Anatomical basis for ultrasound-guided regional anaesthesia at the junction of the axilla and the upper arm

2009 ◽  
Vol 32 (3) ◽  
pp. 299-304 ◽  
Author(s):  
Francis Berthier ◽  
Daniel Lepage ◽  
Yann Henry ◽  
Fabrice Vuillier ◽  
Jean-Luc Christophe ◽  
...  
Keyword(s):  
Regional Anaesthesia ◽  
Ultrasound Guided ◽  
Upper Arm ◽  
Anatomical Basis

Anatomical basis for ultrasound-guided infiltration of the saphenous nerve in the subsartorial canal

2021 ◽  
Author(s):  
Romain Lecigne ◽  
Pierre-Xavier Dubreil ◽  
Eric Berton ◽  
Mickaël Ropars ◽  
Danoob Dalili ◽  
...  
Keyword(s):  
Saphenous Nerve ◽  
Ultrasound Guided ◽  
Anatomical Basis

Ultrasound-Guided Regional Anaesthesia: A Safer Option than General Anaesthesia?

Clinical Risk ◽  
2012 ◽  
Vol 18 (6) ◽  
pp. 224-228
Author(s):  
Nicholas Goddard ◽  
Stuart Batistich ◽  
Zoë Smith ◽  
Jim Turner ◽  
Peter Tomlinson
Keyword(s):  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Ultrasound Guided

scholarly journals Corrected Scoliosis, Cholinesterase Deficiency, and Cesarean Section: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Roy Somers ◽  
Yves Jacquemyn ◽  
Luc Sermeus ◽  
Marcel Vercauteren
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Cesarean Section ◽  
General Anaesthesia ◽  
Spinal Anaesthesia ◽  
Regional Anaesthesia ◽  
Previous Caesarean Section ◽  
Corrective Surgery ◽  
Ultrasound Guided ◽  
Severe Scoliosis

We describe a patient with severe scoliosis for which corrective surgery was performed at the age of 12. During a previous caesarean section under general anaesthesia pseudocholinesterase deficiency was discovered. Ultrasound guided spinal anaesthesia was performed enabling a second caesarean section under loco-regional anaesthesia.

scholarly journals The ultrasound-guided selective nerve block in the upper arm: an approach of retaining the motor function in elbow

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Weijuan Zhu ◽  
Riyong Zhou ◽  
Lulu Chen ◽  
Yuanqing Chen ◽  
Lvdan Huang ◽  
...  
Keyword(s):  
Motor Function ◽  
Nerve Block ◽  
Ultrasound Guided ◽  
Upper Arm

scholarly journals Efficacy of ultrasound-guided forearm nerve block versus forearm intravenous regional anaesthesia in patients undergoing carpal tunnel release: A randomized controlled trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246863
Author(s):  
Hassanin Jalil ◽  
Florence Polfliet ◽  
Kristof Nijs ◽  
Liesbeth Bruckers ◽  
Gerrit De Wachter ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Pain Intensity ◽  
Nerve Block ◽  
Carpal Tunnel ◽  
Regional Anaesthesia ◽  
Carpal Tunnel Release ◽  
Ultrasound Guided ◽  
Surgical Time ◽  
Randomized Controlled ◽  
Intravenous Regional Anaesthesia

Background and objectives Distal upper extremity surgery is commonly performed under regional anaesthesia, including intravenous regional anaesthesia (IVRA) and ultrasound-guided forearm nerve block. This study aimed to investigate if ultrasound-guided forearm nerve block is superior to forearm IVRA in producing a surgical block in patients undergoing carpal tunnel release. Methods In this observer-blinded, randomized controlled superiority trial, 100 patients undergoing carpal tunnel release were randomized to receive ultrasound-guided forearm nerve block (n = 50) or forearm IVRA (n = 50). The primary outcome was anaesthetic efficacy evaluated by classifying the blocks as complete vs incomplete. Complete anaesthesia was defined as total sensory block, incomplete anaesthesia as mild pain requiring more analgesics or need of general anaesthesia. Pain intensity on a numeric rating scale (0–10) was recorded. Surgeon satisfaction with hemostasis, surgical time, and OR stay time were recorded. Patient satisfaction with the quality of the block was assessed at POD 1. Results In total, 43 (86%) of the forearm nerve blocks were evaluated as complete, compared to 33 (66%) of the forearm IVRA (p = 0.019). After the forearm nerve block, pain intensity was lower at discharge (-1.76 points lower, 95% CI (-2.92, -0.59), p = 0.0006) compared to patients treated with forearm IVRA. No differences in pain experienced at the start of the surgery, during surgery, and at POD1, nor in surgical time or total OR stay were observed between groups. Surgeon (p = 0.0016) and patient satisfaction (p = 0.0023) were slightly higher after forearm nerve block. Conclusion An ultrasound-guided forearm nerve block is superior compared to forearm IVRA in providing a surgical block in patients undergoing carpal tunnel release. Trial registration This trial was registered as NCT03411551.

No Going Back: Advantages of Ultrasound-Guided Upper Arm PICC Placement

2008 ◽  
Vol 13 (4) ◽  
pp. 191-197 ◽  
Author(s):  
Liz Simcock
Keyword(s):  
Success Rate ◽  
Ultrasound Guided ◽  
Upper Arm ◽  
Exit Site Infection ◽  
Catheter Migration ◽  
Audit Data ◽  
Change In Practice ◽  
Before And After ◽  
The Usa ◽  
The Uk

Abstract Background, Method and Purpose: The use of peripherally inserted central catheters (PICCs) in the UK has been steadily increasing since they were first introduced in 1995. Ultrasound-guided upper arm placement - which has become prevalent in the USA over the last few years - is gradually attracting interest amongst PICC placers in the UK. The literature shows that upper arm placement improves insertion success rate (Hockley, Hamilton, Young, Chapman, Taylor, Creed et al, 2007; Hunter, 2007; Krstenic, Brealey, Gaikwad & Maraveyas, 2008) and patient satisfaction (Polak, Anderson, Hagspiel, & Mungovan, 1998; Sansivero, 2000; McMahon, 2002). Following a switch to upper arm placement at her institution, the author examined audit data from before and after the change in practice to see if there were other measurable clinical improvements. Results: Comparison of data from a four-year period shows that upper arm placement in our patient population increased insertion success rate and line longevity, while reducing exit site infection, thrombosis and catheter migration. Implications for Practice: This data shows that ultrasound-guided upper-arm placement improves patient outcomes. PICC placers still using the more traditional antecubital approach should consider a change in practice.

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