Ultrasound-guided regional anesthesia

Bouaziz, Hervé; Aubrun, Frédéric; Belbachir, A.; Cuvillon, Philippe; Eisenberg, Eric L.; Jochum, Denis; Aveline, Christophe; Biboulet, Philippe; Binhas, M.; Bloc, Sébastien; Boccara, Gilles; Carlès, Michel; Choquet, Olivier; Delaunay, Laurent; Estèbe, Jean-Pierre; Fuzier, Régis; Gaertner, Élisabeth; Gnaho, Alexandre; Nouette‐Gaulain, Karine; Nouvellon, Emmanuel; Ripart, Jacques; Tubert, V.

doi:10.1016/j.annfar.2013.07.790

Cited by 7 publications

(4 citation statements)

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“… 160 , 161 There is no solid evidence that ultrasound guidance significantly affects the incidence of peripheral nerve injury associated with regional anesthesia. 162 It is important to note that safety does not depend on a single technology. During the performance of regional anesthesia, safety is related to the level of training of the professional, and to the technique chosen, patient anatomy, and equipment.…”

Section: Care While Using Ultrasound-guided Regional Anesthesia Techn...mentioning

confidence: 99%

“…During the performance of regional anesthesia, safety is related to the level of training of the professional, and to the technique chosen, patient anatomy, and equipment. 160 , 162 …”

Section: Care While Using Ultrasound-guided Regional Anesthesia Techn...mentioning

confidence: 99%

“…The entire unit should be cleaned regularly. 162 , 164 , 167 , 172 , 173 Ultrasound probes used for external use on intact skin for diagnosis only (without punctures for injections) and without contamination of blood or body fluids, should be cleaned with low-level disinfection. 167 , 170 , 172 Ultrasound probes used externally for percutaneous procedures must be covered with single-use protective covers and sterile gel applied.…”

Section: Care While Using Ultrasound-guided Regional Anesthesia Techn...mentioning

confidence: 99%

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SBA 2020: Regional anesthesia safety recommendations update

Azi

Fonseca

Linard

2020

Brazilian Journal of Anesthesiology (English Edition)

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Section: Care While Using Ultrasound-guided Regional Anesthesia Techn...mentioning

confidence: 99%

“…During the performance of regional anesthesia, safety is related to the level of training of the professional, and to the technique chosen, patient anatomy, and equipment. 160 , 162 …”

Section: Care While Using Ultrasound-guided Regional Anesthesia Techn...mentioning

confidence: 99%

Section: Care While Using Ultrasound-guided Regional Anesthesia Techn...mentioning

confidence: 99%

See 1 more Smart Citation

SBA 2020: Regional anesthesia safety recommendations update

Azi

Fonseca

Linard

2020

Brazilian Journal of Anesthesiology (English Edition)

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“…Premedication by oral dose of celecoxib 200 mg [29] and hydroxysine 25 mg will be administered in the surgical care unit. All recruited patients will receive continuous femoral nerve block (under ultrasound guidance [30]) with 2 mg/ml ropivacaine, 20 ml. In the BS+ group, patients will also receive a sciatic nerve block (subgluteal approach [31] under ultrasound guidance) with 2 mg/ml ropivacaine 20 ml.…”

Section: Trial Design and Methodsmentioning

confidence: 99%

Sciatic nerve block or not for outpatient total knee arthroplasty? Study protocol for a randomized controlled trial

Tran

Barthelemy

Boileau

et al. 2019

Trials

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BackgroundThe number of patients operated on for total knee arthroplasty (TKA) is growing worldwide. Outpatient surgery is defined by a length of stay (LOS) in the hospital of less than 12 h. This can be limited for TKA, with the efficient management of pain and perioperative complications, such as blood loss, affecting a safe hospital discharge. Outpatient TKA with a suitable protocol, including multimodal measures, could improve the success rate of this procedure. Among the main measures, single-shot sciatic nerve block in association with continuous femoral nerve block for pain control needs to be evaluated in outpatient TKA. Furthermore, to promote the safety of the postoperative period and to accelerate rehabilitation, patients who undergo ambulatory TKA could be discharged to a rehabilitation center on the day of surgery to screen adverse events and to optimize the rehabilitation process. This study is designed to assess the benefits of sciatic nerve block in postoperative pain relief for outpatient TKA.Methods/designThis randomized prospective controlled study will be conducted in the knee unit of the teaching hospital of the Nice university and will include 40 patients undergoing primary unilateral outpatient TKA, discharged the day of surgery to a private rehabilitation center for enhanced recovery after surgery, after a hospital stay of less than 12 h. Before surgery, all patients will receive a continuous femoral nerve block with 2 mg/ml ropivacaine 20 ml, and then patients will be randomly assigned to receive or not receive a single-shot sciatic nerve block with 2 mg/ml ropivacaine, 20 ml. The primary outcome measure is the success rate of outpatient TKA. This rate is defined by patients discharged from the hospital to a rehabilitation center the day of surgery with no re-hospitalization due to insufficient pain control before the fifth postoperative day. Secondary outcomes include the incidence of major and minor adverse events during the first five postoperative days and measurement of the quality of recovery using the Knee injury and Osteoarthritis Outcome Score and the new International Knee Society scores plus the Quality of Recovery-40 questionnaire.DiscussionThe assessment of anesthesia and rehabilitation protocols enabling major orthopedic surgery, such as TKA, is necessary. This randomized controlled study will address the hypothesis that a suitable multimodal protocol including sciatic nerve block could improve pain control and thus improve the success rate of outpatient TKA.Trial registrationEudraCT, 2016-000226-19. Registered on 15 April 2016.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-3142-1) contains supplementary material, which is available to authorized users.

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