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1.
Ecol Lett ; 27(1): e14336, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38073071

RESUMO

Biodiversity-ecosystem functioning (BEF) research has provided strong evidence and mechanistic underpinnings to support positive effects of biodiversity on ecosystem functioning, from single to multiple functions. This research has provided knowledge gained mainly at the local alpha scale (i.e. within ecosystems), but the increasing homogenization of landscapes in the Anthropocene has raised the potential that declining biodiversity at the beta (across ecosystems) and gamma scales is likely to also impact ecosystem functioning. Drawing on biodiversity theory, we propose a new statistical framework based on Hill-Chao numbers. The framework allows decomposition of multifunctionality at gamma scales into alpha and beta components, a critical but hitherto missing tool in BEF research; it also allows weighting of individual ecosystem functions. Through the proposed decomposition, new BEF results for beta and gamma scales are discovered. Our novel approach is applicable across ecosystems and connects local- and landscape-scale BEF assessments from experiments to natural settings.


Assuntos
Biodiversidade , Ecossistema
2.
New Phytol ; 242(4): 1614-1629, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38594212

RESUMO

Species-specific differences in nutrient acquisition strategies allow for complementary use of resources among plants in mixtures, which may be further shaped by mycorrhizal associations. However, empirical evidence of this potential role of mycorrhizae is scarce, particularly for tree communities. We investigated the impact of tree species richness and mycorrhizal types, arbuscular mycorrhizal fungi (AM) and ectomycorrhizal fungi (EM), on above- and belowground carbon (C), nitrogen (N), and phosphorus (P) dynamics. Soil and soil microbial biomass elemental dynamics showed weak responses to tree species richness and none to mycorrhizal type. However, foliar elemental concentrations, stoichiometry, and pools were significantly affected by both treatments. Tree species richness increased foliar C and P pools but not N pools. Additive partitioning analyses showed that net biodiversity effects of foliar C, N, P pools in EM tree communities were driven by selection effects, but in mixtures of both mycorrhizal types by complementarity effects. Furthermore, increased tree species richness reduced soil nitrate availability, over 2 yr. Our results indicate that positive effects of tree diversity on aboveground nutrient storage are mediated by complementary mycorrhizal strategies and highlight the importance of using mixtures composed of tree species with different types of mycorrhizae to achieve more multifunctional afforestation.


Assuntos
Biodiversidade , Carbono , Micorrizas , Nitrogênio , Fósforo , Folhas de Planta , Solo , Árvores , Micorrizas/fisiologia , Árvores/microbiologia , Folhas de Planta/microbiologia , Folhas de Planta/metabolismo , Fósforo/metabolismo , Solo/química , Nitrogênio/metabolismo , Carbono/metabolismo , Biomassa , Microbiologia do Solo , Elementos Químicos , Especificidade da Espécie
3.
Glob Chang Biol ; 30(1): e17086, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38273496

RESUMO

Plant communities are being exposed to changing environmental conditions all around the globe, leading to alterations in plant diversity, community composition, and ecosystem functioning. For herbaceous understorey communities in temperate forests, responses to global change are postulated to be complex, due to the presence of a tree layer that modulates understorey responses to external pressures such as climate change and changes in atmospheric nitrogen deposition rates. Multiple investigative approaches have been put forward as tools to detect, quantify and predict understorey responses to these global-change drivers, including, among others, distributed resurvey studies and manipulative experiments. These investigative approaches are generally designed and reported upon in isolation, while integration across investigative approaches is rarely considered. In this study, we integrate three investigative approaches (two complementary resurvey approaches and one experimental approach) to investigate how climate warming and changes in nitrogen deposition affect the functional composition of the understorey and how functional responses in the understorey are modulated by canopy disturbance, that is, changes in overstorey canopy openness over time. Our resurvey data reveal that most changes in understorey functional characteristics represent responses to changes in canopy openness with shifts in macroclimate temperature and aerial nitrogen deposition playing secondary roles. Contrary to expectations, we found little evidence that these drivers interact. In addition, experimental findings deviated from the observational findings, suggesting that the forces driving understorey change at the regional scale differ from those driving change at the forest floor (i.e., the experimental treatments). Our study demonstrates that different approaches need to be integrated to acquire a full picture of how understorey communities respond to global change.


Assuntos
Ecossistema , Florestas , Árvores , Plantas , Nitrogênio
4.
Glob Chang Biol ; 29(6): 1437-1450, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36579623

RESUMO

Intensification of land use by humans has led to a homogenization of landscapes and decreasing resilience of ecosystems globally due to a loss of biodiversity, including the majority of forests. Biodiversity-ecosystem functioning (BEF) research has provided compelling evidence for a positive effect of biodiversity on ecosystem functions and services at the local (α-diversity) scale, but we largely lack empirical evidence on how the loss of between-patch ß-diversity affects biodiversity and multifunctionality at the landscape scale (γ-diversity). Here, we present a novel concept and experimental framework for elucidating BEF patterns at α-, ß-, and γ-scales in real landscapes at a forest management-relevant scale. We examine this framework using 22 temperate broadleaf production forests, dominated by Fagus sylvatica. In 11 of these forests, we manipulated the structure between forest patches by increasing variation in canopy cover and deadwood. We hypothesized that an increase in landscape heterogeneity would enhance the ß-diversity of different trophic levels, as well as the ß-functionality of various ecosystem functions. We will develop a new statistical framework for BEF studies extending across scales and incorporating biodiversity measures from taxonomic to functional to phylogenetic diversity using Hill numbers. We will further expand the Hill number concept to multifunctionality allowing the decomposition of γ-multifunctionality into α- and ß-components. Combining this analytic framework with our experimental data will allow us to test how an increase in between patch heterogeneity affects biodiversity and multifunctionality across spatial scales and trophic levels to help inform and improve forest resilience under climate change. Such an integrative concept for biodiversity and functionality, including spatial scales and multiple aspects of diversity and multifunctionality as well as physical and environmental structure in forests, will go far beyond the current widely applied approach in forestry to increase resilience of future forests through the manipulation of tree species composition.


Assuntos
Ecossistema , Florestas , Humanos , Filogenia , Biodiversidade , Agricultura Florestal
5.
J Acoust Soc Am ; 151(6): 3654, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35778223

RESUMO

An alternative approach to acquire transmission travel time data is proposed, exploiting the geometry of devices commonly used in ultrasound computed tomography for medical imaging or non-destructive testing with ultrasonic waves. The intent is to (i) shorten acquisition time for devices with a large number of emitters, (ii) to eliminate the calibration step, and (iii) to suppress instrument noise. Inspired by seismic ambient field interferometry, the method rests on the active excitation of diffuse ultrasonic wavefields and the extraction of deterministic travel time information by inter-station correlation. To reduce stochastic errors and accelerate convergence, ensemble interferograms are obtained by phase-weighted stacking of observed and computed correlograms, generated with identical realizations of random sources. Mimicking an imaging setup, the accuracy of the travel time measurements as a function of the number of emitters and random realizations can be assessed both analytically and with spectral-element simulations for phantoms mimicking the model parameter distribution. The results warrant tomographic reconstructions with straight- or bent-ray approaches, where the effect of inherent stochastic fluctuations can be made significantly smaller than the effect of subjective choices on regularisation. This work constitutes a first conceptual study and a necessary prelude to future implementations.


Assuntos
Tomografia Computadorizada por Raios X , Tomografia , Calibragem , Imagens de Fantasmas , Tomografia/métodos , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia/métodos
6.
Proc Biol Sci ; 288(1946): 20203100, 2021 03 10.
Artigo em Inglês | MEDLINE | ID: mdl-33653137

RESUMO

Biodiversity is considered to mitigate the adverse effects of changing precipitation patterns. However, our understanding of how tree diversity at the local neighbourhood scale modulates the water use and leaf physiology of individual trees remains unclear. We made use of a large-scale tree diversity experiment in subtropical China to study eight tree species along an experimentally manipulated gradient of local neighbourhood tree species richness. Twig wood carbon isotope composition (δ13Cwood) was used as an indicator for immediate leaf-level responses to water availability in relation to local neighbourhood conditions and a target tree's functional traits. Across species, a target tree's δ13Cwood signatures decreased progressively with increasing neighbourhood species richness, with effects being strongest at high neighbourhood shading intensity. Moreover, the δ13Cwood-shading relationship shifted from positive (thin-leaved species) or neutral (thick-leaved species) in conspecific to negative in heterospecific neighbourhoods, most likely owing to a lower interspecific competition for water and microclimate amelioration. This suggests that promoting tree species richness at the local neighbourhood scale may improve a tree's local water supply with potential effects for an optimized water-use efficiency of tree communities during drought. This assumption, however, requires validation by further studies that focus on mechanisms that regulate the water availability in mixtures.


Assuntos
Árvores , Madeira , Biodiversidade , China , Ecossistema , Florestas , Abastecimento de Água
7.
Int J Sports Med ; 42(9): 840-846, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33506443

RESUMO

Inert gas bubbles frequently occur in SCUBA divers' vascular systems, eventually leading to decompression accidents. Only in professional settings, dive profiles can be adjusted on individual basis depending on bubble grades detected through ultrasonography. A total of 342 open-circuit air dives following sports diving profiles were assessed using echocardiography. Subsequently, (Eftedal-Brubakk) bubble grades were correlated with dive and individual parameters. Post-dive cardiac bubbles were observed in 47% of all dives and bubble grades were significantly correlated with depth (r=0.46), air consumption (r=0.41), age (r=0.25), dive time (r=0.23), decompression diving (r=0.19), surface time (r=- 0.12). Eftedal-Brubakk categorical bubble grades for sports diving with compressed air can be approximated by bubble grade = (age*50-1 - surface time*150-1+maximum depth*45-1+air consumption*4500-1)2 (units in years, hours, meter, and bar*liter; R2=0.31). Thus, simple dive and individual parameters allow reasonable estimation of especially relevant medium to higher bubble grades for information on relevant decompression stress after ascent. Echo bubble grade 0 is overestimated by the formula derived. However, echo might fail to detect minor bubbling only. The categorical prediction of individual decompression stress with simple bio and dive data should be evaluated further to be developed towards dive computer included automatic ex-post information for decision-making on individual safety measures.


Assuntos
Gasometria , Mergulho/fisiologia , Gases Nobres , Doença da Descompressão/diagnóstico , Doença da Descompressão/prevenção & controle , Ecocardiografia , Embolia Aérea/diagnóstico , Embolia Aérea/prevenção & controle , Feminino , Humanos , Masculino , Gases Nobres/análise
8.
Sensors (Basel) ; 21(1)2021 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-33401539

RESUMO

Interest in measuring displacement gradients, such as rotation and strain, is growing in many areas of geophysical research. This results in an urgent demand for reliable and field-deployable instruments measuring these quantities. In order to further establish a high-quality standard for rotation and strain measurements in seismology, we organized a comparative sensor test experiment that took place in November 2019 at the Geophysical Observatory of the Ludwig-Maximilians University Munich in Fürstenfeldbruck, Germany. More than 24 different sensors, including three-component and single-component broadband rotational seismometers, six-component strong-motion sensors and Rotaphone systems, as well as the large ring laser gyroscopes ROMY and a Distributed Acoustic Sensing system, were involved in addition to 14 classical broadband seismometers and a 160 channel, 4.5 Hz geophone chain. The experiment consisted of two parts: during the first part, the sensors were co-located in a huddle test recording self-noise and signals from small, nearby explosions. In a second part, the sensors were distributed into the field in various array configurations recording seismic signals that were generated by small amounts of explosive and a Vibroseis truck. This paper presents details on the experimental setup and a first sensor performance comparison focusing on sensor self-noise, signal-to-noise ratios, and waveform similarities for the rotation rate sensors. Most of the sensors show a high level of coherency and waveform similarity within a narrow frequency range between 10 Hz and 20 Hz for recordings from a nearby explosion signal. Sensor as well as experiment design are critically accessed revealing the great need for reliable reference sensors.

9.
New Phytol ; 228(4): 1256-1268, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32496591

RESUMO

Variations in crown forms promote canopy space-use and productivity in mixed-species forests. However, we have a limited understanding on how this response is mediated by changes in within-tree biomass allocation. Here, we explored the role of changes in tree allometry, biomass allocation and architecture in shaping diversity-productivity relationships (DPRs) in the oldest tropical tree diversity experiment. We conducted whole-tree destructive biomass measurements and terrestrial laser scanning. Spatially explicit models were built at the tree level to investigate the effects of tree size and local neighbourhood conditions. Results were then upscaled to the stand level, and mixture effects were explored using a bootstrapping procedure. Biomass allocation and architecture substantially changed in mixtures, which resulted from both tree-size effects and neighbourhood-mediated plasticity. Shifts in biomass allocation among branch orders explained substantial shares of the observed overyielding. By contrast, root-to-shoot ratios, as well as the allometric relationships between tree basal area and aboveground biomass, were little affected by the local neighbourhood. Our results suggest that generic allometric equations can be used to estimate forest aboveground biomass overyielding from diameter inventory data. Overall, we demonstrate that shifts in tree biomass allocation are mediated by the local neighbourhood and promote DPRs in tropical forests.


Assuntos
Biodiversidade , Árvores , Biomassa , Florestas , Clima Tropical
10.
Ecol Lett ; 22(12): 2130-2140, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31625279

RESUMO

Local neighbourhood interactions are considered a main driver for biodiversity-productivity relationships in forests. Yet, the structural responses of individual trees in species mixtures and their relation to crown complementarity remain poorly understood. Using a large-scale forest experiment, we studied the impact of local tree species richness and structural variability on above-ground wood volume allocation patterns and crown morphology. We applied terrestrial laser scanning to capture the three-dimensional structure of trees and their temporal dynamics. We found that crown complementarity and crown plasticity increased with species richness. Trees growing in species-rich neighbourhoods showed enhanced aboveground wood volume both in trunks and branches. Over time, neighbourhood diversity induced shifts in wood volume allocation in favour of branches, in particular for morphologically flexible species. Our results demonstrate that diversity-mediated shifts in allocation pattern and crown morphology are a fundamental mechanism for crown complementarity and may be an important driver of overyielding.


Assuntos
Florestas , Árvores , Biodiversidade , Biomassa
11.
Glob Chang Biol ; 25(12): 4257-4272, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31486578

RESUMO

There is increasing evidence that mixed-species forests can provide multiple ecosystem services at a higher level than their monospecific counterparts. However, most studies concerning tree diversity and ecosystem functioning relationships use data from forest inventories (under noncontrolled conditions) or from very young plantation experiments. Here, we investigated temporal dynamics of diversity-productivity relationships and diversity-stability relationships in the oldest tropical tree diversity experiment. Sardinilla was established in Panama in 2001, with 22 plots that form a gradient in native tree species richness of one-, two-, three- and five-species communities. Using annual data describing tree diameters and heights, we calculated basal area increment as the proxy of tree productivity. We combined tree neighbourhood- and community-level analyses and tested the effects of both species diversity and structural diversity on productivity and its temporal stability. General patterns were consistent across both scales indicating that tree-tree interactions in neighbourhoods drive observed diversity effects. From 2006 to 2016, mean overyielding (higher productivity in mixtures than in monocultures) was 25%-30% in two- and three-species mixtures and 50% in five-species stands. Tree neighbourhood diversity enhanced community productivity but the effect of species diversity was stronger and increased over time, whereas the effect of structural diversity declined. Temporal stability of community productivity increased with species diversity via two principle mechanisms: asynchronous responses of species to environmental variability and overyielding. Overyielding in mixtures was highest during a strong El Niño-related drought. Overall, positive diversity-productivity and diversity-stability relationships predominated, with the highest productivity and stability at the highest levels of diversity. These results provide new insights into mixing effects in diverse, tropical plantations and highlight the importance of analyses of temporal dynamics for our understanding of the complex relationships between diversity, productivity and stability. Under climate change, mixed-species forests may provide both high levels and high stability of production.


Assuntos
Ecossistema , Árvores , Biodiversidade , Florestas , Panamá , Clima Tropical
12.
Geophys Res Lett ; 46(2): 644-651, 2019 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-31007306

RESUMO

We present a method to explore the effective nullspace of nonlinear inverse problems without Monte Carlo sampling. This is based on the construction of an artificial Hamiltonian system where a model is treated as a high-dimensional particle. Depending on its initial momentum and mass matrix, the particle evolves along a trajectory that traverses the effective nullspace, thereby producing a series of alternative models that are consistent with observations and their uncertainties. Variants of the nullspace shuttle enable hypothesis testing, for example, by adding features or by producing smoother or rougher models. Furthermore, the Hamiltonian nullspace shuttle can serve as a tunable hybrid between deterministic and probabilistic inversion methods: Choosing random initial momenta, it resembles Hamiltonian Monte Carlo; requiring misfits to decrease along a trajectory, it transforms into gradient descent. We illustrate the concept with a low-dimensional toy example and with high-dimensional nonlinear inversions of seismic traveltimes and magnetic data, respectively.

13.
J Acoust Soc Am ; 146(2): 1252, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31472544

RESUMO

Ultrasound computed tomography (USCT) is an emerging modality to image the acoustic properties of the breast tissue for cancer diagnosis. With the need of improving the diagnostic accuracy of USCT, while maintaining the cost low, recent research is mainly focused on improving (1) the reconstruction methods and (2) the acquisition systems. D-optimal sequential experimental design (D-SOED) offers a method to integrate these aspects into a common systematic framework. The transducer configuration is optimized to minimize the uncertainties in the estimated model parameters, and to reduce the time to solution by identifying redundancies in the data. This work presents a formulation to jointly optimize the experiment for transmission and reflection data and, in particular, to estimate the speed of sound and reflectivity of the tissue using either ray-based or wave-based imaging methods. Uncertainties in the parameters can be quantified by extracting properties of the posterior covariance operator, which is analytically computed by linearizing the forward problem with respect to the prior knowledge about parameters. D-SOED is first introduced by an illustrative toy example, and then applied to real data. This shows that the time to solution can be substantially reduced, without altering the final image, by selecting the most informative measurements.

14.
Geophys Res Lett ; 45(9): 4007-4016, 2018 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-30034050

RESUMO

We present a general concept for evolutionary, collaborative, multiscale inversion of geophysical data, specifically applied to the construction of a first-generation Collaborative Seismic Earth Model. This is intended to address the limited resources of individual researchers and the often limited use of previously accumulated knowledge. Model evolution rests on a Bayesian updating scheme, simplified into a deterministic method that honors today's computational restrictions. The scheme is able to harness distributed human and computing power. It furthermore handles conflicting updates, as well as variable parameterizations of different model refinements or different inversion techniques. The first-generation Collaborative Seismic Earth Model comprises 12 refinements from full seismic waveform inversion, ranging from regional crustal- to continental-scale models. A global full-waveform inversion ensures that regional refinements translate into whole-Earth structure.

15.
Oecologia ; 187(3): 825-837, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29748934

RESUMO

Climate change can impact forest ecosystem processes via individual tree and community responses. While the importance of land-use legacies in modulating these processes have been increasingly recognised, evidence of former land-use mediated climate-growth relationships remain rare. We analysed how differences in former land-use (i.e. forest continuity) affect the growth response of European beech to climate extremes. Here, using dendrochronological and fine root data, we show that ancient forests (forests with a long forest continuity) and recent forests (forests afforested on former farmland) clearly differ with regard to climate-growth relationships. We found that sensitivity to climatic extremes was lower for trees growing in ancient forests, as reflected by significantly lower growth reductions during adverse climatic conditions. Fine root morphology also differed significantly between the former land-use types: on average, trees with high specific root length (SRL) and specific root area (SRA) and low root tissue density (RTD) were associated with recent forests, whereas the opposite traits were characteristic of ancient forests. Moreover, we found that trees of ancient forests hold a larger fine root system than trees of recent forests. Our results demonstrate that land-use legacy-mediated modifications in the size and morphology of the fine root system act as a mechanism in regulating drought resistance of beech, emphasising the need to consider the 'ecological memory' of forests when assessing or predicting the sensitivity of forest ecosystems to global environmental change.


Assuntos
Fagus , Árvores , Mudança Climática , Ecossistema , Florestas
16.
Ecol Lett ; 20(7): 892-900, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28616871

RESUMO

Studies on tree communities have demonstrated that species diversity can enhance forest productivity, but the driving mechanisms at the local neighbourhood level remain poorly understood. Here, we use data from a large-scale biodiversity experiment with 24 subtropical tree species to show that neighbourhood tree species richness generally promotes individual tree productivity. We found that the underlying mechanisms depend on a focal tree's functional traits: For species with a conservative resource-use strategy diversity effects were brought about by facilitation, and for species with acquisitive traits by competitive reduction. Moreover, positive diversity effects were strongest under low competition intensity (quantified as the total basal area of neighbours) for acquisitive species, and under high competition intensity for conservative species. Our findings demonstrate that net biodiversity effects in tree communities can vary over small spatial scales, emphasising the need to consider variation in local neighbourhood interactions to better understand effects at the community level.


Assuntos
Biodiversidade , Florestas , Árvores
17.
Artigo em Alemão | MEDLINE | ID: mdl-26510103

RESUMO

A 17 y old male SCUBA diver presents himself for hospital admission after a suspected diving accident. All clinical signs are favouring the initial diagnosis: loss of leg motor function, paresthesia, disturbed vision and headache. What are your further diagnostic and therapeutic steps? Can you proof the initial diagnosis? What differential diagnoses are relevant or even mimicked?


Assuntos
Encefalopatias/diagnóstico , Doença da Descompressão/diagnóstico , Doença da Descompressão/terapia , Mergulho/lesões , Doenças Neuromusculares/diagnóstico , Transtornos Respiratórios/diagnóstico , Adolescente , Diagnóstico Diferencial , Humanos , Oxigenoterapia Hiperbárica , Masculino , Avaliação de Sintomas/métodos
18.
Artigo em Alemão | MEDLINE | ID: mdl-31525783
19.
Sci Rep ; 13(1): 13983, 2023 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-37633995

RESUMO

We present a long-range fiber-optic environmental deformation sensor based on active phase noise cancellation (PNC) in metrological frequency dissemination. PNC sensing exploits recordings of a compensation frequency that is commonly discarded. Without the need for dedicated measurement devices, it operates synchronously with metrological services, suggesting that existing phase-stabilized metrological networks can be co-used effortlessly as environmental sensors. The compatibility of PNC sensing with inline amplification enables the interrogation of cables with lengths beyond 1000 km, making it a potential contributor to earthquake detection and early warning in the oceans. Using spectral-element wavefield simulations that accurately account for complex cable geometry, we compare observed and computed recordings of the compensation frequency for a magnitude 3.9 earthquake in south-eastern France and a 123 km fiber link between Bern and Basel, Switzerland. The match in both phase and amplitude indicates that PNC sensing can be used quantitatively, for example, in earthquake detection and characterization.

20.
Dtsch Arztebl Int ; 120(48): 815-822, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-37850298

RESUMO

BACKGROUND: More than half of all emergency department patients seek help for acute pain, which is usually of musculoskeletal origin. Acute pain is often inadequately treated even today, particularly in children and in older patients. In this study, we assess the potential role of regional anesthetic methods in improving the treatment of pain in the preclinical and clinical emergency setting. METHODS: Pain-related reasons for admission were identified and quantified from emergency admission data. A structured literature search was carried out for clinical studies on the treatment of pain in the emergency setting, and a before-and-after comparison of the pain relief achieved with established vs. newer regional anesthetic methods was performed. RESULTS: 43% of emergency patients presented with acute musculoskeletal pain. The literature search yielded 3732 hits for screening; data on entity-specific pain therapy spectra were extracted from 153 studies and presented for the main pain regions. The degree of pain relief obtained through regional anesthetic procedures, on a nominal rating scale from 0 to 10, was 4 to 7 points for acute back and chest wall pain, >6 for shoulder pain, 5 to 7 for hand and forearm injuries, and >4 for hip fractures. These results were as good as, or better than, those obtained by analgesia/sedation with strong opioids. CONCLUSION: Modern regional anesthetic techniques can improve acute pain management in the emergency department and, to some extent, in the pre-hospital setting as well. Pain relief with these techniques is quantifiably better than with strong opioids in some clinical situations; moreover, there is evidence of further advantages including process optimization and fewer complications. Data for comparative study remain scarce because of a lack of standardization.


Assuntos
Dor Aguda , Anestesia por Condução , Criança , Humanos , Idoso , Manejo da Dor/métodos , Dor Aguda/diagnóstico , Dor Aguda/terapia , Anestesia por Condução/métodos , Anestésicos Locais/uso terapêutico , Serviço Hospitalar de Emergência , Analgésicos Opioides , Hospitais
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