A new score for characterizing the visibility of anatomical structures during ultrasound guided regional anesthesia: a retrospective cohort study.

CONCLUSIONS: VIS was feasible in clinical routine. Compared to the other evaluated blocks, the VIS for the infragluteal access to the sciatic nerve was rated worst. VIS is found to be worse in obese patients. Further research is needed to evaluate VIS and its suitability for specific questions as for instance anesthetists' learning curves, comparison of different patient populations, ultrasound devices or different nerve blocks. PMID: 32643357 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

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CONCLUSION: A greater vein diameter and a higher BMI contribute to a shorter time period for ultrasound-guided venous access. Obese patients with difficult venous access may benefit from ultrasound-guided venous access, which could be explained by the imaging contrast with a higher proportion of subcutaneous fatty tissue. PMID: 32671428 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
This article gives an overview on hygiene requirements based on the S1-guideline "Hygiene recommendations on regional anaesthesia", current recommendations of the Robert Koch-Institute and current scientific insights. Basic hygienic standards (removal of jewellery, accurate hand disinfection, clean environment) are to be applied. A face mask to cover nose and mouth, a surgical hair cap and sterile gloves are essential parts of any block. For catheter placements a sterile gown with long arms is recommended and also a sterile cover for the ultrasound probe (including the cable when catheters are placed). Skin disin...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - Category: Intensive Care Authors: Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research
We present a 59-year-old adult morbidly obese, hypertensive, diabetic female with hypothyroidism operated for proximal humerus fracture and now presented with non-union of fracture, requiring percutaneous injection of bone marrow aspirate from the iliac crest to the site of non-union. The patient was extremely anxious and refused to undergo the procedure under local anesthesia or sedation and demanded anesthesia. Given her comorbidities general anesthesia (GA) was avoided and the procedure was accomplished using Ultrasound (USG) guided Transversus abdominis plane (TAP) block and Lateral Femoral Cutaneous Nerve (LFCN) block...
Source: Revista Brasileira de Anestesiologia - Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research
Authors: Abdelhamid BM, Khaled D, Mansour M, Hassan MM Abstract BACKGROUND: Pain control in the morbidly obese has presented as an anesthetic challenge. The aim of this study is to assess the analgesic efficacy of ultrasound guided bilateral erector spinae block compared to bilateral subcostal transversus abdominis plane block. METHODS: Prospective randomized, double-blinded controlled study was conducted at Kasr Alainy Hospital on 66 patients scheduled for laparoscopic sleeve gastrectomy. Patients were randomly allocated into three groups and received general anesthesia: bilateral erector spinae block at the l...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Conditions:   Obesity;   Anesthesia Interventions:   Procedure: Exploring potential risk factors of difficult intubation using ultrasound;   Procedure: Radial artery catheterization using ultrasound guidance or blind palpation;   Device: Comparing the effectiveness of preoxygenation between high-flow nasal cannula and facemask;   Drug: Type of volatile anesthetics and M-Entropy guidance of anesthesia depth Sponsors:   Taipei Medical University Shuang Ho Hospital;   Ministry of Science and Technology, Taiwan Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pregnancy Related;   Obesity Interventions:   Device: Accuro;   Device: standard ultrasound device Sponsor:   European e-Learning School in Obstetric Anesthesia Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Obesity;   Anesthesia Interventions:   Procedure: Exploring potential risk factors of difficult intubation using ultrasound;   Procedure: Radial artery catheterization using ultrasound guidance or blind palpation;   Device: Comparing the effectiveness of preoxygenation between high-flow nasal cannula and facemask;   Drug: Type of volatile anesthetics and M-Entropy guidance of anesthesia depth Sponsors:   Taipei Medical University Shuang Ho Hospital;   Ministry of Science and Technology, Taiwan Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pregnancy Related;   Obesity Interventions:   Device: Accuro;   Device: standard ultrasound device Sponsor:   European e-Learning School in Obstetric Anesthesia Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Obesity;   Anesthesia Interventions:   Procedure: Exploring potential risk factors of difficult intubation using ultrasound;   Procedure: Radial artery catheterization using ultrasound guidance or blind palpation;   Device: Comparing the effectiveness of preoxygenation between high-flow nasal cannula and facemask;   Drug: Type of volatile anesthetics and M-Entropy guidance of anesthesia depth Sponsors:   Taipei Medical University Shuang Ho Hospital;   Ministry of Science and Technology, Taiwan Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pregnancy Related;   Obesity Interventions:   Device: Accuro;   Device: standard ultrasound device Sponsor:   European e-Learning School in Obstetric Anesthesia Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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