The experience of using ultrasonic navigation of nerves with blockade of the brachial plexus and large nerves of the lower limb



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Under ultrasound control, a blockade of large nerve trunks and plexuses of the extremities was performed in 865 patients. All of them, depending on the blockade performed, were divided into groups: blockade of the brachial plexus by axillary access; blockade of the brachial plexus supraclavicular access; blockade of the brachial plexus with interstitial access;) combined blockage of the femoral and sciatic nerves. Anesthesia was carried out with a local anesthetic solution consisting of 10 ml of 2% lidocaine and 10 ml of 1% ropivacaine (total 20 ml). Because of the work, the high efficiency of the ultrasonic nerve navigation technique (99.3%) and its safety (the absence of repeated attempts to identify nerves and complications of anesthesia) were shown. The use of ultrasonic navigation in our modification when performing blockades of large nerves and nerve plexuses of the extremities helps to determine the localization of nerves, to observe the position of the needle relative to the anatomical structures during its advancement.

Full Text

Restricted Access

References

  1. Бубнов Р.В. Ультразвуковой контроль проведения регионарной анестезии при операциях на нижних конечностях // Международный медицинский журнал. - 2010. - № 1. - С. 99-103.
  2. Кичин В.В., Лихванцев В.В., Большедворов Р.В. и др. Избранные вопросы анестезии и интенсивной терапии тяжелой сочетанной травмы: Монография. - М.: Граница, 2010. - 312 с.
  3. Мигачев С.Л., Свиридов С.В. Осложнения блокады плечевого сплетения // Регионарная анестезия и лечение боли. Тематический сборник. - Москва - Тверь, 2004. - С. 100-108.
  4. Мороз В.В., Васильев В.Ю., Кузовлев А.Н. Исторические аспекты анестезиологии-реаниматологии. Местная анестезия (часть 3) // Общая реаниматология. - 2008. - № 4. - С. 95-98.
  5. Руденко М.И., Колобаева Е.Г. Клинический опыт применения нейростимулятора при регионарных анестезиях // Воен.-мед. журн. - 2006. - Т. 327, № 9. - С. 33-37.
  6. Свистунов С.В., Юрковский A.M. Проводниковая анестезия плечевого сплетения под ультразвуковым контролем (обзор литературы) // Проблемы здоровья и экологии. - 2011. - № 1 (27). - С. 29-34.
  7. Bhatia A., Lai J., Chan V.W., Brull R. Case report: pneumothorax as a complication of the ultrasound-guided supraclavicular approach for brachial plexus block // Anesth. Analg. - 2010. - Vol. 111. - P. 817-819.
  8. Chan V.W. Applying ultrasound imaging to interscalene brachial plexus block // Reg. Anesth. Pain Med. - 2003. - Vol. 28. - P. 340-343.
  9. Klaastad O., Sauter A.R., Dodgson M.S. Brachial plexus block with or without ultrasound guidance // Can. J. Anaesth. - 2008. - Vol. 55 (7). - P. 408-413.
  10. Reiss W., Kurapati S., Shariat A., Hadzic A. Nerve injury complicating ultrasound/electrostimulation-guided supraclavicular brachial plexus block // Reg. Anesth. Pain Med. - 2010. Vol. 35. - P. 400-401.
  11. Soeding P.E., Sha S., Royse C.E. et al. A randomized trial of ultrasound-guided brachial plexus anaesthesia in upper limb surgery //Anaesth. Intensive Care. - 2005. - Vol. 33. - P. 719-725.
  12. Williams S.R., Chouinard P., Arcand G. et al. Ultrasound guidance speeds execution and improves the quality of supraclavicular block // Anesth. Analg. - 2003 - Vol. 97. - P. 1518-1523.

Copyright (c) 2020 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies