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Effect of Ultrasound-Guided Extra-Prevertebral Fascial Suprascapular Nerve and Infraclavicular Brachial Plexus Block on Postoperative Analgesia and Phrenic Nerve Function in Shoulder Arthroscopy: A Pilot Study.
J Pain Res
December 2024
Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China.
Purpose: The suprascapular nerve is situated between the prevertebral fascia and the superficial layer of deep cervical fascia and on the surface of the middle and posterior scalene muscles before it reaches the suprascapular notch. Consequently, we hypothesized that injecting local anesthetics (LAs) there would introduce a new block approach for blocking the suprascapular nerve, ie, extra-prevertebral fascial block. We assessed the postoperative analgesic effect, as well as the incidence of diaphragmatic paralysis 30 minutes after the block.
View Article and Find Full Text PDFEchogenic needles versus non-echogenic needles for in-plane ultrasound-guided infraclavicular axillary vein cannulation, a randomized controlled trial.
Sci Rep
September 2024
Division of Emergencies and Critical Care, Department of Anesthesiology, Oslo University Hospital, Nydalen, P.O. Box 4850, 0424, Oslo, Norway.
Article Synopsis
- - The study compared the effectiveness of echogenic needles versus non-echogenic standard needles for ultrasound-guided cannulation of the infraclavicular axillary vein in adult patients needing central venous catheters.
- - The primary outcome measured was access time, which showed no significant difference between the two needle types (21 minutes for echogenic versus 26 minutes for standard).
- - Other secondary outcomes, including success rates and adverse events, revealed no major advantages for echogenic needles, suggesting that standard needles remain suitable for this procedure in perioperative care.
Anesthesiologists ultrasound-guided regional anesthesia core curriculum: a Delphi consensus from Italian regional anesthesia experts.
J Anesth Analg Crit Care
August 2024
Department of Anesthesia, Critical Care and Pain Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Introduction: The need for a standardized core curriculum in regional anesthesia has become essential, particularly with the integration of ultrasound revolutionizing and exponentially increasing clinical practice and possibilities. In fact, numerous novel techniques, often overlapping, can confuse practitioners. This study aims to establish a core curriculum for upper limb, lower limb, paraspinal and fascial plane blocks for residency training, addressing potential educational gaps caused by the multitude of techniques, through a Delphi consensus process involving recognized Italian regional anesthesia experts.
View Article and Find Full Text PDFComparison of the classical approach and costoclavicular approach of ultrasound-guided infraclavicular block: A systematic review and meta-analysis.
Indian J Anaesth
July 2024
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Background And Aims: The infraclavicular brachial plexus block (ICB) provides analgesia and anaesthesia of the upper limb. It is given using the classical or the more recently described costoclavicular (CC) approach at the level of cords. This systematic review aimed to assess which approach is better for the ICB in terms of onset, performance, and safety.
View Article and Find Full Text PDFDiaphragmatic and Pulmonary Functions Following an Ultrasound-Guided Supraclavicular Approach Versus a Costoclavicular Approach of a Brachial Plexus Block: A Randomized Study.
Cureus
June 2024
Anaesthesiology and Critical Care, Mahatma Gandhi Medical College and Research Institute, Jaipur, IND.
Article Synopsis
- * Results indicate that the supraclavicular approach leads to a greater reduction in diaphragmatic thickness fraction and a larger decline in pulmonary function tests compared to the costoclavicular method.
- * The costoclavicular block shows a better preservation of diaphragmatic contractility and less deterioration of respiratory function, suggesting it may be a safer option with fewer complications related to hemidiaphragmatic paralysis.
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