Current Practice of Ultrasound‐Assisted Regional Anesthesia

Popović, Jovan; Morimoto, Maki; Wambold, Daniel; Blanck, Thomas J. J.; Rosenberg, Andrew D.

doi:10.1111/j.1533-2500.2006.00075.x

Cited by 12 publications

(12 citation statements)

References 20 publications

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“…First, only the anterior division, with a reported visibility rate of 100% [5], needs to be identified and a single injection was enough to achieve successful blockade in 96% of cases, possibly reducing performance time and patient discomfort. Second, because of its superficial location [8], the high-frequency probe rather than the low frequency one could be utilized to improve the resolution of the image at the expense of lower penetration [9]. Finally, because the Fig.…”

Section: Discussionmentioning

confidence: 98%

Ultrasound guided obturator nerve block: a single interfascial injection technique

et al. 2011

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We describe a new technique of single interfascial injection for 25 patients scheduled for transurethral bladder tumor resection. An ultrasound probe was placed at the midline of inguinal crease and moved medially and caudally to visualize the fascial space between the adductor longus (or pectineus) and adductor brevis muscles. We injected 20 mL 1% lidocaine containing epinephrine into the interfascial space using a transverse plane approach to make an interfascial injection, not an intramuscular swelling pattern. And just distally, firm pressure was applied for 3 min. Afterwards, surgery was performed under spinal anesthesia. The time required for identification and location of the nerve was 20 ± 15 and 30 ± 15 s, respectively. Adductor muscle strength, which was measured with a sphygmomanometer, decreased in all patients, from 122 ± 26 mmHg before blockade to 63 ± 11 mmHg 5 min after blockade. No movement or palpable muscle twitching occurred in 23 cases, slight movement of the thigh not interfering with the surgical procedure was observed in 1 case, thus the obturator reflex was successfully inhibited in 96% of cases. Ultrasound-guided single interfascial injection is an easy and successful technique for obturator nerve block.

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Section: Discussionmentioning

confidence: 98%

Ultrasound guided obturator nerve block: a single interfascial injection technique

et al. 2011

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“…20 Sonographically guided injection of local anesthetic may improve the success rate of the local anesthetic blockade, while at the same time decreasing the incidence of complications. 21 One recent review has confirmed the effective value of sonographically guided blockade of the LFCN. 8 In conclusion, sonographic imaging of the LFCN is possible in the groin and may become a screening test in MP.…”

mentioning

confidence: 86%

Sonographic assessment of the lateral femoral cutaneous nerve

Damarey

Demondion

Boutry

et al. 2008

J of Clinical Ultrasound

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“…[1][2][3][4][5][6] The success of neuraxial anesthetic techniques depends ultimately on a very accurate assessment of the spine. Currently, the most common method of assessment is palpation of anatomic landmarks, particularly the iliac crests and the spinous processes.…”

Section: Introductionmentioning

confidence: 99%