Comparison of Three Methods of Regional Anesthesia of Peripheral Nerves and Plexuses

Valery, Piacherski; Marochkov, А.V.; Brukhnou, Andrei; Kokhan, Zakhar

doi:10.4236/ojanes.2012.25056

Cited by 4 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…But now different authors are reporting varying data on the effectiveness of regional blocks performed under ultrasound guidance: performance indicators vary from 80% [1] to 100% [2] [3]. The achievement of high efficiency is determined not only by the visualization of peripheral nerves, but also by the knowledge of the anatomical features of the peripheral nerve structure in its various departments which may influence the development of nerve blocks.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Time Development of the Sciatic Nerve Blockade Performed with 1% Lidocaine Subgluteal and Popliteal Approach under Ultrasound Guidance

Valery¹,

Aliaksei²,

Brukhnou³

et al. 2014

OJAnes

Self Cite

View full text Add to dashboard Cite

The existing researches in the field of regional anesthesia of the sciatic nerve show that if popliteal sciatic nerve blockade is performed, the time of the development of the sciatic nerve anesthesia is longer in comparison with subgluteal sciatic nerve blockade. Background: The aim of the research is to compare the time of the development of the sciatic nerve blockade performed with 1% lidocaine with epinephrine (1:200,000) in subgluteal and popliteal areas under ultrasound guidance. Materials and Methods: Patients were divided into two groups. In Group A (20 patients), the subgluteal approach to block the sciatic nerve was taken; in Group B (20 patients), the popliteal approach was applied. All blockades of the sciatic nerve were performed with 1% lidocaine (30 ml of lidocaine with epinephrine (1:200,000)) and electrical stimulation of peripheral nerves under ultrasound guidance. We measured the time of the development of sensory and motor blocks. Results: In Group A, the sciatic nerve sensory block developed in 15 (14 -16) minutes, a complete motor block developed in 15.5 (15 -17) minutes. In Group B the sciatic nerve sensory block developed in 40 (38.5 -42.5) minutes while a complete motor block did not develop in any patient. Conclusion: When the sciatic nerve is blocked in subgluteal area with 30 ml of 1% lidocaine with epinephrine (1:200,000) under ultrasound guidance, sensory blocks develop faster than during the popliteal blockade: 15 (14 -16) minutes vs. 40 (38.5 -42.5) minutes respectively. The opportunity to define the place of the introduction of local anesthetic in our research is limited.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison of Time Development of the Sciatic Nerve Blockade Performed with 1% Lidocaine Subgluteal and Popliteal Approach under Ultrasound Guidance

Valery¹,

Aliaksei²,

Brukhnou³

et al. 2014

OJAnes

Self Cite

View full text Add to dashboard Cite

show abstract

Simulating Ultrasound Tissue Deformation Using Inverse Mapping

Pepley

Adhikary

Miller

et al. 2019

Journal of Computational and Nonlinear Dynamics

View full text Add to dashboard Cite

Ultrasound guidance is used for a variety of surgical needle insertion procedures, but there is currently no standard for the teaching of ultrasound skills. Recently, computer ultrasound simulation has been introduced as an alternative teaching method to traditional manikin and cadaver training because of its ability to provide diverse scenario training, quantitative feedback, and objective assessment. Current computer ultrasound training simulation is limited in its ability to image tissue deformation caused by needle insertions, even though tissue deformation identification is a critical skill in performing an ultrasound-guided needle insertion. To fill this need for improved simulation, a novel method of simulating ultrasound tissue–needle deformation is proposed and evaluated. First, a cadaver study is conducted to obtain ultrasound video of a peripheral nerve block. Then, optical flow analysis is conducted on this video to characterize the tissue movement due to the needle insertion. Tissue movement is characterized into three zones of motion: tissue near the needle being pulled, and zones above and below the needle where the tissue rolls. The rolling zones were centered 1.34 mm above and below the needle and 4.53 mm behind the needle. Using this characterization, a vector field is generated mimicking these zones. This vector field is then applied to an ultrasound image using inverse mapping to simulate tissue movement. The resulting simulation can be processed at 3.1 frames per second. This methodology can be applied through future optimized graphical processing to allow for accurate real time needle tissue simulation.

show abstract

Comparison of the effectiveness of ultrasound-guided and ultrasound-guided subgluteal nerve blocks with peripheral nerve electrical stimulation: A randomized controlled feasibility trial

Piacherski¹,

Muzyka²

2022

Regional Anesthesia and Acute Pain Management

View full text Add to dashboard Cite

AIM: The efficacy of sciatic nerve blockade with subchondral access under ultrasound guidance (USG) versus ultrasound guidance in combination with EPN (USEPN) is unknown. Data on studies of these techniques for blockade of other peripheral nerves are inconsistent. This study evaluated the feasibility of a randomized trial to compare the efficacy of sciatic nerve blockade with USG-guided sciatic access with the current practice of USEPN. MATERIALS AND METHODS: Forty patients were randomized into two groups in which USG or USEPN guidance was used to perform sciatic nerve blockade with sciatic access. The primary endpoint was the quality of the sensory block. The secondary endpoint was the quality of the motor block. RESULTS: Two groups of 20 patients each were analyzed. All patients developed successful motor and sensory blocks of the sciatic nerve when using USG and USEPN. All cases were followed. Three patients were excluded before randomization because of the unsatisfactory ultrasound imaging of the sciatic nerve. CONCLUSION: The results show that a prospective study of alternative techniques of sciatic nerve block by subchondral access is possible. In our pilot study, sciatic nerve block performed under USG guidance without EPN was effective in all cases.

show abstract

Comparison of Three Methods of Regional Anesthesia of Peripheral Nerves and Plexuses

Cited by 4 publications

References 3 publications

Comparison of Time Development of the Sciatic Nerve Blockade Performed with 1% Lidocaine Subgluteal and Popliteal Approach under Ultrasound Guidance

Comparison of Time Development of the Sciatic Nerve Blockade Performed with 1% Lidocaine Subgluteal and Popliteal Approach under Ultrasound Guidance

Simulating Ultrasound Tissue Deformation Using Inverse Mapping

Comparison of the effectiveness of ultrasound-guided and ultrasound-guided subgluteal nerve blocks with peripheral nerve electrical stimulation: A randomized controlled feasibility trial

Contact Info

Product

Resources

About