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The registry has a new setpup and a new entry
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| Name | Class |
|---|---|
| Charite University, Berlin, Germany | OTHER |
| Ruhr University of Bochum | OTHER |
| HELIOS Hospital, Bad Saarow, Germany | UNKNOWN |
| Technische Universität Dresden |
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The German Network for acute pain management and Regional Anesthesia (NRA) is a multi-center, non-interventional registry and benchmark project, assessing and analysing clinical and patient-reported procedural and outcome data of systemic analgesia and regional anesthesia hosted by the German Society of Anesthesia and Intensive Care Medicine (DGAI) and professional Society German Anesthetists (BDA)
NRA offers the systematic documentation of patient related and procedure related components for acute pain treatments during and after surgery.
NRA collects preoperative, intraoperative, and postoperative data from treating physicians who complete a standard form. Data are collected concurrently with patient care by pain nurses or treating physicians and include detailed information about the medical conditions of patients having acute pain treatment along with the procedure and postoperative course.
The registry provides the basis for large scale analyses and benchmarks for several parameters.
The registry also aims at performing population-based research. Furthermore, its infrastructure allows for the conduct of prospective studies comparing the effectiveness of processes of care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| regional anesthesia | surgical patients (age: 0-100 years) having regional anesthesia along with the procedure and postoperative course | ||
| systemic analgesia | surgical patients (age: 0-100 years) having systemic analgesia along with the procedure and post procedure course |
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| Measure | Description | Time Frame |
|---|---|---|
| Acute complications during insertion of regional anesthesia | Procedural complications include dural puncture, bleeding, nerve damage, intoxication, malfunction, technical and equipment difficulties or failures. | at the day of insertion, day zero |
| Measure | Description | Time Frame |
|---|---|---|
| Pain levels after surgery | Pain and pain related outcome measures (NRS at rest and on exertion, opioid and non-opioid consumption), interference of pain with activities, pain therapy side effects, pre-hospital existence of pain, information on general treatment | Daily visits (ward rounds) as long as in-hospital pain treatment is given; may take up to the length of the hospital stay, up to 90 days |
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Inclusion Criteria:
Exclusion Criteria:
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Surgical and non-surgical patients with continuous regional anesthesia, single shot regional anesthesia, or intravenous patient-controlled analgesia
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Volk, MD | University Hospital, Saarland | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saarland University Medical Center | Homburg | Saarland | 66421 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19918710 | Background | Volk T, Engelhardt L, Spies C, Steinfeldt T, Kutter B, Heller A, Werner C, Heid F, Burkle H, Koch T, Vicent O, Geiger P, Kessler P, Wulf H. [A German network for regional anaesthesia of the scientific working group regional anaesthesia within DGAI and BDA]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Nov;44(11-12):778-80. doi: 10.1055/s-0029-1242127. Epub 2009 Nov 16. German. | |
| 26994232 |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| OTHER |
| HELIOS Hospital, Erfurt, Germany | OTHER |
| Goethe University | OTHER |
| BG Unfallklinik Frankfurt am Main | NETWORK |
| University of Hamburg-Eppendorf | OTHER |
| Diakoniekrankenhaus Friederikenstift | OTHER |
| Jena University Hospital | OTHER |
| Hospital Ludwigsburg, Germany | UNKNOWN |
| Philipps University Marburg | OTHER |
| Hospital Memmingen, Germany | UNKNOWN |
| St. Marien-Krankenhaus, Siegen, Germany | UNKNOWN |
| Städtisches Klinikum gGmbH, Solingen, Germany | UNKNOWN |
| University Hospital Freiburg | OTHER |
| University Hospital Muenster | OTHER |
| University Hospital of Cologne | OTHER |
| HELIOS Klinikum Lengerich | UNKNOWN |
| Berlin DRK Hospital | UNKNOWN |
| Diakonie Hospital Bad Kreuznach | UNKNOWN |
| Ev. Hospital Unna | UNKNOWN |
| Josephs Hospital Warendorf | UNKNOWN |
| University Hospital Ulm | OTHER |
| Johannes Gutenberg University Mainz | OTHER |
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| Satisfaction | 1. Patient and physician satisfaction: Satisfaction with the respective pain treatment reported by patients (verbal numeric rating scale ranging from 0 (=completely dissatisfied) to 10 (=completely satisfied). | after end of acute pain treatment, between day zero and up to day 90 |
| Complications of acute pain treatment | hypotension, sedation, urinary retention, infections, procedural complications such as nausea and vomiting, respiratory depression, itching, malfunction, nerve damage, intoxication, technical and equipment difficulties or failures | Daily visits (ward rounds) as long as in-hospital pain treatment is given; may take up to the length of the hospital stay, between day zero and day 90 |
| Background |
| Bomberg H, Kubulus C, Herberger S, Wagenpfeil S, Kessler P, Steinfeldt T, Standl T, Gottschalk A, Stork J, Meissner W, Birnbaum J, Koch T, Sessler DI, Volk T, Raddatz A. Tunnelling of thoracic epidural catheters is associated with fewer catheter-related infections: a retrospective registry analysis. Br J Anaesth. 2016 Apr;116(4):546-53. doi: 10.1093/bja/aew026. |
| 26040788 | Background | Bomberg H, Albert N, Schmitt K, Graber S, Kessler P, Steinfeldt T, Hering W, Gottschalk A, Standl T, Stork J, Meissner W, Tessmann R, Geiger P, Koch T, Spies CD, Volk T, Kubulus C. Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections. Acta Anaesthesiol Scand. 2015 Sep;59(8):1038-48. doi: 10.1111/aas.12548. Epub 2015 Jun 4. |
| 25474624 | Background | Bomberg H, Kubulus C, List F, Albert N, Schmitt K, Graber S, Kessler P, Steinfeldt T, Standl T, Gottschalk A, Wirtz SP, Burgard G, Geiger P, Spies CD, Volk T; German Network for Regional Anaesthesia Investigators. Diabetes: a risk factor for catheter-associated infections. Reg Anesth Pain Med. 2015 Jan-Feb;40(1):16-21. doi: 10.1097/AAP.0000000000000196. |
| 19890612 | Background | Volk T, Engelhardt L, Spies C, Steinfeldt T, Gruenewald D, Kutter B, Heller A, Werner C, Heid F, Burkle H, Gastmeier P, Wernecke KD, Koch T, Vicent O, Geiger P, Wulf H. [Incidence of infection from catheter procedures for regional anesthesia: first results from the network of DGAI and BDA]. Anaesthesist. 2009 Nov;58(11):1107-12. doi: 10.1007/s00101-009-1636-7. German. |
| 27355866 | Background | Kubulus C, Schmitt K, Albert N, Raddatz A, Graber S, Kessler P, Steinfeldt T, Standl T, Gottschalk A, Meissner W, Wirtz SP, Birnbaum J, Stork J, Volk T, Bomberg H. Awake, sedated or anaesthetised for regional anaesthesia block placements?: A retrospective registry analysis of acute complications and patient satisfaction in adults. Eur J Anaesthesiol. 2016 Oct;33(10):715-24. doi: 10.1097/EJA.0000000000000495. |
| 28806216 | Derived | Bomberg H, Huth A, Wagenpfeil S, Kessler P, Wulf H, Standl T, Gottschalk A, Doffert J, Hering W, Birnbaum J, Spies C, Kutter B, Winckelmann J, Burgard G, Vicent O, Koch T, Sessler DI, Volk T, Raddatz A. Psoas Versus Femoral Blocks: A Registry Analysis of Risks and Benefits. Reg Anesth Pain Med. 2017 Nov/Dec;42(6):719-724. doi: 10.1097/AAP.0000000000000643. |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |