Ultrasound guidance for peripheral nerve blockade

Walker, Kevin; McGrattan, Ken; Aas-Eng, Kristine; Smith, Andrew F

doi:10.1002/14651858.cd006459

Cited by 25 publications

(26 citation statements)

References 12 publications

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“…1,2 According to several studies, U/S use in RA results in fewer needle passes, faster block onset times, and increased block success rates. 3 Some authors regard the use of U/S guidance as the ''gold standard'' for the placement of regional blocks. 4,5 In the United Kingdom, the National Institute for Clinical Excellence has published guidelines promoting the use of U/S to improve safety of CVC insertion.…”

Section: Résumémentioning

confidence: 99%

A survey of ultrasound use by academic and community anesthesiologists in Ontario

Matava

Hayes

2011

Can J Anesth/J Can Anesth

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Section: Résumémentioning

confidence: 99%

A survey of ultrasound use by academic and community anesthesiologists in Ontario

Matava

Hayes

2011

Can J Anesth/J Can Anesth

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“…1 Gaining expertise in ultrasound-guided regional anesthesia (UGRA) requires acquisition of new knowledge and technical skills, including, but not limited to, sonoanatomy, hand-eye coordination, and skills in ultrasound scanning and needle insertion. The advent of UGRA in anesthesia is similar to the advent of laparoscopic surgery in general surgery.…”

Section: Résumémentioning

confidence: 99%

The future of regional anesthesia education: lessons learned from the surgical specialty

Niazi

Peng

et al. 2016

Can J Anesth/J Can Anesth

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Purpose Application of ultrasound in regional anesthesia has now become the standard of care and its use has shown to reduce complications. Nevertheless, gaining expertise in ultrasound-guided regional anesthesia requires the acquisition of new cognitive and technical skills. In addition, due to a reduction in resident working hours and enforcement of labour laws and directives across various states and countries, trainees perform and witness fewer procedures. Together, these issues create challenges in the teaching and learning of ultrasound-guided regional anesthesia in the time-based model of learning. Principal findings The challenges of teaching ultrasound-guided regional anesthesia are similar to those experienced by our surgical counterparts with the advent of minimally invasive surgery. In order to overcome these challenges, our surgical colleagues used theories of surgical skills training, simulation, and the concept of deliberate practice and feedback to shift the paradigm of learning from experience-based to competency-based learning. Conclusion In this narrative review, we describe the theory behind the evolution of surgical skills training. We also outline how we can apply these learning theories and simulation models to a competency-based curriculum for training in ultrasound-guided regional anesthesia.

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“…One study investigating the use of ultrasound or electrical stimulation in the placement of a brachial plexus peripheral nerve catheter resulted not only in decreased time performing the procedure but also no vascular punctures in the ultrasoundguided group [97]. Furthermore, a Cochrane systematic review also confirmed faster procedure times and reduced local anesthetic volume and improved quality of nerve block [98].…”

Section: Peripheral Nerve Blocksmentioning

confidence: 99%

Acute Pain Management in the Emergency Department

Samcam¹,

Papa²

2016

Pain Management

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The most common presenting complaint to the emergency department (emergency room) is pain. Unfortunately, pain is still undertreated in this setting. Literature has shown that treatment of pain not only improves patient satisfaction but also improves mood, decreases length of hospital stay, and decreases mortality. Various pharmacological options are available for treating acute pain, ranging from oral, intravenous, and intramuscular medications; topical agents; and peripheral nerve blocks. Objectively assessing and documenting a patient's pain is the key to determining treatment. The approach to a patient with acute pain requires an experienced clinician who is aware of the pharmacology of analgesics and anesthetics, contraindications, precautions, side effects, administration methods, and monitoring requirements.This chapter briefly covers the pathophysiology of acute pain and the different treatment modalities available to the emergency physician.

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Ultrasound guidance for peripheral nerve blockade

Cited by 25 publications

References 12 publications

A survey of ultrasound use by academic and community anesthesiologists in Ontario

A survey of ultrasound use by academic and community anesthesiologists in Ontario

The future of regional anesthesia education: lessons learned from the surgical specialty

Acute Pain Management in the Emergency Department

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