2004
DOI: 10.1016/j.rapm.2004.07.001
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Ultrasound visibility of needles used for regional nerve block: An in vitro study

Abstract: The results of our in-vitro study suggest a number of factors enhancing ultrasound visibility of regional block needles. The use of needles in the largest possible size inserted with a medium-size guide wire provides the best ultrasound visibility. Analysis of the approach angle favors needle insertion parallel to the transducer. The consideration of these factors may improve safety and success of ultrasound-guided regional blocks.

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Cited by 97 publications
(91 citation statements)
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“…Because needle placement is superficial and nearly parallel to the active face of the transducer, the choice of needle is critical to imaging. Studies have shown improved visibility of the needle tip when the bevel faces the transducer [24], we therefore used this bevel orientation during our procedures. This is especially true of the bevel of the 18-G Tuohy needle (new point of study).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Because needle placement is superficial and nearly parallel to the active face of the transducer, the choice of needle is critical to imaging. Studies have shown improved visibility of the needle tip when the bevel faces the transducer [24], we therefore used this bevel orientation during our procedures. This is especially true of the bevel of the 18-G Tuohy needle (new point of study).…”
Section: Discussionmentioning
confidence: 99%
“…This is especially true of the bevel of the 18-G Tuohy needle (new point of study). Schafhalter-Zoppoth et al [24] reported that the visibility of the Touhy needle is superior to the Stimuplex. Following publication of this article, the authors decided to use Touhy needles in the later cases.…”
Section: Discussionmentioning
confidence: 99%
“…2, some significant differences were noted in the results between the two punctures at depths of 1.0 cm (P = 0.0037), 1.5 cm (P = 0.0053), 2.0 cm (P < 0.0001). In the plane technique, it has been generally reported that puncture angles >30 degrees decrease the visualization of the needle [6]. We showed that the use of a needle guide kit could improve the visibility on ultrasonic images for puncture angles >30 degrees.…”
mentioning
confidence: 65%
“…In all cases, the aim is to increase the echogenicity of the needle during penetration, hence creating a better image for the practitioner to follow. Based on [13], needle visualization in ultrasound is affected by several factors.…”
Section: Needle Echogenicitymentioning
confidence: 99%