Invitees:
Andrew Marchant Steven Dain Patrick McCormick Martin Hurrell Maria Hendrickson Terri Monk Monica Harry Ian Green Jane Millar Zac Whitewood-Moores Ellen TorresJeremy RogersToni MorrisonSteven Dain Sander MertensIngrid MertensChristine Spisla Grant Forrest Charles Gutteridge Krista Lilly
Apologies: Monica Harry Jane Millar
Present:
Anesthesia Clinical Reference Group
Time: Tuesday, May 23, 2023 19:00 - 20:00 UTC / 20:00 - 21:00 UK / 15:00 - 16:00 ET
https://snomed.zoom.us/j/87459395410?pwd=S2dtTjBZZHlUNmMxWTdkVEcvNmwvdz09
Or Telephone:
+1 646 518 9805 (US Toll)
+44 203 481 5237 (GB Toll)
+1 587 328 1099 (CA Toll)
International numbers available: https://snomed.zoom.us/u/avs0qL3Fx
Recording (GoogleDrive)
| Item | Description | Owner | Notes |
|---|---|---|---|
| 1 | Introductions and Apologies | ||
| 2 | Matters arising from the previous meeting notes | ||
| 3 | SNOMED Update | Weds Oct 25 - Fri Oct 27 | |
| 4 | Local Anesthetic question | Longstanding question regarding local anesthetic Request is to inactivate 265778005 |Local anesthetic nerve block (procedure)| as duplicate of 56333001 |Nerve block (procedure)| Reference https://pubmed.ncbi.nlm.nih.gov/35305154/ "The obturator nerve branches into the obturator canal; therefore, local anesthetic spread into the obturator canal predicts the success of the obturator nerve block (ONB)" This paper discusses a nerve block, and clearly assumes it uses a local anesthetic. https://www.radiologyinfo.org/en/info/nerveblock#:~:text=A%20nerve%20block%20is%20an%20anesthetic%20and%2For%20anti%2Dinflammatory,decrease%20inflammation%20in%20that%20area. "A nerve block is an anesthetic and/or anti-inflammatory injection targeted toward a certain nerve or group of nerves to treat pain. The purpose of the injection is to "turn off" a pain signal coming from a specific location in the body or to decrease inflammation in that area" This site explains a nerve block as an injection to turn off a pain signal from a specific location in the body. Indeed, how could the effect of blocking a particular nerve not be local, or localized anyway? Obviously the effect can be (quite a bit) downstream, but it's not going to be generic the way an aspirin is. Third piece of evidence: run the ECL query < 265778005 |Local anesthetic nerve block (procedure)| and you find dozens of concepts without local in the FSN, e.g. 764912007 |Obturator nerve block using fluoroscopic guidance (procedure)|. If there is a clear difference, then the modelling is inconsistent. See also: | |
| 5 | Work Plan and Outreach (e.g. to SCATA and RCoA) |
| |
| 5 | Dates of next meeting | Tuesday July 25, 2023 |