Ultrasound-Guided Third Occipital Nerve and Cervical Medial Branch Nerve Blocks

2010 ◽  
pp. 107-117 ◽  
Author(s):  
Andreas Siegenthaler ◽  
Urs Eichenberger
Keyword(s):  
Medial Branch ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Occipital Nerve

Ultrasound-guided third occipital nerve and cervical medial branch nerve blocks

2009 ◽  
Vol 13 (3) ◽  
pp. 128-132 ◽  
Author(s):  
Andreas Siegenthaler ◽  
Samer Narouze ◽  
Urs Eichenberger
Keyword(s):  
Medial Branch ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Occipital Nerve

scholarly journals Accuracy of Ultrasound-guided Nerve Blocks of the Cervical Zygapophysial Joints

2012 ◽  
Vol 117 (2) ◽  
pp. 347-352 ◽  
Author(s):  
Andreas Siegenthaler ◽  
Sabine Mlekusch ◽  
Sven Trelle ◽  
Juerg Schliessbach ◽  
Michele Curatolo ◽  
...  
Keyword(s):  
Ultrasound Imaging ◽  
Ultrasound Guidance ◽  
Good Accuracy ◽  
Medial Branch ◽  
Needle Placement ◽  
Needle Guidance ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Zygapophysial Joint ◽  
Fluoroscopic Imaging

Background Cervical zygapophysial joint nerve blocks typically are performed with fluoroscopic needle guidance. Descriptions of ultrasound-guided block of these nerves are available, but only one small study compared ultrasound with fluoroscopy, and only for the third occipital nerve. To evaluate the potential usefulness of ultrasound-guidance in clinical practice, studies that determine the accuracy of this technique using a validated control are essential. The aim of this study was to determine the accuracy of ultrasound-guided nerve blocks of the cervical zygapophysial joints using fluoroscopy as control. Methods Sixty volunteers were studied. Ultrasound-imaging was used to place the needle to the bony target of cervical zygapophysial joint nerve blocks. The levels of needle placement were determined randomly (three levels per volunteer). After ultrasound-guided needle placement and application of 0.2 ml contrast dye, fluoroscopic imaging was performed for later evaluation by a blinded pain physician and considered as gold standard. Raw agreement, chance-corrected agreement κ, and chance-independent agreement Φ between the ultrasound-guided placement and the assessment using fluoroscopy were calculated to quantify accuracy. Results One hundred eighty needles were placed in 60 volunteers. Raw agreement was 87% (95% CI 81-91%), κ was 0.74 (0.64-0.83), and Φ 0.99 (0.99-0.99). Accuracy varied significantly between the different cervical nerves: it was low for the C7 medial branch, whereas all other levels showed very good accuracy. Conclusions Ultrasound-imaging is an accurate technique for performing cervical zygapophysial joint nerve blocks in volunteers, except for the medial branch blocks of C7.

Cervical Medial Branch and Third Occipital Nerve Blocks

2019 ◽  
pp. 157-167
Author(s):  
John-Paul B. Etheridge ◽  
Roderick Finlayson
Keyword(s):  
Medial Branch ◽  
Nerve Blocks ◽  
Occipital Nerve

Acute pain management in trauma: anatomy, ultrasound-guided peripheral nerve blocks and special considerations

2019 ◽  
Vol 85 (7) ◽  
Author(s):  
Theodosios Saranteas ◽  
Iosifina Koliantzaki ◽  
Olga Savvidou ◽  
Marina Tsoumpa ◽  
Georgia Eustathiou ◽  
...  
Keyword(s):  
Pain Management ◽  
Peripheral Nerve ◽  
Acute Pain ◽  
Ultrasound Guided ◽  
Acute Pain Management ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks

Ultrasound-guided thoracic wall nerve blocks for effective pain control in cardiac surgery

2020 ◽  
Vol 86 (6) ◽  
Author(s):  
Giuseppe Sepolvere ◽  
Mario Tedesco ◽  
Pierfrancesco Fusco ◽  
Paolo Scimia ◽  
Loredana Cristiano
Keyword(s):  
Cardiac Surgery ◽  
Pain Control ◽  
Thoracic Wall ◽  
Ultrasound Guided ◽  
Nerve Blocks
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