keyword
https://read.qxmd.com/read/38513640/-common-and-new-regional-anaesthesia-techniques-under-review-from-head-to-abdomen
#1
JOURNAL ARTICLE
Thorsten Steinfeldt, Andreas Marx, Mark Dauster
By implementation of sonography regional anesthesia became more relevant in the daily practice of anesthesia and pain therapy. Due to visualized needle guidance ultrasound supports more safety during needle placement. Thereby new truncal blocks got enabled. Next to the blocking of specific nerve structures, plane blocks got established which can also be described as interfascial compartment blocks. The present review illustrates published and established blocks in daily practice concerning indications and the procedural issues...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38434605/efficacy-of-bilateral-erector-spinae-block-in-patients-undergoing-posterior-spine-fusion-surgeries-a-comparative-randomised-controlled-trial
#2
JOURNAL ARTICLE
Suresh Kumar, Arish Bt, Eashwar Neelakandan, Ranjan Rv, Sivakumar Segaran, Prince Solomon
Introduction During spine surgeries, various levels of tissue injury can result in varying hemodynamic responses and significant postoperative pain. Perioperative pain management is essential to controlling hemodynamic responses and postoperative pain management. Erector spinae plane (ESP) blocks can help alleviate this pain by blocking the dorsal rami of the spinal nerve. This study aims to evaluate the efficacy of ESP by assessing the perioperative opioid requirement, hemodynamic parameters, and visual analogue score (VAS) during the postoperative period...
March 2024: Curēus
https://read.qxmd.com/read/37572764/evaluation-of-the-effectiveness-of-artificial-intelligence-for-ultrasound-guided-peripheral-nerve-and-plane-blocks-in-recognizing-anatomical-structures
#3
JOURNAL ARTICLE
Irfan Gungor, Berrin Gunaydin, Beyza M Buyukgebiz Yeşil, Selin Bagcaz, Miray Gozde Ozdemir, Gozde Inan, Suna O Oktar
BACKGROUND: We aimed to assess the accuracy of artificial intelligence (AI) based real-time anatomy identification for ultrasound-guided peripheral nerve and plane block in eight regions in this prospective observational study. METHODS: After obtaining ethics committee approval and written informed consent from 40 healthy volunteers (20 men and 20 women, between 18 and 72 years old), an ultrasound device installed with AI software (Nerveblox, SmartAlfa, Turkey) were used to scan regions of the cervical plexus, brachial plexus, pectoralis (PECS), rectus sheet, femoralis, canalis adductorius, popliteal, and ESP by three anesthesiology trainees...
October 2023: Annals of Anatomy
https://read.qxmd.com/read/37209124/anatomical-study-of-the-medial-calcaneal-nerve-using-high-resolution-ultrasound
#4
JOURNAL ARTICLE
Cecile Deniel, Daphne Guenoun, Raphaël Guillin, Antoine Moraux, Pierre Champsaur, Thomas Le Corroller
OBJECTIVES: To determine whether high-resolution ultrasound (US) can identify the course and relations of the medial calcaneal nerve (MCN). METHODS: This investigation was initially undertaken in eight cadaveric specimens and followed by a high-resolution US study in 20 healthy adult volunteers (40 nerves) by two musculoskeletal radiologists in consensus. The location and course of the MCN as well as its relationship to adjacent anatomical structures were evaluated...
May 20, 2023: European Radiology
https://read.qxmd.com/read/37119094/early-stellate-ganglion-block-for-improvement-of-postoperative-cerebral-blood-flow-velocity-after-aneurysmal-subarachnoid-hemorrhage-results-of-a-pilot-randomized-controlled-trial
#5
JOURNAL ARTICLE
Youxuan Wu, Fa Lin, Yang Bai, Fa Liang, Xinyan Wang, Bo Wang, Minyu Jian, Yunzhen Wang, Haiyang Liu, Anxin Wang, Xiaolin Chen, Ruquan Han
OBJECTIVE: Stellate ganglion block (SGB) is a commonly used sympathetic nerve block technique that may have benefits for patients with aneurysmal subarachnoid hemorrhage (aSAH) in the early stage. Cerebral vasospasm (CVS), one of the most common complications of aSAH, is accompanied by an abnormal increase in cerebral blood flow velocity (CBFV) and neurological dysfunction. In this pilot study the authors sought to determine the feasibility of early SGB for CVS in aSAH patients by observing the incidence of symptomatic CVS...
April 28, 2023: Journal of Neurosurgery
https://read.qxmd.com/read/35610566/impact-of-self-coiling-catheters-for-continuous-popliteal-sciatic-block-on-postoperative-pain-level-and-dislocation-rate-a-randomized-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
Rosa Nickl, Oliver Vicent, Thomas Müller, Anne Osmers, Konrad Schubert, Thea Koch, Torsten Richter
BACKGROUND: Dislocation of catheters within the tissue is a challenge in continuous regional anesthesia. A novel self-coiling catheter design is available and has demonstrated a lower dislocation rate in a cadaver model. The dislocation rate and effect on postoperative pain of these catheters in vivo has yet to be determined and were the subjects of this investigation. METHODS: After ethics committee approval 140 patients undergoing elective distal lower limb surgery were enrolled in this prospective randomized controlled trial...
May 24, 2022: BMC Anesthesiology
https://read.qxmd.com/read/34008072/a-real-time-anatomy-%C3%A4-dentification-via-tool-based-on-artificial-%C3%A4-ntelligence-for-ultrasound-guided-peripheral-nerve-block-procedures-an-accuracy-study
#7
JOURNAL ARTICLE
Irfan Gungor, Berrin Gunaydin, Suna O Oktar, Beyza M Buyukgebiz, Selin Bagcaz, Miray Gozde Ozdemir, Gozde Inan
We aimed to assess the accuracy of an artificial intelligence (AI)-based real-time anatomy identification software specifically developed to ease image interpretation intended for ultrasound-guided peripheral nerve block (UGPNB). Forty healthy participants (20 women, 20 men) were enrolled to perform interscalene, supraclavicular, infraclavicular, and transversus abdominis plane (TAP) blocks under ultrasound guidance using AI software by anesthesiology trainees. During block practice by a trainee, once the software indicates 100% scan success of each block associated anatomic landmarks, both raw and labeled ultrasound images were saved, assessed, and validated using a 5-point scale by expert validators...
August 2021: Journal of Anesthesia
https://read.qxmd.com/read/32620990/-peripheral-truncal-blocks-overview-and-assessment
#8
REVIEW
T Steinfeldt, P Kessler, O Vicent, U Schwemmer, J Döffert, P Lang, D Mathioudakis, E Hüttemann, W Armbruster, S Sujatta, M Lange, S Weber, F Reisig, R Hillmann, T Volk, T Wiesmann
By implementation of sonography for regional anesthesia, truncal blocks became more relevant in the daily practice of anesthesia and pain therapy. Due to visualized needle guidance ultrasound supports more safety and helps to avoid complications during needle placement. Additionally, complex punctures are possible that were associated with higher risk using landmarks alone. Next to the blocking of specific nerve structures, interfascial and compartment blocks have also become established, whereby the visualization of individual nerves and plexus structures is not of relevance...
July 3, 2020: Der Anaesthesist
https://read.qxmd.com/read/32009718/utility-of-point-of-care-ultrasonography-in-diagnosing-submassive-pulmonary-thromboembolism-in-a-trauma-patient-and-subsequent-anesthetic-management-case-report-and-literature-review
#9
Nitika Goel, Kajal Jain, Deepanshu Dhiman, K Gowtham
Point-of-care ultrasonography is defined as ultrasonography brought to the patient's bedside and performed by the provider in real time. The clinician can use these real-time dynamic images immediately (rather than images recorded by a sonographer and interpreted later), allowing findings to be directly correlated with the patient's presenting signs and symptoms. Point-of-care ultrasonography is easily repeatable if the patient's condition changes. Over the past decade, the use of point-of-care ultrasonography has extended to emergency settings and intensive care units...
October 2019: Anesthesia, Essays and Researches
https://read.qxmd.com/read/31294858/nerve-ultrasound-can-identify-treatment-responsive-chronic-neuropathies-without-electrodiagnostic-features-of-demyelination
#10
JOURNAL ARTICLE
H Stephan Goedee, Ingrid J T Herraets, Leo H Visser, Hessel Franssen, Jan-Thies H van Asseldonk, W Ludo van der Pol, Leonard H van den Berg
INTRODUCTION: We present a case series of six treatment-naive patients with clinical phenotypes compatible with chronic inflammatory demyelinating polyneuropathy and multifocal motor neuropathy without electrodiagnostic features of demyelination but with abnormal peripheral ultrasound findings who responded to treatment. METHODS: All six patients underwent a complete set of ancillary investigations, including extensive nerve conduction studies. We also performed standardized nerve ultrasound of median nerves and brachial plexus as part of a larger effort to evaluate diagnostic value of sonography...
October 2019: Muscle & Nerve
https://read.qxmd.com/read/30721327/-surgical-treatment-of-proximal-femoral-fractures-in-high-risk-geriatric-patients-under-peripheral-regional-anesthesia-a-clinical-case-series
#11
JOURNAL ARTICLE
R Seidel, E Barbakow
The authors describe in a clinical case series (n = 7) of older (age 78-95 years) high-risk patients the successful surgical treatment of proximal femoral fractures in a peripheral regional anesthesia technique. After positioning on the non-fractured side, a double injection technique (dual guidance concept: sonography plus nerve stimulation) was chosen. The injections were performed parasacrally (blockade of the sacral plexus under the piriformis muscle) and lumbar-paravertebrally (psoas compartment block and transmuscular quadratus lumborum block)...
February 2019: Der Anaesthesist
https://read.qxmd.com/read/29849768/survey-of-ultrasound-practice-amongst-podiatrists-in-the-uk
#12
JOURNAL ARTICLE
Heidi J Siddle, Aimie Patience, James Coughtrey, Jean Mooney, Martin Fox, Lindsey Cherry
BACKGROUND: Ultrasound in podiatry practice encompasses musculoskeletal ultrasound imaging, vascular hand-held Doppler ultrasound and therapeutic ultrasound. Sonography practice is not regulated by the Health and Care Professions Council (HCPC), with no requirement to hold a formal qualification. The College of Podiatry does not currently define ultrasound training and competencies.This study aimed to determine the current use of ultrasound, training received and mentorship received and/or provided by podiatrists using ultrasound...
2018: Journal of Foot and Ankle Research
https://read.qxmd.com/read/29321104/neurectomy-for-anterior-cutaneous-nerve-entrapment-syndrome-in-children
#13
JOURNAL ARTICLE
Lindsey B Armstrong, Pradeep Dinakar, David P Mooney
INTRODUCTION: Anterior cutaneous nerve entrapment syndrome (ACNES) is an underrecognized etiology of chronic abdominal pain that causes great morbidity to those affected. We sought to determine the outcome of neurectomy for ACNES in children. METHODS: Demographic and clinical data on children who underwent neurectomy for ACNES by a single surgeon from 10/2011 to 01/2017 were reviewed. RESULTS: Twenty-six patients underwent neurectomy for ACNES...
August 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/29306376/sonography-guided-lumbar-nerve-and-facet-blocks-the-first-report-of-clinical-outcome-from-iran
#14
JOURNAL ARTICLE
H Sadeghian, R Motiei-Langroudi
INTRODUCTION: Nerve root block (NRB) and facet block (FB) are viable options for pain arising from facet and lumbar disc herniation (LDH) not responding to conservative therapy but still not suitable for surgery. Classically, they are performed under fluoroscopy and computed tomography (CT) guidance, which have the disadvantages of radiation exposure and limited accessibility. The aim of this study was to assess the effectiveness of US guided FB and NRB in patients suffering from facet arthropathy and LDH...
February 2018: Radiography
https://read.qxmd.com/read/27685347/a-randomized-controlled-trial-of-ultrasound-versus-nerve-stimulator-guidance-for-axillary-brachial-plexus-block
#15
RANDOMIZED CONTROLLED TRIAL
Michael J Barrington, Samuel R Gledhill, Roman Kluger, Alexander L Clarke, Daniel M Wong, Henry Davidson, Rowan Thomas
BACKGROUND: Ultrasound-guided techniques improve outcomes in regional anesthesia when compared with traditional techniques; however, this assertion has not been studied with novices. The primary objective of this study was to compare sensory and motor block after axillary brachial plexus block when performed by novice trainees allocated to an ultrasound- or nerve-stimulator-guided group. A secondary objective was to compare the rates of skill acquisition between the 2 groups. METHODS: This study was a prospective, randomized, observer-blinded, 2-arm controlled trial...
2016: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/27008294/successful-identification-and-assessment-of-the-superior-cluneal-nerves-with-high-resolution-sonography
#16
JOURNAL ARTICLE
Gerd Bodner, Hannes Platzgummer, Stefan Meng, Peter C Brugger, Gerlinde Maria Gruber, Doris Lieba-Samal
BACKGROUND: Low back pain is a disabling and common condition, whose etiology often remains unknown. A suggested, however rarely considered, cause is neuropathy of the medial branch of the superior cluneal nerves (mSCN)-either at the level of the originating roots or at the point where it crosses the iliac crest, where it is ensheathed by an osseo-ligamentous tunnel. Diagnosis and treatment have, to date, been restricted to clinical assessment and blind infiltration with local anesthetics...
March 2016: Pain Physician
https://read.qxmd.com/read/26997206/occipital-neuralgia-diagnosis-and-treatment-the-role-of-ultrasound
#17
REVIEW
Samer Narouze
BACKGROUND: Occipital neuralgia is a form of neuropathic type of pain in the distribution of the greater, lesser, or third occipital nerves. Patients with intractable occipital neuralgia do not respond well to conservative treatment modalities. This group of patients represents a significant therapeutic challenge and may require interventional or invasive therapeutic approaches. PURPOSE: Occipital neuralgia frequently occurs as a result of nerve entrapment or irritation by a tight muscle or vascular structure, or nerve trauma during whiplash injury...
April 2016: Headache
https://read.qxmd.com/read/26782165/role-of-sonography-in-the-diagnosis-and-treatment-of-common-peroneal-neuropathy-secondary-to-fabellae
#18
JOURNAL ARTICLE
Alper Cesmebasi, Robert J Spinner, Jay Smith, Stephen M Bannar, Jonathan T Finnoff
The fabella is a sesamoid bone situated in the posterolateral knee, which may contribute to posterolateral knee pain by impinging on the adjacent common peroneal nerve (CPN). Although anatomic studies have established an relationship between the fabella and CPN, we present 4 cases of posterolateral knee pain radiating into the anterolateral leg in which sonography was able to determine the source of the pain as CPN compression by an adjacent fabella. In 2 of these cases, resolution of symptoms was achieved with ultrasound-guided CPN blocks, whereas 1 case was surgically treated, and another was managed with oral analgesics...
February 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/26669868/regarding-the-content-and-goals-of-uim-eju
#19
EDITORIAL
K Seitz
The successful collaboration among Ultraschall in der Medizin/ European Journal of Ultrasound (UiM/EJU), DEGUM, ÖGUM and SGUM as well as Thieme Verlag was confirmed in the respective general meetings in Davos recently, and it was agreed that such cooperation should continue in coming years. Last year, in discussions with the previous DEGUM board of directors the issue of orientation of the content of UiM/EJU, among other things, was an essential topic. Briefly stated, the constructive criticism was: too much science, too little continuing education...
December 2015: Ultraschall in der Medizin
https://read.qxmd.com/read/26230889/-dual-guidance-parallel-combination-of-ultrasound-guidance-and-nerve-stimulation-contra
#20
JOURNAL ARTICLE
Tim Maecken
Sonography is a highly user-dependent technology. It presupposes a considerable degree of sonoanatomic and sonographic knowledge and requires good practical skills of the examiner. Sonography allows the identification of the puncture target, observes the needle feed and assesses the spread pattern of the local anesthetic in real time. Peripheral electrical nerve stimulation (PNS) cannot offer these advantages to the same degree, but may allow nerve localization under difficult sonographic conditions. The combination of the two locating techniques is complex in its practical implementation...
July 2015: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
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