Editorial I: Location, location, location! Ultrasound imaging in regional anaesthesia

Denny, N. M.; Harrop‐Griffiths, William

doi:10.1093/bja/aei001

Cited by 108 publications

(76 citation statements)

References 13 publications

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“…[10] Bu dönemde RA'nın başarısı direkt olarak sadece sinir lokalizasyona bağlanmıştır. [11] Rejyonal anestezide başarı için lokalizasyonun tek başına yeterli olmadığı, Klaastad ve ark. [12] MR görüntüleme yön-temi ile ilaç dağılımı üzerine yaptıkları çalışma ile ortaya konmuştur.…”

Section: Discussionunclassified

Changing trends and regional anesthesia practices in Turkey

Gürkan¹,

Kuş²,

Aksu³

et al. 2014

Agri

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Section: Discussionunclassified

Changing trends and regional anesthesia practices in Turkey

Gürkan¹,

Kuş²,

Aksu³

et al. 2014

Agri

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“…However, with the assistance of ultrasonography both the time period for performing the block procedure and the number of the needle punctures are significantly reduced. 4,5 In our case, we used nerve stimulation in addition to ultrasound guidance. This could offer a controversial question 'do we need to use nerve stimulation in addition to ultrasound?'…”

Section: Discussionmentioning

confidence: 99%

“…It is not a necessity but nerve stimulation gives us additional information about the physiology and continuity of the nerves. 2,5 This could help us to assess our expectations from therapy. Some nerves have more certain and easy anatomical approaches, such as suprascapular nerve.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographically guided obturator nerve block for bilateral adductor spasticity in a paraplegic patient

et al. 2014

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Study design: A case report defining an interventional procedure. Objectives: To reveal the role of the ultrasonography in nerve blocks at difficult anatomical locations of the obturator nerve. Setting: The study was conducted in Ankara, Turkey. Methods: A paraplegic patient with lower limb adductor spasticity treated with phenol block using the guidance of ultrasonography. Results: After treatment of the adductor spasticity by obturator nerve block the patient achieved an upright standing position with a walker. Hygienic care was improved and spasticity-related pain was reduced. Conclusion: Ultrasound is a challenging tool for nerve blocks. Ultrasound guidance seems as an essential approach for the blocking of the nerves with variable anatomical courses, such as the obturator nerve.

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“…IBPB is usually performed lateral to the sternocleidomastoid muscle at the level of the C5-C6 nerve roots or at the level of the cricoid cartilage located in the groove between the anterior and middle scalene muscles [2,3]. Traditionally, regional blocks are performed with paresthesia or with a peripheral nerve stimulator (PNS) [4]. Recently, ultrasound guidance during nerve block has become an increasingly popular procedure [5].…”

mentioning

confidence: 99%

Randomized, comparative study of the effectiveness of three different techniques of interscalene brachial plexus block using 0.5% ropivacaine for shoulder arthroscopy

Kolny

Stasiowski²,

Zuber

et al. 2017

Anaesthesiol Intensive Ther

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Background: Interscalene brachial plexus block is an effective regional anesthesia technique for shoulder surgeries. The superiority of the popular ultrasound-guided blocks over peripheral nerve stimulator-confirmed blocks remains unclear. In this study the efficacy of these different block techniques was compared. Methods: This prospective, randomized, clinical study included 109 patients (ASA grades I-III) who receive 20 mL 0.5% ropivacaine with ultrasound-guided blocks (U group), peripheral nerve stimulator-confirmed blocks (N group), or ultrasound-guided and peripheral nerve stimulator-confirmed blocks (dual guidance; NU group) for elective shoulder arthroscopy. Block onset time, duration, and effectiveness on the Lovett rating scale were assessed. Results: There was no statistically significant intergroup difference in duration of block performance, irrespective of the technique (P = 0.232). Onset time of complete warmth sensation loss (P < 0.001) and muscle strength abolition (P < 0.001) was significantly longer and mean Lovett rating scale score distribution was significantly higher in the N group than in the other groups (P < 0.001). These findings show a statistically significant correlation between the performance of the used block technique and the necessity of conversion to general anesthesia because of insufficient block in the N group (58.54%) than in the U (24.44%) and NU (19.57%) groups. Conclusions: Peripheral nerve stimulator-confirmed needle placement is not necessary to ensure effectiveness of ultrasound-guided blocks, which is expressed as a lack of necessity of conversion to general anesthesia. Nevertheless, the dual guidance technique is recommended to reduce the risk of complications and might be considered the regional anesthesia of choice for shoulder surgery.

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Editorial I: Location, location, location! Ultrasound imaging in regional anaesthesia

Cited by 108 publications

References 13 publications

Changing trends and regional anesthesia practices in Turkey

Changing trends and regional anesthesia practices in Turkey

Ultrasonographically guided obturator nerve block for bilateral adductor spasticity in a paraplegic patient

Randomized, comparative study of the effectiveness of three different techniques of interscalene brachial plexus block using 0.5% ropivacaine for shoulder arthroscopy

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