Comparing Safety in Surface Landmarks Versus Ultrasound-Guided Peripheral Nerve Blocks

Laur, John J.; Weinberg, Guy

doi:10.1097/aap.0b013e318270bb8a

Cited by 7 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 In the last 5 years, USG has become the predominant technique for peripheral nerve localization. 2,3 The research focus has evolved from comparative studies on USG versus traditional peripheral nerve localization techniques to predominantly comparative studies investigating different ultrasound-guided injection techniques and, in particular, studies investigating optimal local anesthetic perineural distribution patterns. 4 Thus, this review will also critically analyze and summarize the evidence-based outcomes comparing different local anesthetic perineural distribution techniques.…”

mentioning

confidence: 99%

Evidence Basis for Ultrasound Guidance for Lower-Extremity Peripheral Nerve Block

Salinas

2016

Regional Anesthesia and Pain Medicine

View full text Add to dashboard Cite

This article reviews and summarizes randomized controlled studies that have investigated ultrasound guidance (USG) for lower-extremity peripheral nerve blocks in comparison with other peripheral nerve localization techniques and those that compared different ultrasound-guided techniques investigating optimal perineural local anesthetic distribution patterns.Thirty-four studies met the inclusion criteria (minimum Jadad score 3), and 10 additional studies directly compared USG with peripheral nerve stimulation, and 5 additional studies directly compared USG with landmark-based field blocks. Fourteen studies compared different local anesthetic distribution parameters.Analysis of the literature supports the use of USG for decreased block performance time, decreased block onset time, increased rate of complete sensory block, and increased analgesic efficacy. Ultrasound was never inferior to peripheral nerve stimulation. The research focus has evolved during the last 5 years into investigating optimal ultrasound-guided techniques.

show abstract

mentioning

confidence: 99%

Evidence Basis for Ultrasound Guidance for Lower-Extremity Peripheral Nerve Block

Salinas

2016

Regional Anesthesia and Pain Medicine

View full text Add to dashboard Cite

show abstract

“…Various locoregional anaesthesia techniques were investigated with the aim to improve peri-operative analgesia at the pelvic limb. Studies in human medicine have shown an increased success rate when sonographic guidance was used for the performance of the peripheral nerve blocks [ 42 ]. The study from Waag et al provided a detailed anatomical description of the sciatic and the femoral nerves [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Is a Block of the Femoral and Sciatic Nerves an Alternative to Epidural Analgesia in Sheep Undergoing Orthopaedic Hind Limb Surgery? A Prospective, Randomized, Double Blinded Experimental Trial

Stenger

Zeiter

Buchholz

et al. 2021

Animals

View full text Add to dashboard Cite

Peripheral nerve blocks are commonly used in human and veterinary medicine. The aim of the study was to compare the analgesic efficacy of a combined block of the femoral and sciatic nerves with an epidural injection of ropivacaine in experimental sheep undergoing orthopaedic hind limb surgery. Twenty-five sheep were assigned to two groups (peripheral nerve block; sciatic and femoral nerves (P); epidural analgesia (E)). In group P 10 mL ropivacaine 0.5% was injected around the sciatic and the femoral nerves under sonographic guidance and 10 mL NaCl 0.9% into the epidural space while in group E 10 mL ropivacaine 0.5% was injected into the epidural space and 10 mL NaCl 0.9% to the sciatic and the femoral nerves. During surgery, heart rate, respiratory rate and mean blood pressure were used as indicators of nociception. In the postoperative phase, nociception was evaluated every hour by use of a purposefully adapted pain score until the animal showed painful sensation at the surgical site. The mean duration of analgesia at the surgical wound was 6 h in group P and 8 h in group E. Mean time to standing was 4 h in group P and 7 h in group E. In conclusion time to standing was significantly shorter in group P while the duration of nociception was comparable in both groups. The peripheral nerve block can be used as an alternative to epidural analgesia in experimental sheep.

show abstract

“…In den meisten Studien wurde beim Hund als bewährte Methode zur Durchführung der Nervenblöcke die Elektrostimulation gewählt. In humanmedizinischen Untersuchungen erhöhten ultraschallgesteuerte Nervenblockaden die Zuverlässigkeit jedoch deutlich (21,24,37). In einer Untersuchung von Campoy et al (6), in der bei Hunden sowohl die Elektrostimulation als auch Ultraschalltechnik zur Lokalisierung der Nerven zum Einsatz kam, war nach ultraschallgesteuerter Lokalisierung der Elektrostimulator überflüssig, um den Nerv optimal aufzufinden und zu blocken.…”

Section: Diskussionunclassified

“…Aufgrund dieser Nebenwirkungen wurden Leitungsanästhesien einzelner Nerven oder Nervengruppen als Alternative etabliert, die zunehmende Popularität erlangten. Unterschiedliche Zugänge zu den Nerven und verschiedene Methoden zur Lokalisation der Nerven sind beschrieben (4,6,7,12,13,21,28,29).…”

Section: Introductionunclassified

Ultraschallgesteuerte Nervenblockade des Nervus femoralis und ischiadicus im Vergleich zur Epiduralanästhesie bei orthopädischen Eingriffen am Hund

Arnholz

Hungerbühler²,

Weil³

et al. 2017

Tierarztl Prax Ausg K

View full text Add to dashboard Cite

show abstract

Comparing Safety in Surface Landmarks Versus Ultrasound-Guided Peripheral Nerve Blocks

Cited by 7 publications

References 13 publications

Evidence Basis for Ultrasound Guidance for Lower-Extremity Peripheral Nerve Block

Evidence Basis for Ultrasound Guidance for Lower-Extremity Peripheral Nerve Block

Is a Block of the Femoral and Sciatic Nerves an Alternative to Epidural Analgesia in Sheep Undergoing Orthopaedic Hind Limb Surgery? A Prospective, Randomized, Double Blinded Experimental Trial

Ultraschallgesteuerte Nervenblockade des Nervus femoralis und ischiadicus im Vergleich zur Epiduralanästhesie bei orthopädischen Eingriffen am Hund

Contact Info

Product

Resources

About