Ultrasound-Guided Procedures in the Emergency Department—Needle Guidance and Localization

Tirado, Alfredo; Nagdev, Arun; Henningsen, Charlotte; Breckon, Pav; Chiles, Kris

doi:10.1016/j.emc.2012.09.008

Cited by 14 publications

(23 citation statements)

References 23 publications

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“…18,[21][22][23] Needle insertion using the in-plane technique may be superior to "out-of-plane" technique because it allows for improved visualization of the needle tip, avoiding inadvertent injection into the femoral nerve as well as allowing for localization of anesthetic around the target nerve. 2,21,24 Hematoma formation may result from vascular puncture or from bleeding if lymph nodes are penetrated. Compartment syndrome is a rare complication of femoral shaft fractures, especially in children.…”

Section: Pitfall and Complicationmentioning

confidence: 99%

“…2 If quadriceps muscle spasm occurs, the needle should be withdrawn slightly because this may indicate direct neuronal injection. After insertion of anesthetic, the patient should experience pain relief within 8 to 10 minutes, with full blockade present after 20 to 30 minutes.…”

Section: Pitfall and Complicationmentioning

confidence: 99%

“…Adequate parenteral opioid administration requires intravenous access and has common adverse effects including allergic reactions, sedation, apnea, nausea, and pruritus. 2 Femoral nerve blocks provide anesthesia to the anterior and medial thigh, as well as most of the femur and knee. Femoral nerve blocks do not provide anesthesia to the lower leg or foot (Fig.…”

Section: Learning Objectivesmentioning

confidence: 99%

“…[2][3][4][5][6][7] Ultrasound-guided nerve blocks have also been used in disaster and resource-limited settings to facilitate wound and fracture care. 8,9 Several case reports and series have been published on the use of ultrasound-guided femoral nerve blocks in pediatric patients.…”

Section: Learning Objectivesmentioning

confidence: 99%

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Ultrasound-Guided Femoral Nerve Blocks

Baker

Gullett

2015

Pediatric Emergency Care

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Pediatric acute femur fractures are a relatively common major orthopedic injury seen in emergency departments. Providing adequate and safe analgesia is essential while patients await definitive management of these fractures. Opioid medications are typically used to treat fracture-associated pain but have well-known adverse effects including respiratory and central nervous system depression, pruritus, nausea, and allergic reactions. Dose titration of opioids in pediatric patients may be difficult and requires frequent nursing and physician reassessments. Regional anesthesia using ultrasound guidance has been proposed as a reliable and safe method to provide pain relief for this population and to decrease reliance on opioid medications. There is a growing body of literature on the utility and safety of ultrasound-guided femoral nerve blocks for pediatric patients in the acute care setting. This review article covers recent literature on point-of-care ultrasound-guided femoral nerve blocks for pediatric patients, with a discussion of the indications, sonographic anatomy, selection of anesthetics, nerve block technique, and complications. This review supplements the expert supervision and practice required to gain competency.

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Section: Pitfall and Complicationmentioning

confidence: 99%

Section: Pitfall and Complicationmentioning

confidence: 99%

Section: Learning Objectivesmentioning

confidence: 99%

Section: Learning Objectivesmentioning

confidence: 99%

See 2 more Smart Citations

Ultrasound-Guided Femoral Nerve Blocks

Baker

Gullett

2015

Pediatric Emergency Care

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“…Learning Objectives . Be able to: Explain general procedural contraindications, including absolute and relative, as well as underlying medical conditions that may be affected by the injectate and local infection, rash, or skin breakdown Recognize the normal and abnormal ultrasound appearance of tendon, nerve, artery, vein, muscle, bone, and other tissues commonly encountered during USG procedures. Perform diagnostic scanning for procedural planning, including: Recognition of relevant anatomic variations and unexpected findings; Use of Doppler imaging to identify regional vasculature; and Interpretation and correlation of ultrasound images with available complementary and diagnostic imaging. Recognize and manage procedural complications. …”

Section: General Specifications For Usg Proceduresmentioning

confidence: 99%

Curriculum for the Performance of Ultrasound‐Guided Procedures

2019

J of Ultrasound Medicine

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Role of regional anesthesia in patients with acute sickle cell pain: A scoping review

Rizvi

Kessler

Rabiner

2022

Pediatric Blood & Cancer

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Sickle cell disease is the most prevalent inherited blood disorder in the world, with significant morbidity and mortality. Patients often have recurrent painful vaso-occlusive episodes, and the American Society of Hematology gives a conditional recommendation for the use of regional anesthesia for acute sickle cell pain management. This scoping review summarizes the current evidence and identifies gaps for future research. Our screening process is outlined, and articles that mentioned the use of regional anesthesia for acute sickle cell crises were included. We present and interpret our results and highlight opportunities for future investigation.

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Ultrasound-Guided Procedures in the Emergency Department—Needle Guidance and Localization

Cited by 14 publications

References 23 publications

Ultrasound-Guided Femoral Nerve Blocks

Ultrasound-Guided Femoral Nerve Blocks

Curriculum for the Performance of Ultrasound‐Guided Procedures

Role of regional anesthesia in patients with acute sickle cell pain: A scoping review

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