Ultrasound-guided intermediate cervical plexus block : Anatomical study.

CONCLUSION: The compartment between the superficial and the prevertebral layer of the cervical fascia is a suitable target for cervical plexus blocks. This injection site describes an intermediate cervical plexus block. As the compartment contains the sensory terminal branches of the spinal nerves C2-4, it may be referred to as C2-C4 compartment. The cranio-caudal spread of the injectate allows lateromedial needle guidance in the horizontal plane. As the superficial lamina is not a barrier to the injectate an additional subcutaneous infiltration of the nerve area appears dispensable. The prevertebral lamina proved to be impermeable to injected methylene blue. Whether phrenic nerve blocks are preventable with more distal intermediate cervical plexus blocks (selective block of the supraclavicular nerves, e.g. for surgery of the clavicle) must be investigated in clinical trials. The permanent anastomosis (superficial cervical ansa) between the cervical plexus and the ramus colli of the facial nerve provides an anatomically reasonable explanation for inadequate cervical plexus blocks. PMID: 26013020 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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Publication date: Available online 10 November 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Fabrice Ferré, Jean-Mathieu Mastantuono, Charlotte Martin, Anne Ferrier, Philippe Marty, Pierre Laumonerie, Nicolas Bonnevialle, Vincent MinvilleAbstractBackground and objectivesThe frequent onset of hemidiaphragmatic paralysis during interscalene block restricts its use in patients with respiratory insufficiency. Supraclavicular block could be a safe and effective alternative. Our primary objective was to assess the incidence of hemidiaphragmatic paralysis following ultrasound-guided supraclavi...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
This study was registered with Japan Registry of Clinical Trials (jRCTs052190026). PMID: 31701044 [PubMed]
Source: Clinical Prostate Cancer - Category: Cancer & Oncology Authors: Tags: Contemp Clin Trials Commun Source Type: research
ConclusionThis is one of a very few studies comparing a large cohort of successful instrumental births with unsuccessful attempts at an instrumental birth. The rate of failure has been difficult to reduce, and the analysis shows that many of the factors associated with failure are not modifiable in labour. We should consider studies with use of ultrasound assessment before application or consideration of instruments to facilitate birth. This will allow us to objectively come up with an algorithm to predict success or failure and consider if it is suitable to attempt an instrumental birth. Our data can be used to counsel wo...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
ConclusionsSepsis shares clinical symptoms that mimic malignant hyperthermia. While sepsis rapidly progresses to secondary injuries, malignant hyperthermia is life threatening. Providing ideal care requires good clinical judgment and a high level of suspicion where timely and appropriate care such as early administration of dantrolene and consultation of malignant hyperthermia association hotline for added assistance can influence positive outcomes.ResumoJustificativaA sepse é uma disfunção orgânica fatal com características clínicas inespecíficas que podem imitar outras cond...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
CONCLUSION: Pain relief during SWL operations is still a challenging issue for many clinicians. Our study demonstrates that, among many other anesthetic/analgesic agents and techniques described, unilateral US guided TAP block and diclofenac combination is a feasible option for pain relief during SWL procedures. PMID: 31697254 [PubMed - in process]
Source: Archivos Espanoles de Urologia - Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research
Conclusions: Ultrasound-guided percutaneous cryoneurolysis is a modality that has the potential to provide analgesia matching the duration of pain following rib fractures. PMID: 31684715 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
Maternal morbidity and mortality in the United States has been rising for the last 20 years, so obstetric anesthesiologists frequently provide peripartum critical care for a wide range of indications.1,2 Point-of-care ultrasound (POCUS) is a focused, usually qualitative, ultrasound (US) examination performed and interpreted at the bedside in order to guide patient management in real time. It has emerged as an important tool in the diagnosis and treatment of critical illness; acquisition of this skill set has been incorporated into standards for emergency medicine and critical care training programs but has yet to be includ...
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research
Conclusion: Preprocedural ultrasound scan is a useful adjunct to lumbar epidural blocks in obese patients with osteophytic abnormal spines.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Tayfun Aydin, Miray Turgut, Onur BalabanIndian Journal of Anaesthesia 2019 63(11):957-959
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Publication date: Available online 6 November 2019Source: Annals of Medicine and SurgeryAuthor(s): Efrain Riveros-Perez, Sherwin Davoud, Maria Gabriela Sanchez, Hugo Montesinos, Alexander RocutsAbstractIntroductionA common belief has been that obese patients are prone to develop aspiration of gastric contents when general anesthesia is administered. We aimed to determine the correlation between antral cross-sectional area as a surrogate of gastric volume measured by gastric ultrasound, and body mass index (BMI) in term pregnant women scheduled for elective cesarean section.MethodsA cross-sectional observational study was c...
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
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