Abstract
Two cases with rib injuries are reported where intercostal nerve block without rib palpation was safely and successfully performed on six separate occasions using a Doppler blood-flow detector ultrasound stethoscope. A third case studied by a radiologist using a pulsed Doppler flowmeter, determined the source of the Doppler signals as originating from the intercostal artery. The significance of these findings is discussed.
Résumé
Deux cas de fractures de côtes sont rapportés où un bloc intercostal sans palpation des côtes a été effectué avec succès six fois à des occasions séparées utilisant un stéthoscope à ultrason détectant le flot sanguin par Doppler. Un troisième cas étudié par un radiologiste utilisant un débimètre pulsé Doppler a déterminé que la source de signaux Doppler était ľartère intercostal. La signification de ces trouvailles est discutée.
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References
Moore DC, Bridenbaugh LD. Intercostal nerve block in 4,333 patients. Indications, techniques and complications. Anesth Analg 1962; 41: 1–23.
Murphy TM.Nerve Blocks.In: Miller RD (ed). Anaesthesia. New York: Churchill Livingstone, 1986: 1015.
Nunn JF, Slavín G. Posterior intercostal block for pain relief after cholecystectomy. Anatomical basis and efficacy. Br J Anaesth 1980; 52: 253,
Moore DC. Anatomy of the intercostal nerve. Its importance during thoracic surgery. Am J Surg 1982; 144: 371.
Aoyagi F, Fujino T, Ohshiro T. Detection of small vessels for microsurgery by Doppler flowmeter. Plastic and Reconstructive Surg 1975; 55: 372.
Pearce WH, Ricco J, Yao JST. Upper extremity vascular diagnosis using Doppler Ultrasound.In: Zwiebel WJ (ed). Introduction to Vascular Ultrasonography. New York: Grune and Stratton 1986: 259.
Zagzebski JA. Physics and instrumentation in Doppler and B-Mode Ultrasonography.In: Introduction to Vascular Ultrasonography. Zwiebel WJ (ed). New York: Grune and Stratton 1986: 21.
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Vaghadia, H., Jenkins, L.C. Use of a Doppler ultrasound stethoscope for intercostal nerve block. Can J Anaesth 35, 86–89 (1988). https://doi.org/10.1007/BF03010552
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DOI: https://doi.org/10.1007/BF03010552