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Simulation tools in ultrasound-guided regional anesthesia: developing a simple, inexpensive erector spinae plane (ESP) block teaching model.
CJEM
October 2024
Department of Emergency Medicine, McGill University, Montreal, QC, Canada.
The erector spinae plane (ESP) block is an increasingly utilized regional block in the emergency department, representing one effective alternative or adjunct to opioid analgesia in patients presenting with rib fractures. While there is growing interest, its widespread adoption faces hurdles, such as a lack of appropriate training resources. Gelatin-based phantoms to simulate human anatomy have been widely used to facilitate ultrasound-guided procedures, although no such model for the ESP block has yet been defined in the literature.
View Article and Find Full Text PDFUltrasound-guided perineural injection of the saphenous nerve in goat cadavers.
Ir Vet J
July 2024
School of Veterinary Medicine, UCD Veterinary Hospital, University College Dublin, Belfield, Dublin, D04 W6F6, Ireland.
Background: Surgery of the goat stifle joint requires good perioperative analgesia, ideally without affecting motor function in the postoperative period. The objective of this study was to describe an ultrasound-guided technique for saphenous nerve block in goats. Eleven fresh female goat cadavers from two different age groups were used: seven of them were four years old with a mean ± SD body weight of 65.
View Article and Find Full Text PDFUltrasound guided costoclavicular block in pediatric population: A prospective observational study.
Paediatr Anaesth
June 2024
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Background: The costoclavicular space serves as an alternative approach to the infraclavicular brachial plexus block, and numerous studies in adults have demonstrated promising outcomes for distal upper limb surgery. Blocking the brachial plexus at this level is potentially advantageous because the cords are relatively superficial, located in close proximity to each other and easily identified using ultrasound.
Aims: This study aimed to assess the success rate and feasibility of costoclavicular block in children undergoing unilateral below elbow upper limb surgery.
The Hypoechoic Triangle: A New Sonographic Landmark for Rectus Sheath Block.
A A Pract
April 2024
From the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California.
Rectus sheath blocks can provide analgesia for upper abdominal midline incisions. These blocks can be placed on patients who are anticoagulated, supine, and under general anesthesia. However, block success rates remain low, presumably because of the difficulty of placing local anesthetic between the correct fascial layers.
View Article and Find Full Text PDFSafety and efficacy of ultrasound-guided superior hypogastric plexus block combined with conscious sedation in ambulatory patients undergoing percutaneous microwave ablation of uterine myomas: Study protocol for a single-center, double-blinded, randomized controlled trial.
Heliyon
February 2024
Department of Anesthesiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Article Synopsis
- The study addresses the challenge of pain management during ultrasound-guided percutaneous microwave ablation (PMWA) of uterine myomas, noting that local anesthesia often proves inadequate in Ambulatory Surgery Centers.
- It aims to assess the effectiveness of ultrasound-guided superior hypogastric plexus block (SHPB) with conscious sedation as a pain relief method, potentially reducing the need for opioids and enhancing patient quality of life.
- Conducted as a randomized controlled trial with 86 participants, the study will compare the SHPB approach to traditional local anesthesia, measuring various outcomes like anesthesia success rates, pain management, and patient satisfaction.
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