Comparison of success rate of ultrasound‐guided sciatic and femoral nerve block and neurostimulation in children with arthrogryposis multiplex congenita: a randomized clinical trial

Ponde, Vrushali; Desai, Ankit P.; Shah, Dipal

doi:10.1111/pan.12022

Cited by 33 publications

(22 citation statements)

References 7 publications

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“…The duration to first analgesia is significantly higher with ultrasound-guided sciatic and femoral nerve blocks compared with nerve stimulation (8.6 ± 0.66 vs 7.6 ± 0.57 hours; P < 0.001), 9 but there was no difference in infraclavicular brachial plexus blocks when the 2 techniques were compared. 10 Time to first analgesia was longer with ultrasound-guided TAP block compared with no block (14.1 ± 4.9 hours vs 1.3 ± 1.1 hours; P < 0.05), 5 ultrasound-guided TAP block compared with wound infiltration (17 ± 6.8 hours vs 4.7 ± 1.6 hours; P < 0.001), 13 and ultrasound-guided dorsal penile nerve blocks compared with the landmark-based technique (570 [360-860] minutes vs 60 [30-300] minutes; P < 0.0001).…”

Section: B (Us Vs Landmark Method)mentioning

confidence: 89%

“…Success with ultrasound guidance was higher than with nerve stimulation guidance for infraclavicular brachial plexus (96% vs 64%; P = 0.005) 10 and sciatic and femoral nerve (97% vs 76%; P = 0.026) blocks. 9 Elnour et al 4 documented a higher block success in ultrasound guidance compared with nerve stimulation (85% vs 75%) for axillary brachial plexus blocks; however, this difference was not statistically significant (P = 0.43). Furthermore, in a prospective observational study of 45 children undergoing foot surgery, it was shown that the success of ultrasound-guided sciatic nerve blocks did not depend on the ability to elicit a motor response using nerve stimulation.…”

Section: Peripheral Nerve Blocksmentioning

confidence: 95%

“…Lower extremity: Dillow et al, 19 Ponde et al, 9,22,23 • For sciatic nerve blocks, the success of US-guided block does not depend on ability to elicit motor response with NS. 5 Faraoni et al, 6 Gurnaney et al, 7 Sahin et al, 13 …”

Section: Ib a (Us Vs Ns)mentioning

confidence: 99%

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Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Lam

Corry

Tsui

2016

Regional Anesthesia and Pain Medicine

114

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Studies in the current review provide stronger evidence and have addressed a number of outcomes that were previously inconsistent or lacked strength in evidence. In the current systematic review, we identified more studies in a shorter period compared with the previous review, and these studies contain higher levels of evidence compared with what we previously found. Randomized controlled trials and well-designed prospective observational studies have replaced case series. Stronger evidence from the literature suggests that ultrasound-guided peripheral blocks decrease block performance time when compared with nerve stimulation (but take longer than the landmark technique), increase block success, and increase block quality (as measured by analgesic consumption, block duration, and pain scores). Ultrasound guidance in neuraxial blocks improves needling time, predicts epidural depth, allows visualization of the catheter and local anesthetic spread, and improves block quality. Furthermore, we identified 2 large-scale prospective studies describing the incidence of adverse events and complications in pediatric regional anesthesia. The increase in evidence presented in this review reflects the efficacy and prevalent use of ultrasound imaging in pediatric regional anesthesia.

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Section: B (Us Vs Landmark Method)mentioning

confidence: 89%

Section: Peripheral Nerve Blocksmentioning

confidence: 95%

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Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Lam

Corry

Tsui

2016

Regional Anesthesia and Pain Medicine

114

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“…For instance, USG pediatric axillary block performance was slightly faster compared with PNS (14.6 ± 3.0 vs 16.1 ± 2 minutes, respectively, P = 0.035), 71 but when USG was compared with a landmark-based penile block, performance time was longer by an average of 75 seconds 72 (level Ib evidence). Two new RCTs reported increased block success with US as compared with PNS for infraclavicular 73 and femoral sciatic blocks, 74 but no difference with axillary block 71 (level Ib evidence). When block success was assessed by opioid consumption, there was no difference between US and PNS.…”

Section: Pediatric Blocksmentioning

confidence: 99%

The Second American Society of Regional Anesthesia and Pain Medicine Evidence-Based Medicine Assessment of Ultrasound-Guided Regional Anesthesia

Neal

Brull

Horn

et al. 2016

Regional Anesthesia and Pain Medicine

138

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Scientific evidence from the past 5 years has clarified and strengthened our understanding of ultrasound-guided regional anesthesia as a nerve localization tool. High-level evidence supports ultrasound guidance contributing to superior characteristics with selected blocks, although absolute differences with the comparator technique are often relatively small (especially for upper-extremity blocks). The clinical meaningfulness of these differences is likely of variable importance to individual practitioners. The use of ultrasound significantly reduces the risk of local anesthetic systemic toxicity as well as the incidence and intensity of hemidiaphragmatic paresis, but has no significant effect on the incidence of postoperative neurologic symptoms. WHAT'S NEW IN THIS UPDATE?: This evidence-based assessment of ultrasound-guided regional anesthesia reviews findings from our 2010 publication and focuses on new meta-analyses, randomized controlled trials, and large case series published since 2009. New to this exercise is an in-depth analysis of the accuracy and reliability of ultrasound guidance for identifying needle-to-nerve relationships. This version no longer addresses ultrasound for interventional pain medicine procedures, because the growth of that field demands separate consideration. Since our 2010 publication, new information has either supported or strengthened our original conclusions. There is no evidence that ultrasound is inferior to alternative nerve localization methods.

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“…Ancak USNS grubunda daha fazla iğne yönlendirmesi gerekmiş ve blok daha geç gerçekleş-miştir [11]. Ponde ve arkadaşları ise 8aylık ile 2yaş arasında artrogripozis multipleks nedeniyle opere olacak çocuklarda USG ve NS kullanımını femoral-siyatik sinir bloğu kullanımında karşılaş-tırmışlar, USG kullanımının blok başarısını arttırdığını ve ilk analjezik kullanım zamanını uzattığını bulmuşlardır [12]. Yakın döneme kadar US eşliğinde perinöral devamlı katater yerleştirme üzerine az sayıda çalışma bulunmaktadır [1,2].…”

Section: Discussionunclassified

Comparison of Femoral Nerve Block by Neurostimulator Accompanied with Ultrasound and Without Ultrasound in Knee Artroplsty

Aytaç¹,

Atalan²,

Gülen³

et al. 2015

Ann Clin Anal Med

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ÖzetAmaç: Tek taraflı total diz artroplastisi yapılacak olan hastalarda, ultrason rehberliğinde ve ultrason-rehberliği olmaksızın nörostimülatör eşliğinde uygulanan femoral sinir kateterizasyonlarını, işlem süreleri, postoperatif etkileri ve komplikasyonları açısından karşılaştırmayı amaçladık. Gereç ve Yöntem: Etik kurul onayı ve yazılı hasta onamı alınmasının ardından, total diz artroplastisi uygulanacak, ASA I-III, 45-85 yaşları arasında, 40 hasta çalışmaya dahil edilip, ultrason-rehberliğinde veya ultrason-rehberliği olmaksızın, nöros-timülatör eşliğinde femoral sinir kateterizasyonu yapılmak üzere randomize olarak iki gruba ayrıldı. Kateterizasyonun toplam işlem süresi, duyu ve motor bloğun yerleşmesi için geçen süre ve minimum stimülatör akımları kaydedildi. Genel anestezi altında uygulanan cerrahi tamamlandıktan sonra, tüm hastalara kateterlerinden hasta-kontrollü analjezi ile bupivakain başlandı. 24 saat içerisindeki toplam lokal anestezik tüketimi, kurtarıcı analjezik olarak ihtiyaç duyulan ek tramadol miktarları ile ihtiyaç duyulan zamanlar kaydedildi. Ek olarak, 24. saatteki maksimum dizi fleksiyon dereceleri de kaydedildi. Tüm hastaların demografik verileri, cerrahi girişim süreleri ve komplikasyonlar da kayıt altına alındı. Bulgular: Hastalar, demografik veriler ve cerrahi girişim süreleri açısından benzerdi. İki grup arasında, blok uygulama süre-leri, duyu ve motor blokların başlama ve yerleşme süreleri, 24 saat içerisin-deki toplam lokal anestezik tüketimi, kurtarıcı analjezik ihtiyacı ve 24. saatteki maksimum diz fleksiyon dereceleri açısından anlamlı bir farklılık gözlen-medi. Tartışma: Çalışmamızın sonucunda, total diz artroplastisi geçiren hastalarda, ultrason-rehberliğinde ya da ultrason-rehberliği olmaksızın, nörosti-mülatör eşliğinde uygulanan femoral sinir bloğu benzer düzeyde işlem performansı ve etkin postoperatif analjezi sağlamıştır. Anahtar KelimelerSürekli Femoral Sinir Bloğu; Ultrason Eşliğinde Sinir Bloğu; Nörostimülatör Eşliğinde Sinir Bloğu; Bupivakain Abstract Aim: The aim of this study was to compare femoral nerve catheterisations made accompanying with neurostimulator without any guide or with ultrasound guide for the precedure period, postoperative effects and complication. Material and Method: Following ethical and patient approval, 40 patients on which total knee arthroplastie applied and ASA I-III aged between 45-85 years were included into the study. The patients were randomly allocated into two groups and subjected to femoral nerve catheterisation accompanying with neurostimulator using ultrasound guide or without any ultrasound guide. Total processing time of catheterisation, the period of sensible and motor block settelment and minimun stimulator currency were recorded. After compliting the surgery under general anaesthesia all patients were given bupivacain with controlled patient analgesia via their catheter. Total local anaesthetic agent consumption, additional tramadol amount needed as a saving analgesic, requirend times and maximum knee flexion degree in 24 hours ...

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Comparison of success rate of ultrasound‐guided sciatic and femoral nerve block and neurostimulation in children with arthrogryposis multiplex congenita: a randomized clinical trial

Abstract: Ultrasonography significantly increases the success rate of sciatic and femoral block in arthrogryposis.

Cited by 33 publications

References 7 publications

Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

The Second American Society of Regional Anesthesia and Pain Medicine Evidence-Based Medicine Assessment of Ultrasound-Guided Regional Anesthesia

Comparison of Femoral Nerve Block by Neurostimulator Accompanied with Ultrasound and Without Ultrasound in Knee Artroplsty

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