The American Society of Regional Anesthesia and Pain Medicine and the European Society of Regional Anaesthesia and Pain Therapy Joint Committee Recommendations for Education and Training in Ultrasound-Guided Regional Anesthesia

Sites, Brian D.; Chan, Vincent; Neal, Joseph M.; Weller, Robert S.; Grau, Thomas; Koscielniak-Nielsen, Zbigniew J.; Ivani, Giorgio

doi:10.1097/aap.0b013e3181926779

Cited by 185 publications

(119 citation statements)

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“…Next steps of development should address to obtain a series of cases to show better anatomical variations. These are well known for the axillary region [1,7]. Of further interest could be recordings of 3D-MV with pathology such as enlarged axillary or cervical lymph nodes, neurinoma of peripheral nerves or plexus, calcification of muscle or haematoma, oedema, which are rare findings within UGRA.…”

Section: Discussionmentioning

confidence: 98%

“…One medical doctor recorded 3D-UV in a team with the technician on a model. The medical doctor is an expert practitioner on basic and intermediate UGRA level blocks [1]. The staff technician was educated by the manufacturer to perform ultrasound 3D-UV recordings.…”

Section: Setting Location and Teammentioning

confidence: 99%

“…The basis of understanding this technique has to be firm knowledge of anatomy, topology and moreover of sonoanatomy. Identifying key landmark structures including blood vessels, muscle, fascia and bone, nerve and plexus on short axis (SAX) imaging, anatomy and anatomic variations were defined as the first three important tasks out of ten by current recommendations for education and training in UGRA only recently [1].…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound simulation of peripheral nerves: development of a novel technology for training in regional anaesthesia

et al. 2009

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Objective Regarding education in ultrasound-guided regional anaesthesia, we aimed to develop three-dimensional ultrasound volumes (3D-UV) of peripheral nerves for ultrasound simulation. This study mainly addressed to estimate diagnostic feasibility as well as comparison of original ultrasound images with 3D-UV. Methods A free-hand recording system as part of an ultrasound simulation system (Ultrasound simulator Reslice, Schallware GmbH, Berlin, Germany) was coupled to a high-end ultrasound device (Vivid-i, GE healthcare Ultrasound). 3D-UV were recorded as transverse parallel planes from four healthy models and positioned with an electromagnetic tracking system into a mannequin on identical anatomical sites. Using developer software, single B-Mode 3D-UV were combined into 3D-multivolumes (MV). Original short and long axis B-Mode planes were compared with reconstructed planes (reslices).Results A total of 108 3D-UV including vessels of carotid region (n = 22), and peripheral nerves of interscalene (31), axillary (28), femoral groin (8) and distal sciatic (19) were recorded. Visual presentation of reconstructed volumes of vessels and peripheral nerves revealed almost comparable quality to the original B-Mode scans of the model examination. Ultrasonographic nerve structure appearance derived from high-resolution ultrasound recordings could be preserved in reslices of 3D-UV and also in part in the long axis. Conclusions Our data provide a new proof of concept for ultrasound simulation of peripheral nerves in 3D-ultrasound multivolumes based on high-resolution ultrasound technology. It has the ability to provide pathologic findings and may serve as a powerful method for training in regional anaesthesia and critical care ultrasound.

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Section: Discussionmentioning

confidence: 98%

Section: Setting Location and Teammentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ultrasound simulation of peripheral nerves: development of a novel technology for training in regional anaesthesia

et al. 2009

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“…There is ongoing debate concerning the training of regional anesthesiologists for the purposes of interpreting the significance of abnormal sonographic findings. This is in part addressed by new US-guided RA educational guidelines [25], one key task of which is recognizing normal anatomy and anatomic variations. We are hopeful that this case series will add to the anesthesiologists' knowledge base with a view towards ever improving patient-centered care.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Sonopathology and Ultrasound-Guided Regional Anesthesia

Macfarlane

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et al. 2010

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The use of real-time ultrasound guidance has revolutionized the practice of regional anesthesia. Ultrasound is rapidly becoming the technique of choice for nerve blockade due to increased success rates, faster onset, and potentially improved safety. In the course of ultrasound-guided regional anesthesia, unexpected pathology may be encountered. Such anomalous or pathological findings may alter the choice of nerve block and occasionally affect surgical management. This case series presents a variety of musculoskeletal conditions that may be encountered during ultrasound-guided regional anesthesia practice.

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“…Further, how do we validate the competencies that such organizations as the American Society of Regional Anesthesia and European Society of Regional Anaesthesia have defined? 5 Ultimately, training studies must evaluate the ability of educational resources to increase accuracy and efficiency of UGRA as it pertains to novice (resident or experienced attending) behavior in the actual and simulated clinical arena.…”

mentioning

confidence: 99%