\/ija.IJA_1517_20","article-title":"Exploring cocktails, remixes and innovations in regional nerve blocks:The clinical research journey continues","volume":"64","author":"Mehdiratta","year":"2020","journal-title":"Indian Anaesth"},{"key":"R46-20240902","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1111\/anae.13921","article-title":"Improving needle tip identification during ultrasound-guided procedures in anaesthetic practice","volume":"72","author":"Scholten","year":"2017","journal-title":"Anaesthesia"},{"key":"R47-20240902","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.accpm.2020.03.022","article-title":"Injection pressure monitoring during peripheral nerve blocks:From bench to operating theatre","volume":"39","author":"Capdevila","year":"2020","journal-title":"Anaesth Crit Care Pain Med"},{"key":"R48-20240902","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1111\/anae.14330","article-title":"The ability of a real-time injection pressure monitoring system to discriminate between perineural and intraneural injection of the sciatic nerve in fresh cadavers","volume":"73","author":"Saporito","year":"2018","journal-title":"Anaesthesia"},{"key":"R49-20240902","article-title":"SAFIRA pump:A novel device for fixed injection pressure and to control local anaesthetic injection during peripheral nerve block","author":"Bodhey","year":"2022","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R50-20240902","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1213\/ANE.0000000000005308","article-title":"Real-time injection pressure sensing and minimal intensity stimulation combination during ultrasound-guided peripheral nerve blocks:An exploratory observational trial","volume":"132","author":"Varobieff","year":"2021","journal-title":"Anesth Analg"},{"key":"R51-20240902","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s12871-020-01059-x","article-title":"Dural sac cross-sectional area is a highly effective parameter for spinal anesthesia in geriatric patients undergoing transurethral resection of the prostate:A prospective, double blinded, randomized study","volume":"20","author":"Wang","year":"2020","journal-title":"BMC Anesthesiol"},{"key":"R52-20240902","doi-asserted-by":"crossref","first-page":"701","DOI":"10.4103\/ija.ija_551_21","article-title":"NRFit connectors in regional anaesthesia- Another step towards safe clinical practice","volume":"65","author":"Nair","year":"2021","journal-title":"Indian J Anaesth"},{"key":"R53-20240902","first-page":"e21953","article-title":"Anatomical and technical considerations of the Hi-PAC (hi-volume proximal adductor canal) block:A novel motor-sparing regional analgesia technique for below-knee surgeries","volume":"14","author":"Sonawane","year":"2022","journal-title":"Cureus"},{"key":"R54-20240902","doi-asserted-by":"crossref","first-page":"110149","DOI":"10.1016\/j.jclinane.2020.110149","article-title":"\u201cDual Subsartorial Block (DSB)\u201d:An innovative procedure-specific, motor-sparing and opioid-sparing regional analgesia technique for total knee replacement surgery - A pilot study","volume":"69","author":"Sonawane","year":"2021","journal-title":"J Clin Anesth"},{"key":"R55-20240902","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.imu.2016.06.003","article-title":"Computer aided detection system for nerve identification using ultrasound images:A comparative study","volume":"3","author":"Hadjerci","year":"2016","journal-title":"Inform Med Unlocked"},{"key":"R56-20240902","doi-asserted-by":"crossref","first-page":"640","DOI":"10.23736\/S0375-9393.22.16456-4","article-title":"From ultrasound to artificial intelligence:A new era of the regional anesthesia","volume":"88","author":"Ahiskalioglu","year":"2022","journal-title":"Minerva Anestesiol"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1021_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:32:40Z","timestamp":1787758360000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1021_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":55,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_1021_22","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2022-12-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-31","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}