Methods to Ease Placement of Stimulating Catheters During In-Plane Ultrasound-Guided Femoral Nerve Block

Niazi, Ahtsham U.; Prasad, Arun; Ramlogan, Reva; Chan, Vincent

doi:10.1097/aap.0b013e3181ac7f5f

Cited by 16 publications

(5 citation statements)

References 5 publications

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“…This is our routine clinical practice because skin-to-nerve needle distance is short and catheter placement is easy to achieve because the needle passes parallel to the long axis of the femoral nerve. Some clinicians use an 'in-plane' approach and guide the needle in a lateromedial direction 56 (Fig. 5).…”

Section: Femoral Nerve Blockmentioning

confidence: 99%

Fifteen years of ultrasound guidance in regional anaesthesia: Part 2—Recent developments in block techniques

Marhofer

Harrop‐Griffiths

Willschke

et al. 2010

British Journal of Anaesthesia

129

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The use of ultrasound guidance for regional anaesthesia has gained enormous popularity in the last 10 yr. The first part of this review article provided information on safety, technical developments, economic aspects, education, advantages, needle guidance techniques, and future developments in ultrasound. The second part focuses on practical and technical details of individual ultrasound-guided nerve blocks in adults. We present a comprehensive review of the relevant literature of the last 5 yr with a commentary based on our own clinical experience in order to provide information relevant to patient management. Upper limb blocks, including interscalene, supra- and infraclavicular, and axillary approaches, are described and discussed. For the lower limb, psoas compartment, femoral, obturator, sciatic, and lateral cutaneous nerve blocks are described, as are some abdominal wall blocks. The potential role of ultrasound guidance for neuraxial block is addressed. The need for further large-scale studies of the role of ultrasound is emphasized.

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Section: Femoral Nerve Blockmentioning

confidence: 99%

Fifteen years of ultrasound guidance in regional anaesthesia: Part 2—Recent developments in block techniques

Marhofer

Harrop‐Griffiths

Willschke

et al. 2010

British Journal of Anaesthesia

129

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show abstract

“…The use of a ‘three‐hand‐technique’ has been suggested (6,7) for US‐guided CPNB: an assistant holds the US transducer with one hand and the main anesthesiologist places the catheter. Sometimes, the hub of the needle must be tilted slightly parallel to the skin to allow the catheter to emerge from the needle tip (14). However, we further suggest that the main anesthesiologist should slightly withdraw and rotate the needle tip at the time his/her other hand threads the catheter into the plexus sheath.…”

Section: Discussionmentioning

confidence: 99%

Tips and tricks to facilitate ultrasound‐guided placement of peripheral nerve catheters in children

María

Banús

Navarro-Egea

et al. 2011

Pediatric Anesthesia

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“…For most anatomic locations, ultrasound‐guided insertion decreases insertion time and associated discomfort compared with an electrical technique (and provide at least similar analgesia) (Bendtsen et al, 2011; Frederickson et al, 2009; Fredrickson and Danesh‐Clough, 2009; Mariano et al, 2009b, 2009c, 2009e, 2010b). The majority of reports of combining ultrasound and nerve stimulation suggest little benefit (Dhir and Ganapathy, 2008a, 2008b; Mariano et al, 2009a; Niazi et al, 2009; van Geffen and Gielen, 2006; van Geffen et al, 2006). Currently, insufficient data are available to determine either the optimal techniques/equipment for these insertion modalities, as well as their associated risks and benefits (Ilfeld et al, 2010b).…”

Section: Catheter Insertion (Ultrasound)mentioning

confidence: 99%

Continuous peripheral nerve blocks

Ilfeld

2011

European Journal of Pain Supplements

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a r t i c l e i n f o Keywords: Perineural local anesthetic infusion Continuous peripheral nerve blocks Ambulatory perineural local anesthetic infusion Ambulatory continuous peripheral nerve blocks Postoperative analgesia a b s t r a c t A continuous peripheral nerve block-also termed ''perineural local anesthetic infusion''-involves the percutaneous insertion of a catheter adjacent to a peripheral nerve, followed by local anesthetic administration via the catheter, providing anesthesia/analgesia for a prolonged period of time. The most-common indication for continuous peripheral nerve blocks is analgesia following painful surgical procedures; but, they are also used for inducing a sympathectomy and vasodilation following digit transfer/replantation, a vascular accident, limb salvage, or peripheral embolism; treating intractable hiccups; alleviating the vasospasm of Raynaud's disease; and treating chronic pain such as phantom limb pain, cancer-induced pain, complex regional pain syndrome, and trigeminal neuralgia. Continuous peripheral nerve blocks may also provide pain control during medical transport, or awaiting surgical correction. The most common catheter insertion techniques include electrical stimulation and ultrasound-guidance. Long-acting local anesthetic is usually the sole infusate, and is optimally delivered with a continuous basal infusion with available patient-controlled bolus doses. Benefits are dependent upon analgesia improvement, and include decreasing pain, supplemental analgesic consumption, opioid-related side effects, sleep disturbances, patient dissatisfaction, time until discharge readiness, and actual hospitalization duration. Additional possible benefits include improvements in ambulation/functioning and an accelerated resumption of passive joint range-of-motion. Most benefits occur during the infusion itself, but a few studies suggest prolonged benefits following catheter removal in some cases. Minor complications occur at approximately the incidence as for single-injection peripheral nerve blocks; but, major risks including nerve injury are extraordinary uncommon.j o u r n a l h o m e p a g e : w w w . E u r op e a n J o u r n al P a i n . c o m

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Methods to Ease Placement of Stimulating Catheters During In-Plane Ultrasound-Guided Femoral Nerve Block

Cited by 16 publications

References 5 publications

Fifteen years of ultrasound guidance in regional anaesthesia: Part 2—Recent developments in block techniques

Fifteen years of ultrasound guidance in regional anaesthesia: Part 2—Recent developments in block techniques

Tips and tricks to facilitate ultrasound‐guided placement of peripheral nerve catheters in children

Continuous peripheral nerve blocks

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