Review Article

HSS Journal

, Volume 7, Issue 1, pp 64-71

Musculoskeletal Sonopathology and Ultrasound-Guided Regional Anesthesia

  • Alan J. R. MacfarlaneAffiliated withDepartment of Anaesthesia, Glasgow Royal Infirmary
  • , Brian D. SitesAffiliated withDepartment of Anesthesiology, Dartmouth-Hitchcock Medical Center
  • , Vincent R. SitesAffiliated withDepartment of Radiology, Lahey Clinic
  • , Ali M. NaraghiAffiliated withJoint Department of Medical Imaging of University Health Network and Mount Sinai Hospital, Toronto Western Hospital
  • , Vincent W. S. ChanAffiliated withDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network
  • , Mandeep SinghAffiliated withDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network
  • , John G. AntonakakisAffiliated withDepartment of Anesthesiology, University of Virginia
  • , Richard BrullAffiliated withDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network Email author 

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Abstract

The use of real-time ultrasound guidance has revolutionized the practice of regional anesthesia. Ultrasound is rapidly becoming the technique of choice for nerve blockade due to increased success rates, faster onset, and potentially improved safety. In the course of ultrasound-guided regional anesthesia, unexpected pathology may be encountered. Such anomalous or pathological findings may alter the choice of nerve block and occasionally affect surgical management. This case series presents a variety of musculoskeletal conditions that may be encountered during ultrasound-guided regional anesthesia practice.

Keywords

anesthesia ultrasound regional anesthesia