학술논문

Fifteen years of ultrasound guidance in regional anaesthesia: Part 2-recent developments in block techniques.
Document Type
Journal Article
Source
BJA: The British Journal of Anaesthesia. Jun2010, Vol. 104 Issue 6, p673-683. 11p.
Subject
Language
ISSN
0007-0912
Abstract
The use of ultrasound guidance for regional anaesthesia has gained enormous popularity in the last 10 yr. The first part of this review article provided information on safety, technical developments, economic aspects, education, advantages, needle guidance techniques, and future developments in ultrasound. The second part focuses on practical and technical details of individual ultrasound-guided nerve blocks in adults. We present a comprehensive review of the relevant literature of the last 5 yr with a commentary based on our own clinical experience in order to provide information relevant to patient management. Upper limb blocks, including interscalene, supra- and infraclavicular, and axillary approaches, are described and discussed. For the lower limb, psoas compartment, femoral, obturator, sciatic, and lateral cutaneous nerve blocks are described, as are some abdominal wall blocks. The potential role of ultrasound guidance for neuraxial block is addressed. The need for further large-scale studies of the role of ultrasound is emphasized. [ABSTRACT FROM AUTHOR]