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  • Prof. Ban TSUI published an article in JAMA Otolaryngology - Head & Neck Surgery

Prof. Ban TSUI published an article in JAMA Otolaryngology - Head & Neck Surgery

May 30, 2024 News & Updates

Recently, Professor Ban TSUI, School of Medicine, The Chinese University of Hong Kong, Shenzhen, and his team from Standford published a paper entitled "Suprazygomatic Maxillary Nerve Blocks and Opioid Requirements in Pediatric Adenotonsillectomy —— A Randomized Clinical Tria" in JAMA Otolaryngology - Head & Neck Surgery. Prof. Ban TSUI is the first physician to apply this technology to the world’s most common pediatric surgery, and this is also the first clinical trial report on the application of this technology globally. He is the corresponding author of the paper.

Pain management following pediatric adenotonsillectomies is opioid-inclusive, leading to potential complications. To investigate the use of suprazygomatic maxillary nerve (SZMN) blocks to reduce pain and opioid use after pediatric intracapsular adenotonsillectomy and to measure recovery duration and incidence of complications. This was a randomized, blinded, prospective single-center tertiary pediatric hospital that included 60 pediatric patients (2-14 years old) scheduled for intracapsular adenotonsillectomy from November 2021 to March 2023. Patients were excluded for having combined surgical procedures, developmental delay, coagulopathy, chronic pain history, known or predicted difficult airway, or unrepaired congenital heart disease. Participants were randomized to receive bilateral SZMN blocks (block group) or not (control group). The results of the randomized clinical trial indicate that SZMN blocks are a useful adjunct tool for managing postoperative pain in pediatric intracapsular adenotonsillectomy. Use of these blocks during adenotonsillectomy provided clinically meaningful reductions of postoperative opioid consumption with a low risk of complications.

Link to article:

https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2819306

 

Professor Ban TSUI

Fellow of the Royal College of Physicians of Canada

Fellow of the American Society of Regional Anesthesia and Pain Medicine

Associate Dean (Clinical Innovation & Translational Research)

Chair and Chief, Department of Anesthesiology, Critical Care, and Pain Medicine

Presidential Chair Professor

Prof. Tsui completed his medical training at Dalhousie University, Halifax, in 1995 after obtaining his Masters of Science in Pharmacy in 1991. These degrees followed a Diploma in Engineering and Bachelors of Science in both Mathematics and Pharmacy. Prof. Tsui completed his anesthesia residency training at the University of Alberta Hospital in Edmonton in 2000, and he received further experience in pediatric anesthesia at British Columbia Children's Hospital in Vancouver. After 16 years of practice at the University of Alberta Hospital and Stollery Children’s Hospital, Prof. Tsui was recruited to Stanford University in 2016.

Currently, Prof. Tsui is a University Medical Line Professor in the Department of Anesthesiology, Perioperative, and Pain Medicine at Stanford University. In his position as an adult and pediatric anesthesiologist at the Stanford University Medical Center and the Lucile Packard Children’s Hospital, he specializes in regional anesthesia techniques.

Prof. Tsui is an avid and internationally recognized researcher in many areas of regional anesthesia. During his residency, Prof. Tsui developed an interest in improving the accuracy of epidural catheter placement and was issued a U.S. patent in relation to his research. Prof. Tsui has expanded his research into the use of ultrasound in regional anesthesia, with particular relevance to peripheral nerve block performance. Prof. Tsui is also responsible for development of the E-Catheter catheter-over-needle kit for use during peripheral nerve blocks. The primary objective of his research is to transform regional anesthesia from an “art” into a reliable and reproducible “science” by further exploring the basic scientific and clinical aspects of electrophysiological signal monitoring and integrating this with the latest advances in ultrasound.

Academically, Prof. Tsui received the 2005 John Bradley Young Educator Award from the Canadian Anesthesiologists' Society. This award recognizes his work as a clinical educator, researcher, and anesthesia trainee role model. While in Canada, Prof. Tsui was the only Canadian invited to write a chapter for a prestigious American anesthesia textbook-Clinical Anesthesia (Barash). Prof. Tsui wrote the first textbook on Ultrasound-and Nerve Stimulation-Guided Regional Anesthesia. It's become the main reference for anesthesiologists who are interested to use ultrasound in regional anesthesia. This work was translated to Korean. Prof. Tsui also co-authored the first pediatric textbook on the subject, the Pediatric Atlas of Ultrasound-and Nerve Stimulation-Guided Regional Anesthesia. This work has also been translated to Chinese and received positive reviews. In addition, Prof. Tsui co-authored and edited "Principles of Airway Management" and "Complications in Regional Anesthesia." From 2006 to 2018, Prof. Tsui served on the editorial board of the Canadian Journal of Anesthesia. Prof. Tsui is currently the editor of the journal of Regional Anesthesia and Pain Medicine.

Prof. Tsui has received the Alberta Heritage Foundation for Medical Research (AHFMR) Clinical Scholar award and has previously received research awards and grants from the Canadian Institutes of Health Research (CIHR), Canadian Anesthesiologists’ Society, AHFMR, and University of Alberta. In 2015, a prestigious award, the CAS Research Recognition Award, was presented by the Canadian Anesthesiologists’ Society to Prof. Tsui "in recognition of significant research contributions to regional anesthesia, acute pain management and pediatric anesthesia in Canada and around the world". In 2022, the American Society of Regional Anesthesia and Pain Medicine (ASRA) awarded Prof. Tsui, the Distinguish Service Award. This prestigious annual award has been presented to honor persons who have made remarkable contributions to the field of regional anesthesia and pain medicine.

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