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Nerve block by sonography

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 5, 2019: Der Anaesthesist
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
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
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
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...
November 2016: Regional Anesthesia and Pain Medicine
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
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
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
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
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
S Goel, J Arora, V Mehta, M Sharma, R K Suri, G Rath, S Das
The knowledge of variant anatomy of medial compartment of thigh is extremely important in surgical procedures requiring obturator nerve block. The nerve block is also recommended for providing additional analgesia following major knee surgeries and for relieving painful adductor muscle spasm. The interfascial injection technique is commonly followed in ultrasound guided obturator nerve block. For this procedure it is imperative to identify the adductor muscles on sonography to inject the anesthetic solution in the intermuscular fascial planes...
2015: La Clinica Terapeutica
Hesham Elsharkawy, Vafi Salmasi, Alaa Abd-Elsayed, Alparslan Turan
BACKGROUND: Optimum positioning of the nerve catheter is crucial for a successful nerve block. We present a novel technique for confirmation of catheter position. METHODS: We are describing a novel technique for localization of the shaft and tip of the peripheral nerve catheter. After introduction of the catheter 3 to 5 cm beyond the needle tip and removal of the needle, the guide wire was reintroduced and was moved inward and outward rapidly. This movement produced the color Doppler effect along the track of the catheter and the catheter tip that helped us verify the proper positioning of the catheter...
June 2015: Journal of Clinical Anesthesia
L H Visser, H S Goedee
No abstract text is available yet for this article.
July 2014: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
José Manuel Pardal-Fernandez, Andrea Arciniegas, Ana Belén Perona-Moratalla, Jorge Garcia-Garcia
No abstract text is available yet for this article.
February 16, 2014: Revista de Neurologia
Eun Jeong Cho, Jeong Hoon Yang, Young Bin Song
Coronary catheterization using a transradial approach has become a common procedure, as the risks of local complications are low and this procedure affords relatively expeditious postprocedural patient mobilization. Access site complications--such as radial artery spasm, hematoma, and compartment syndrome--have been reported in the literature; however, cases of complex regional pain syndrome (CRPS) of the hand related to the procedure are extremely rare. We describe a case of type II CRPS affecting the hand after a transradial coronary intervention that was complicated by repeated periprocedural arterial punctures...
October 1, 2013: Catheterization and Cardiovascular Interventions
Fotios Kefalianakis, Jens Döffert, Ralf Hillmann, Paul Kessler, Raoul Breitkreutz, Klaus Pfeiffer, Thomas Volk, Ulrich Schwemmer
Identification of the right puncture site and the target structures are mandatory in performing nerve blocks. Ultrasound is a new method, that visualizes target structures as well as the injection and spread of local anaesthetic solution. The presented module 3 neurosonography is part of the didactic concept "anaesthesiology focussed sonography" developed by the german society of anaesthesiology and intensive care. It contains all essential nerve blocks of the upper and lower limb. Additionally the structural requirements to provide the course are included...
November 2011: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Hao Zheng, Tong Shi, Ke-jian Shi, Ping-an Hua, Li-mei Chen, Quan-guang Wang, Le Liu, Xu-zhong Xu
OBJECTIVE: To observe the influences upon the degree of diaphragmatic excursion during deep cervical plexus block at the third cervical vertebra (C3) and compare the safety and anesthetic effect of modified cervical plexus block by ultrasonic guidance and blocking of cervical plexus at one point. METHODS: Part I: 30 patients of ASA (American society of anesthesiologists) I-II scheduled for thyroid surgery were selected for bilateral cervical plexus block at C3 and bilateral skin nerve branches via ultrasonic guidance...
July 19, 2011: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Sang Jin Jung, Seong Keun Moon, Tae Young Kim, Ki Seong Eom
Occipital neuralgia is usually defined as paroxysmal stabbing pain in the greater or lesser occipital nerve (GON or LON) distribution. In occipital neuralgia patients, surgical considerations are carefully taken into account if medical management is ineffective. However, identification of the occipital artery by palpation in patients with thick necks or small occipital arteries can be technically difficult. Therefore, we established a new technique using transcranial Doppler (TCD) sonography for more accurate and rapid identification...
March 2011: Korean Journal of Pain
Michael Gofeld, Anuj Bhatia, Sherif Abbas, Sugantha Ganapathy, Marjorie Johnson
BACKGROUND AND OBJECTIVES: Although the stellate ganglion is located anteriorly to the first rib, anesthetic block is routinely performed at the C6 level. Ultrasonography allegedly improves accuracy of needle placement and spread of injectate. The technique is relatively new, and the optimal approach has not been determined. Moreover, the location of the cervical sympathetic trunk relative to the prevertebral fascia is debatable. METHODS: Three-dimensional sonography was performed on 10 healthy volunteers, and image reconstruction was completed...
September 2009: Regional Anesthesia and Pain Medicine
James C R Rippey, Alistair G Royse
Point-of-care ultrasound is well suited for use in the emergency setting for assessment of the trauma patient. Currently, portable ultrasound machines with high-resolution imaging capability allow trauma patients to be imaged in the pre-hospital setting, emergency departments and operating theatres. In major trauma, ultrasound is used to diagnose life-threatening conditions and to prioritise and guide appropriate interventions. Assessment of the basic haemodynamic state is a very important part of ultrasound use in trauma, but is discussed in more detail elsewhere...
September 2009: Best Practice & Research. Clinical Anaesthesiology
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