scholarly journals 294 A Comparison of Ultrasound-Guided and Palpation-Guided Identification of Lumbar Puncture Needle Entry Site in Patients as Body Mass Index Increases

2015 ◽  
Vol 66 (4) ◽  
pp. S106
Author(s):  
L. Joseph ◽  
R. Jeanmonod ◽  
D. Jeanmonod
Keyword(s):  
Body Mass Index ◽  
Lumbar Puncture ◽  
Body Mass ◽  
Ultrasound Guided ◽  
Entry Site ◽  
Puncture Needle ◽  
Needle Entry

scholarly journals Increasing Body Mass Index Steepens the Learning Curve for Ultrasound-guided Percutaneous Nephrolithotomy

Urology ◽  
2018 ◽  
Vol 120 ◽  
pp. 68-73 ◽  
Author(s):  
David B. Bayne ◽  
Manint Usawachintachit ◽  
David Tzou ◽  
Kazumi Taguchi ◽  
Alan Shindel ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Learning Curve ◽  
Body Mass ◽  
Percutaneous Nephrolithotomy ◽  
Ultrasound Guided

Ultrasound-guided Lumbar Facet Nerve Block

2004 ◽  
Vol 100 (5) ◽  
pp. 1242-1248 ◽  
Author(s):  
Manfred Greher ◽  
Gisela Scharbert ◽  
Lars P. Kamolz ◽  
Harald Beck ◽  
Burkhard Gustorff ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Nerve Block ◽  
Statistical Significance ◽  
Target Point ◽  
Medial Branch ◽  
Ultrasound Guided ◽  
Cross Axis ◽  
Lumbar Facet ◽  
Axis View

Background Lumbar facet nerve (medial branch) block for pain relief in facet syndrome is currently performed under fluoroscopic or computed tomography scan guidance. In this three-part study, the authors developed a new ultrasound-guided methodology, described the necessary landmarks and views, assessed ultrasound-derived distances, and tested the clinical feasibility. Methods (1) A paravertebral cross-axis view and long-axis view were defined under high-resolution ultrasound (15 MHz). Three needles were guided to the target point at L3-L5 in a fresh, nonembalmed cadaver under ultrasound (2-6 MHz) and were subsequently traced by means of dissection. (2) The lumbar regions of 20 volunteers (9 women, 11 men; median age, 36 yr [23-67 yr]; median body mass index, 23 kg/m2 [19-36 kg/m2]) were studied with ultrasound (3.5 MHz) to assess visibility of landmarks and relevant distances at L3-L5 in a total of 240 views. (3) Twenty-eight ultrasound-guided blocks were performed in five patients (two women, three men; median age, 51 yr [31-68 yr]) and controlled under fluoroscopy. Results In the cadaver, needle positions were correct as revealed by dissection at all three levels. In the volunteers, ultrasound landmarks were delineated as good in 19 and of sufficient quality in one (body mass index, 36 kg/m2). Skin-target distances increased from L3 to L5, reaching statistical significance (*, **P < 0.05) between these levels on both sides: L3r, 45+/-6 mm*; L4r, 48+/-7 mm; L5r, 50+/-6 mm*; L3l, 44+/-5 mm**; L4l, 47+/-6 mm; L5l, 50+/-6 mm**. In patients, 25 of 28 ultrasound-guided needles were placed accurately, with the remaining three closer than 5 mm to the radiologically defined target point. Conclusion Ultrasound guidance seems to be a promising new technique with clinical relevance and the potential to increase practicability while avoiding radiation in lumbar facet nerve block.

scholarly journals Fluoroscopic-Guided Lumbar Puncture: Fluoroscopic Time and Implications of Body Mass Index--A Baseline Study

2014 ◽  
Vol 35 (8) ◽  
pp. 1475-1480 ◽  
Author(s):  
S. R. Boddu ◽  
A. Corey ◽  
R. Peterson ◽  
A. M. Saindane ◽  
P. A. Hudgins ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Lumbar Puncture ◽  
Body Mass ◽  
Baseline Study ◽  
Fluoroscopic Time

scholarly journals Native Umbilical Defect for Laparoscopic Entry

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Tarek Osama Hegazy ◽  
Mohamed Hassan Ali ◽  
Ahmed Amr Mohsen ◽  
Mahmoud Azhary ◽  
Ahmad Yahia Abdel Dayem
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Native Defect ◽  
Open Technique ◽  
Entry Site ◽  
Native Defects ◽  
Umbilical Incision ◽  
Trocar Insertion ◽  
Laparoscopic Entry ◽  
Direct Trocar Insertion

Background: The presence of defects in native umbilical in adults and its use as laparoscopic first entry site is poorly documented. It would likely be a safer method than the Veress needle and direct trocar insertion. This work aimed to report the prevalence and size of native umbilical defects, and their relationship with gender, age and body mass index. Methods: In 160 consecutive laparoscopic operations, a trans-umbilical incision was made and a defect at its base was looked for. When found, the defect was measured and used as the first port entry site. Relationships of presence of native defects and their sizes in relation to gender, age and BMI were analyzed. Results: The prevalence of a native defect in this series was 90%. Its presence had no relation with gender, age or BMI. Its size, however, positively correlated with age and BMI. No complications were related to the defect’s use for first laparoscopic entry site. Conclusion: A native umbilical defect is present in 90% of adults. Whenever present, it is recommended for use as the first port entry site by an open technique. This method is simple and safe and avoids unnecessarily inducing another defect. Keywords: Laparoscopy, Open technique, Access, Native defect, Umbilical defect

scholarly journals The Perioperative Effect of Increased Body Mass Index on Peripheral Nerve Blockade: an Analysis of 528 Ultrasound Guided Interscalene Blocks

2012 ◽  
Vol 62 (1) ◽  
pp. 28-38 ◽  
Author(s):  
Kristopher Schroeder ◽  
Adin-Cristian Andrei ◽  
Meghan J. Furlong ◽  
Melanie J. Donnelly ◽  
Seungbong Han ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Peripheral Nerve ◽  
Body Mass ◽  
Ultrasound Guided ◽  
Nerve Blockade ◽  
Peripheral Nerve Blockade
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