scholarly journals Ultrasound-Guided Regional Anaesthesia in the Paediatric Population

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Catherine Gerrard ◽  
Steve Roberts
Keyword(s):  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Paediatric Population ◽  
Ultrasound Guided

Ultrasound-guided regional anaesthesia is rapidly growing in popularity. Initially, most evidence was for the benefits when used in adults, but there is now a multitude of well-documented benefits in children. The practice of regional anaesthesia in children differs somewhat from that of adults in that in the majority of cases it is used for analgesia and performed under general anaesthesia to allow placement, rather than alone for anaesthesia as in adults. The purpose of this paper is to review the basic aspects of ultrasound regional anaesthesia before going into detail regarding specific techniques.

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 Successful Conduction of Mid-Humeral Fracture Surgery Under Ultrasound- Guided Supraclavicular Block an a Case of Cervical Scoliosis with Fixed Contracture Deformity Neck and Multiple Comorbidities

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Poonam Darswal ◽  
Kashika Jha
Keyword(s):  
High Risk ◽  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Humeral Fracture ◽  
Ultrasound Guided ◽  
Steep Learning Curve ◽  
High Risk Factors ◽  
Increased Risk ◽  
Safety Case ◽  
Supraclavicular Block

Introduction: Regional anaesthesia has been proven lifesaver in many tough anaesthetic situations that demand good operative conditions yet are prone to put the patient under increased risk of post-operative complications including prolonged ICU stays even increasing overall mortality when general anaesthesia is chosen as primary anaesthesia modality. Use of ultrasound has revolutionised our approach to regional anaesthesia and many cases which would otherwise be deemed unfit for usual anatomy based approaches can now be conducted with enhanced precision and safety. Case presentation: We present on such case in a 69-year-old male patient with multiple high-risk factors that precluded safe conduction of general anaesthesia, with the presence of cervical scoliosis with fixed contracture neck making anatomy impossible for a blind approach to brachial plexus. Even with help of ultrasound interscalene level was not accessible due to contracture. The successful supraclavicular block was made possible as we could make a clear distinction between vessels, pleura and rib at that level although the cords appeared haphazardly placed and stretched not conforming to usual anatomy at the level. Conclusion: This case highlights the importance of regional anaesthesia under ultrasound guidance in such complex high-risk cases. As the experience with ultrasound-guided regional anaesthesia continues to grow internationally, we are on our steep learning curve appreciating the benefits and respecting the limitations of this developing technology.

scholarly journals Comparison between ultrasound guided regional anaesthesia and general anaesthesia in arteriovenous fistula creation at the Douala General Hospital

2021 ◽  
Vol 13 (2) ◽  
pp. 13-19
Author(s):  
Mbengono Junette Arlette METOGO ◽  
Marie Patrice HALLE ◽  
MVONDO Charles MVE ◽  
Marie Michèle TOUA ◽  
Joseph SANGO ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
General Anaesthesia ◽  
General Hospital ◽  
Regional Anaesthesia ◽  
Ultrasound Guided

scholarly journals Ultrasound-Guided Funicular Block: Ropivacaine Injection into the Tissue around the Spermatic Cord to Improve Analgesia during Orchiectomy in Dogs

Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1275
Author(s):  
Vincenzo Cicirelli ◽  
Pasquale Debidda ◽  
Nicola Maggio ◽  
Michele Caira ◽  
Giovanni M. Lacalandra ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
General Anaesthesia ◽  
Spermatic Cord ◽  
Postoperative Pain Management ◽  
Control Group ◽  
Ultrasound Guided ◽  
Hemodynamic Stability ◽  
Pain Scores ◽  
Lower Pain ◽  
Ropivacaine Hydrochloride

Orchiectomy is a common surgical procedure performed on small animals, and it requires postoperative pain management despite its relative simplicity. This study aimed to evaluate the hemodynamic stability, intraoperative administration of additional hypnotic and/or analgesic drugs, and postoperative pain scores following the combination of ultrasound-guided injection of ropivacaine hydrochloride into the spermatic cord and infiltration by the same anaesthetic of the incisional prescrotal line (ROP) or general anaesthesia. Dogs in the ROP group showed greater intraoperative hemodynamic stability and lower pain scores than the control group. The locoregional approach used in this study proved effective in minimising the responses to the surgical stimulus and ensured adequate analgesia intra- and postoperatively. This method, called ultrasound-guided funicular block, allows orchiectomy to be performed under deep sedation without general anaesthesia.

scholarly journals Regional Anaesthesia, The Seed of Opportunity In COVID-19 Crisis: The Balance Has Shifted

2020 ◽  
Vol 6 (3) ◽  
Keyword(s):  
Critical Care ◽  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Albert Einstein ◽  
Multimodal Analgesia ◽  
Nerve Blocks ◽  
Great Opportunity ◽  
Aerosol Generation ◽  
Number Of Patients ◽  
Alternative Drugs

Albert Einstein once said, “in the midst of every crisis, lies great opportunity.” There’s no question that we’re in the midst of a global crisis. There’s no doubt that a crisis creates problems, lots of them, but it also creates opportunities. Something that every anaesthetist does day in day out safely, intubation of trachea, is now become a risk factor for spread of the disease. So where is the opportunity in this crisis? In the west, regional anaesthesia is often used as an adjunct rather than as sole anaesthetic technique, as part of multimodal analgesia in patients who are being operated under general anaesthesia. Unfortunately, general anaesthesia requires airway manipulation that is associated with aerosol generation and risks transmission of corona virus. This is a risk that can be averted with use of regional anaesthesia techniques for procedures that can be done with patient awake rather than asleep. At the beginning of the pandemic with surge of patients requiring endotracheal intubation and ventilation, increased intensive care admissions affected anaesthesia services in many ways. The increased number of patients needing critical care increased the demand for drugs used in both anaesthesia and critical care and this demand led to shortage of anaesthesia drugs and led the Association of Anaesthetists (AOA) and the Royal College of Anaesthetists (RCoA), working closely with the Chief Pharmaceutical Officer at NHS England to produce a guidance which summarised potential mitigations to be used in the management of such demand. Direct alternative drugs and techniques were offered (1). The options identified in the guidelines were not exhaustive but give a way of thinking about this situation we all have landed up in. We were unsure of how long this demand would continue and how we would manage the situation. This is where the opportunity to use regional anaesthesia for procedures that could be done purely under neuraxial or peripheral nerve blocks became

Sign in / Sign up

Export Citation Format

Share Document