J Kessler

Universität Heidelberg, Heidelburg, Baden-Württemberg, Germany

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Publications (4)6.37 Total impact

  • J. Kessler · P. Marhofer · P. M. Hopkins · M. W. Hollmann ·

    Survey of Anesthesiology 12/2015; 59(6):288. DOI:10.1097/01.sa.0000471736.75460.47
  • J Kessler · P Marhofer · P M Hopkins · M W Hollmann ·
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    ABSTRACT: Our aim was to review the recent evidence for the efficacy of peripheral regional anaesthesia. Following a systematic literature search and selection of publications based on prospectively agreed upon criteria, we produced a narrative review of the most commonly performed peripheral regional anaesthetic blocks for surgery on the upper limb, the lower limb, and the trunk. We considered short-term and longer-term benefits and complications among the outcomes of interest. Where good quality evidence exists, the great majority of the blocks reviewed were associated with one or any combination of reduced postoperative pain, reduced opioid consumption, or increased patient satisfaction. For selected surgical procedures, the use of blocks avoided general anaesthesia and was associated with increased efficiency of the surgical pathway. The exceptions were supraclavicular block, where there was insufficient evidence, and transversus abdominis plane block, where the evidence for efficacy was conflicting. The evidence for the impact of the blocks on longer-term outcomes was, in general, inadequate to inform clinical decision making. Permanent complications are rare. The majority of peripheral regional anaesthetic techniques have been shown to produce benefits for patients and hospital efficiency. Further interventional trials are required to clarify such benefits for supraclavicular block and transversus abdominis plane block and to ascertain any longer-term benefits for almost all of the blocks reviewed. Permanent complications of peripheral regional anaesthetic blocks are rare but accurate estimates of their incidence are yet to be determined. © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
    BJA British Journal of Anaesthesia 02/2015; 114(5). DOI:10.1093/bja/aeu559 · 4.85 Impact Factor
  • J Kessler · P Marhofer · H-J Rapp · M.W. Hollmann ·
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    ABSTRACT: Ultrasound-guided anaesthesia of peripheral nerves is a new challenge for anaesthesiologists. The number of ultrasound users in this field has increased over the last 10 years because of improved high frequency ultrasound technology and increased mobility of machines. There have been many publications on blocking procedures but many questions still remain unanswered on the practical aspects of ultrasound-guided techniques. Basic knowledge in ultrasound technology and image characteristics and a defined approach to blocking procedures to ensure sterile working conditions are necessary to guarantee optimal safety of patients. Furthermore economic questions and the implementation of a standardised education program are very important.
    Der Anaesthesist 08/2007; 56(7):642-55. DOI:10.1007/s00101-007-1223-8 · 0.76 Impact Factor
  • J. Keßler · P. Marhofer · H.-J. Rapp · M.W. Hollmann ·
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    ABSTRACT: Die ultraschallgezielte Anästhesie peripherer Nerven stellt eine neue Herausforderung für den Anästhesisten dar. Bedingt durch eine starke Verbesserung im Bereich hochfrequenter Ultraschalltechnologie und einer gleichzeitig höheren Mobilität der verfügbaren Geräte hat sich die Zahl der Anwender in den letzten 10 Jahren vervielfacht. Während Fragen zu einzelnen Blockadetechniken in vielen Publikationen ausführlich erläutert wurden, blieben viele Fragen zum praktischen Vorgehen bei ultraschallunterstützten Techniken weitgehend unbeantwortet. Zur Erhöhung der Patientensicherheit ist es zwingend notwendig, Basiskenntnisse über Ultraschalltechnik und Abbildungscharakteristika, die konkrete Vorgehensweise bei Blockaden und das sterile Arbeiten zu erlangen. Darüber hinaus sind ökonomische Fragen und die Umsetzung eines standardisierten Ausbildungsprogramms von großer Bedeutung.
    Der Anaesthesist 01/2007; 56(7). · 0.76 Impact Factor

Publication Stats

6 Citations
6.37 Total Impact Points


  • 2015
    • Universität Heidelberg
      Heidelburg, Baden-Württemberg, Germany
  • 2007
    • University of Amsterdam
      Amsterdamo, North Holland, Netherlands