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Current Pain and Headache Reports

, Volume 11, Issue 1, pp 25–32 | Cite as

Ultrasound-guided peripheral nerve blockade

  • Richard Brull
  • Anahi Perlas
  • Vincent W. S. Chan
Article

Abstract

Peripheral nerve blockade (PNB) for orthopedic surgery is usually performed without visual guidance, relying mainly on surface anatomic landmarks and electrical stimulation to localize nerves. Moreover, multiple trial and error attempts to place a needle can frustrate the operator, cause unwarranted pain to the patient, and waste valuable time in the operating room. Inaccurate needle placement and spread of local anesthetic account for most PNB failures, whereas “trial and error” needle manipulations for nerve localization can cause complications. The recent application of ultrasound (US) to PNB affords real-time imaging of the target nerve, needle, and surrounding vasculature, such that needle proximity to the nerve is ensured and vascular puncture avoided. This article reviews the advantages, principles, and techniques of US for the most common types of PNB.

Keywords

Brachial Plexus Peripheral Nerve Stimulation Femoral Nerve Block Brachial Plexus Block Sciatic Nerve Block 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Medicine Group LLC 2007

Authors and Affiliations

  • Richard Brull
    • 1
  • Anahi Perlas
  • Vincent W. S. Chan
  1. 1.Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health NetworkUniversity of TorontoTorontoCanada

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