Comparison of fresh and Thiel’s embalmed cadavers according to the suitability for ultrasound-guided regional anesthesia of the cervical region

Benkhadra, Mehdi; Faust, Alexandre; Ladoire, Sylvain; Trost, O.; Trouilloud, P.; Girard, Claude; Anderhuber, Friedrich; Feigl, Georg

doi:10.1007/s00276-009-0477-z

Cited by 114 publications

(97 citation statements)

References 19 publications

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“…The tissue properties of living human subjects are different from cadavers and this may limit the validity of our findings with respect to clinical practice. However, it has been shown recently that among methods of preservation of cadavers, Thiel's embalming method seems to be as close to the situation in the living as is currently possible [34]. Thus, we believe the placement of the needle and the localisation of the catheters should correspond to the situation in living subjects.…”

Section: Discussionmentioning

confidence: 99%

Placement of coiled catheters into the paravertebral space*

et al. 2012

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SummaryThere are conflicting results with regard to the use of catheter-based techniques for continuous paravertebral block. Local anaesthetic spread within the paravertebral space is limited and the clinical effect is often variable. Discrepancies between needle tip position and final catheter position can also be problematic. The aim of this proof-of-concept study was to assess the reliability of placing a newly developed coiled catheter in human cadavers. Sixty Tuohy needles and coiled catheters were placed under ultrasound guidance, three on each side of the thoracic vertebral column in 10 human cadavers. Computed tomography was used to assess needle tip and catheter tip locations. No catheter was misplaced into the epidural, pleural or prevertebral spaces. The mean (SD) distance between catheter tips and needle tips was 8.2 (4.9) mm. The median (IQR [range]) caudo-cephalad spread of contrast dye injectate through a subset of 20 catheters was 4 (4-5[3-8]) thoracic segments. All catheters were removed without incident. Precise paravertebral catheter placement can be achieved using ultrasound-guided placement of a coiled catheter.

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Section: Discussionmentioning

confidence: 99%

Placement of coiled catheters into the paravertebral space*

et al. 2012

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“…Benkhadra et al (2012), explained the possible failures during the ultrasound-guided infraclavicular nerve block. In addition, comparative studies have been done between Thieldembalmed and fresh cadavers for training in the new ultrasound-guided anesthetic technique in the cervical region (Benkhadra et al, 2009). …”

Section: Authorsmentioning

confidence: 99%

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

et al. 2016

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's embalming method. Review of solutions and applications in different fields of biomedical research. Int. J. Morphol., 34(4):1442Morphol., 34(4): -1454Morphol., 34(4): , 2016. SUMMARY:Walter Thiel developed the method that enables preservation of the body with natural colors in 1992. It consists in the application of an intravascular injection formula, and maintaining the corps submerged for a determinate period of time in the immersion solution in the pool. After immersion, it is possible to maintain the corps in a hermetically sealed container, thus avoiding dehydration outside the pool. The aim of this work was to review the Thiel method, searching all scientific articles describing this technique from its development point of view, and application in anatomy and morphology teaching, as well as in clinical and surgical practice. Most of these studies were carried out in Europe. We used PubMed, Ebsco and Embase databases with the terms "Thiel cadaver", "Thiel embalming", "Thiel embalming method" and we searched for papers that cited Thiel`s work. In comparison with methods commonly used with high concentrations of formaldehyde, this method lacks the emanation of noxious or irritating gases; gives the corps important passive joint mobility without stiffness; maintaining color, flexibility and tissue plasticity at a level equivalent to that of a living body. Furthermore, it allows vascular repletion at the capillary level. All this makes for great advantage over the formalinfixed and fresh material. Its multiple uses are applicable in anatomy teaching and research; teaching for undergraduates (prosection and dissection) and for training in surgical techniques for graduates and specialists (laparoscopies, arthroscopies, endoscopies).

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“…This unique embalming procedure preserves tissue color and consistency [1,2]. None of the bodies used in this study had signs of previous injury, abnormality or disease.…”

Section: Methodsmentioning

confidence: 98%

Wrist denervation of the posterior interosseous nerve through a volar approach: a new technique with anatomical considerations

et al. 2016

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Comparison of fresh and Thiel’s embalmed cadavers according to the suitability for ultrasound-guided regional anesthesia of the cervical region

Abstract: Cadavers embalmed according to Thiel's method should be recommended for ultrasound-guided punctures as a realistic and lifelike model.

Cited by 114 publications

References 19 publications

Placement of coiled catheters into the paravertebral space*

Placement of coiled catheters into the paravertebral space*

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

Wrist denervation of the posterior interosseous nerve through a volar approach: a new technique with anatomical considerations

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