scholarly journals Ultrasound-guided regional anesthesia simulation: use of meat glue in inexpensive and realistic nerve block models

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Leily Naraghi ◽  
Judy Lin ◽  
Kay Odashima ◽  
Simran Buttar ◽  
Lawrence Haines ◽  
...  
Keyword(s):  
Regional Anesthesia ◽  
Nerve Block ◽  
Ultrasound Guided ◽  
Block Models

Ultrasound-guided regional anesthesia: feasibility and effectiveness of teaching via telesimulation in Ethiopia

2021 ◽  
pp. rapm-2020-102394
Author(s):  
Monica Liu ◽  
Margaret Salmon ◽  
Rene Zaidi ◽  
Arun Nagdev ◽  
Finot Debebe ◽  
...  
Keyword(s):  
Regional Anesthesia ◽  
Nerve Block ◽  
Rating Scale ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
House Staff ◽  
Global Rating Scale ◽  
Global Rating ◽  
Ultrasound Guided ◽  
Post Test

BackgroundAcute pain management in resource-poor countries remains a challenge. Ultrasound-guided regional anesthesia is a cost-effective way of delivering analgesia in these settings. However, for financial and logistical reasons, educational workshops are inaccessible to many physicians in these environments. Telesimulation provides a way of teaching across distance by using simulators and video-conferencing software to connect instructors and students worldwide. We conducted a prospective study to determine the feasibility of ultrasound-guided regional anesthesia teaching via telesimulation in Ethiopia.MethodsEighteen Ethiopian orthopedic and emergency medicine house staff participated in telesimulation teaching of ultrasound-guided femoral nerve block. This consisted of four 90-min sessions, once per week. Week 1 consisted of a precourse test and a presentation on aspects of performing a femoral nerve block, weeks 2 and 3 were live teaching sessions on scanning and needling techniques, and in week 4, the house staff undertook a postcourse test. All participants were assessed using a validated Global Rating Scale and Checklist.ResultsParticipants were provided with a validated checklist and global rating scale as a pretest and post-test. The participants showed significant improvement in their test scores, from a total mean of 51% in the pretest to 84% in their post-test.ConclusionsTeaching ultrasound-guided regional anesthesia of the femoral nerve remotely via telesimulation is feasible. Telesimulation can greatly improve the accessibility of ultrasound-guided regional anesthesia teaching to physicians in remote areas.

Ultrasound Guided Regional Anesthesia

2013 ◽  
Author(s):  
Stuart A. Grant ◽  
David B. Auyong
Keyword(s):  
Regional Anesthesia ◽  
Nerve Block ◽  
Clinical Applications ◽  
Ultrasound Guided ◽  
Stepwise Approach ◽  
Regional Anesthetic

This resource offers a detailed, stepwise approach to the technique use for regional anesthetic procedures, and each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls.

Upper Limb Ultrasound Guided Regional Anesthesia

2016 ◽  
Author(s):  
Stuart A. Grant ◽  
David B Auyong
Keyword(s):  
Upper Extremity ◽  
Regional Anesthesia ◽  
Nerve Block ◽  
Upper Limb ◽  
Clinical Anatomy ◽  
Ultrasound Guided ◽  
Cervical Plexus ◽  
Nerve Blocks ◽  
Risks And Benefits ◽  
Tools And Techniques

This chapter describes the clinical anatomy and outlines the tools and techniques needed to perform upper extremity ultrasound-guided nerve blocks. The nerve blocks above the clavicle described here include the interscalene, dorsal scapular, suprascapular, cervical plexus, and supraclavicular blocks. Nerve blocks below the clavicle described here include the infraclavicular and axillary blocks and distal blocks at the wrist and elbow. For each nerve block, the indications, risks, and benefits of the varying approaches are described in detail. The chapter includes step-by-step instructions with illustrations, including cadaver dissections, to allow the operator to perform clinically effective and safe ultrasound-guided upper extremity regional anesthesia. At the conclusion of each block description, a “Pearls” segment highlights important tips gained from our clinical experience. This chapter provides the practitioner with thorough instruction and knowledge allowing optimal delivery of regional anesthesia for any upper extremity surgery or trauma.

Basic Principles of Ultrasound Guided Nerve Block

2016 ◽  
Author(s):  
Stuart A. Grant ◽  
David B Auyong
Keyword(s):  
Regional Anesthesia ◽  
Nerve Block ◽  
Point Of Care ◽  
Ultrasound Images ◽  
Needle Guidance ◽  
Ultrasound Guided ◽  
Out Of Plane ◽  
Care Systems ◽  
Clinical Description ◽  
Guidance Technique

This chapter provides a clinical description of ultrasound physics tailored to provide the practitioner a solid background for optimal imaging and needle guidance technique during regional anesthesia. Important ultrasound characteristics are covered, including optimization of ultrasound images, transducer selection, and features found on most point-of-care systems. In-plane and out-of-plane needle guidance techniques and a three-step process for visualizing in-plane needle insertions are presented. Next, common artifacts and errors including attenuation, dropout, and intraneural injection are covered, along with clinical solutions to overcome these inaccuracies. Preparation details are reviewed to make the regional anesthesia procedures as reproducible and safe as possible. Also included are a practical review of peripheral nerve block catheter placement principles, an appendix listing what blocks may be used for what surgeries, and seven Keys to Ultrasound Success that can make ultrasound guided regional anesthesia understandable and clinically feasible for all practitioners.

Sign in / Sign up

Export Citation Format

Share Document