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Real-time three-dimensional ultrasound for continuous interscalene brachial plexus blockade

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Abstract

Two-dimensional ultrasound guidance is used commonly for regional anesthetic techniques. This report describes the novel use of three-dimensional, ultrasound-guided, continuous interscalene regional analgesia, which was used in a 36-year-old woman undergoing left total elbow arthroplasty. Possible advantages of this novel technology over current two-dimensional methods include a larger area of available scan information that enables multiple planes of view without having to reposition the ultrasound probe, and three-dimensional visualization of local anesthetic deposition perineurally. Current technological limitations include an upper frequency of 7 MHz, which decreases the resolution of superficial scanning.

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Clendenen, S.R., Riutort, K.T., Feinglass, N.G. et al. Real-time three-dimensional ultrasound for continuous interscalene brachial plexus blockade. J Anesth 23, 466–468 (2009). https://doi.org/10.1007/s00540-009-0775-y

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  • DOI: https://doi.org/10.1007/s00540-009-0775-y

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