| Limitations and technical considerations of ultrasound-guided peripheral nerve blocks: edema and subcutaneous air. | |
| | |
MedLine Citation:
|
PMID: 18675747 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Despite advantages of ultrasound-guided peripheral nerve blocks as compared with established techniques, various limitations may exist. We present 2 trauma patients in whom the usefulness of ultrasound techniques was limited by edema and subcutaneous air. CASE REPORT: Two male patients were admitted to the Intensive Care Unit due to multiple trauma. In the first patient, tissue edema and obesity (body mass index, calculated as weight [kg]/height [m(2)] = 35), and in the second patient, subcutaneous emphysema, were significant limitations for the application of ultrasound-guided peripheral nerve blocks. These factors made 2-dimensional ultrasound imaging difficult despite the use of tissue harmonic technique and advanced ultrasound equipment. Neurostimulation technique alone, or combined with ultrasound imaging eventually led to successful nerve block. CONCLUSIONS: Ultrasound technique limitations do exist. We present 2 conditions, edema and subcutaneous air, which contributed to ultrasound failure to provide a clear image of the targeted nerves. |
| | |
Authors:
|
Theodosios Saranteas; Dimitrios Karakitsos; Anastasia Alevizou; John Poularas; Georgia Kostopanagiotou; Andreas Karabinis |
Related Documents
:
|
12475527 - Mndpdp enhanced magnetic resonance imaging of focal liver lesions. 23402307 - Application of chemical exchange saturation transfer (cest) mri for endogenous contrast... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Regional anesthesia and pain medicine Volume: 33 ISSN: 1532-8651 ISO Abbreviation: Reg Anesth Pain Med Publication Date: 2008 Jul-Aug |
Date Detail:
|
Created Date: 2008-08-04 Completed Date: 2008-10-14 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9804508 Medline TA: Reg Anesth Pain Med Country: United States |
Other Details:
|
Languages: eng Pagination: 353-6 Citation Subset: IM |
Affiliation:
|
Intensive Care Unit, General State Hospital of Athens, Athens, Greece. saranteas@ath.forthnet.gr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Edema / ultrasonography Humans Male Middle Aged Nerve Block / methods* Peripheral Nerves / ultrasonography* Subcutaneous Emphysema / ultrasonography Subcutaneous Tissue |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Identification of the epidural space using pressure measurement with the compuflo injection pump--a ...
Next Document: Case report: limitation of local anesthetic spread during ultrasound-guided interscalene block. Desc...