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Complex issues in new ultrasound-guided nerve blocks: how to name, where to inject, and how to publish

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Abstract

The recent development of ultrasound-guide nerve block has led to innovation in anesthesia and pain clinics. However, it has also led to some complex issues, including (1) how to name a new technique, (2) the appropriateness of an intramuscular approach, and (3) how to publicize a new technique. This review addresses naming strategy, feasibility of intramuscular approach block, and methods of publication. First, researchers and authors should pay attention to appropriate nomenclature for the term ‘approach’, ‘compartment block’, and ‘nerve block’ for a new block. Second, it is lack of evidences to facilitate muscle injection, and adequate preparation and adherence to proper technique for intramuscular approach block should be considered; confirmation of abnormal signs at the injection area, use of a thin needle and the lowest concentration and volume of local anesthetic without supplementation with steroid or epinephrine, compressing hemostasis, and sufficient interval of the blocks. Third, adequate dissemination of information would also be necessary through publication in appropriate media. We hope this review boost reasonable development of nerve block.

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References

  1. Joshi G, Gandhi K, Shah N, Gadsden J, Corman SL. Peripheral nerve blocks in the management of postoperative pain: challenges and opportunities. J Clin Anesth. 2016;35:524–9.

    Article  CAS  PubMed  Google Scholar 

  2. Bhalla T, Sawardekar A, Dewhirst E, Jagannathan N, Tobias JD. Ultrasound-guided trunk and core blocks in infants and children. J Anesth. 2013;27:109–23.

    Article  PubMed  Google Scholar 

  3. Sondekoppam RV, Tsui BC. Factors associated with risk of neurologic complications after peripheral nerve blocks: a systematic review. Anesth Analg. 2017;124:645–60.

    Article  PubMed  Google Scholar 

  4. Clendenen SR, Riutort KT, Feinglass NG, Greengrass RA, Brull SJ. Real-time three-dimensional ultrasound for continuous interscalene brachial plexus blockade. J Anesth. 2009;23:466–8.

    Article  PubMed  Google Scholar 

  5. Sato M, Mikawa Y, Matuda A. Ultrasound and electrical nerve stimulation-guided S1 nerve root block. J Anesth. 2013;27:775–7.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Taketa Y, Fujitani T, Irisawa Y, Sudo S, Takaishi K. Ultrasound-guided thoracic paravertebral block by the paralaminar in-plane approach using a microconvex array transducer: methodological utility based on anatomical structures. J Anesth. 2017;31:271–7.

    Article  PubMed  Google Scholar 

  7. Yamauchi M, Kawaguchi R, Sugino S, Yamakage M, Honma E, Namiki A. Ultrasound-aided unilateral epidural block for single lower-extremity pain. J Anesth. 2009;23:605–8.

    Article  PubMed  Google Scholar 

  8. Behar M, Magora F, Olshwang D, Davidson JT. Epidural morphine in treatment of pain. Lancet. 1979;10:527–9.

    Article  Google Scholar 

  9. Ma N, Duncan JK, Scarfe AJ, Schuhmann S, Cameron AL. Clinical safety and effectiveness of transversus abdominis plane (TAP) block in post-operative analgesia: a systematic review and meta-analysis. J Anesth. 2017;31:432–52.

    Article  PubMed  Google Scholar 

  10. Murouchi T, Yamakage M. Retrolaminar block: analgesic efficacy and safety evaluation. J Anesth. 2016;30:1003–7.

    Article  PubMed  Google Scholar 

  11. Joo YC, Park JY, Kim KH. Comparison of alcohol ablation with repeated thermal radiofrequency ablation in medial branch neurotomy for the treatment of recurrent thoracolumbar facet joint pain. J Anesth. 2013;27:390–5.

    Article  PubMed  Google Scholar 

  12. Kariya K, Usui Y, Higashi N, Nakamoto T, Shimbori H, Terada S, Takahashi H, Ueta H, Kitazawa Y, Sawanobori Y, Okuda Y, Matsuno K. Anatomical basis for simultaneous block of greater and third occipital nerves unilaterally, with an ultrasound-guided technique. J Anesth. 2018;32 https://doi.org/10.1007/s00540-017-2429-9.

  13. Ip VH, Tsui BC. Lower interscalene approach for elbow surgery. Can J Anaesth. 2013;60:600–1.

    Article  PubMed  Google Scholar 

  14. Vilims BD, Wright RE. Supraclavicular approach to brachial plexus block using fluoroscopic anatomic landmarks and nerve stimulation. Pain Phys. 2003;6:191–4.

    Google Scholar 

  15. Vazin M, Jensen K, Kristensen DL, Hjort M, Tanggaard K, Karmakar MK, Bendtsen TF, Børglum J. Low-volume brachial plexus block providing surgical anesthesia for distal arm surgery comparing supraclavicular, infraclavicular, and axillary approach: a randomized observer blind trial. Biomed Res Int. 2016;2016:7094121.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Salem MH, Winckelmann J, Geiger P, Mehrkens H-H, Salem KH. Electrostimulation with or without ultrasound-guidance in interscalene brachial plexus block for shoulder surgery. J Anesth. 2012;26:610–3.

    Article  PubMed  Google Scholar 

  17. Meco BC, Ozcelik M, Oztuna DG, Armangil M, Guclu CY. Can we gain an advantage by combining distal median, radial and ulnar nerve blocks with supraclavicular block? A randomized controlled study. J Anesth. 2015;29:217–22.

    Article  PubMed  Google Scholar 

  18. Ozturk NK, Kavakli AS. Comparison of the coracoid and retroclavicular approaches for ultrasound-guided infraclavicular brachial plexus block. J Anesth. 2017;31:572–8.

    Article  Google Scholar 

  19. Kii N, Yamauchi M, Takahashi K, Yamakage M, Wada T. Differential axillary nerve block for hand or forearm soft-tissue surgery. J Anesth. 2014;28:549–53.

    Article  PubMed  Google Scholar 

  20. Zhao X, Jiang N, Yuan F, Wang L, Yu B. The comparison of adductor canal block with femoral nerve block following total knee arthroplasty: a systematic review with meta-analysis. J Anesth. 2016;30:745–54.

    Article  PubMed  Google Scholar 

  21. Tsai PB, Karnwal A, Kakazu C, Tokhner V, Julka IS. Efficacy of an ultrasound-guided subsartorial approach to saphenous nerve block: a case series. Can J Anesth. 2010;57:683–8.

    Article  PubMed  Google Scholar 

  22. Karmakar MK, Kwok WH, Ho AM, Tsang K, Chui PT, Gin T. Ultrasound-guided sciatic nerve block: description of a new approach at the subgluteal space. Br J Anesth. 2007;98:390–5.

    Article  CAS  Google Scholar 

  23. Yamamoto H, Sakura S, Wada M, Shido A. A prospective, randomized comparison between single- and multiple-injection techniques for ultrasound-guided subgluteal sciatic nerve block. Anesth Analg. 2014;119:1442–8.

    Article  PubMed  Google Scholar 

  24. López M, Calvo M, Sancho A, Brogly N, Guasch E, Gilsanz F. Effective volumes of 1.5% mepivacaine with different sodium concentration for ultrasound guided popliteal block. J Clin Anesth. 2017;37:139–44.

    Article  PubMed  Google Scholar 

  25. Soberón JR, McInnis C, Bland KS, Egger AL, Patterson ME, Elliott CE, Treuting RJ, Osteen K. Ultrasound-guided popliteal sciatic nerve blockade in the severely and morbidly obese: a prospective and randomized study. J Anesth. 2016;30:397–404.

    Article  PubMed  Google Scholar 

  26. Greenblatt DJ. Intramuscular injection of drugs. N Engl J Med. 1976;295:542–6.

    Article  CAS  PubMed  Google Scholar 

  27. Caplan A, Siegfried EC, Pariser DM, Rice KC, Trivedi M, Iles J, Collier DH, Kricorian G, Langley RG. Prevention and management of glucocorticoid-induced side effects: a comprehensive review: oar, cardiovascular, muscular, and psychiatric side effects and issues unique to pediatric patients. J Am Acad Dermatol. 2017;76:201–7.

    Article  PubMed  Google Scholar 

  28. Campbell RL, Bellolio MF, Knutson BD, Bellamkonda VR, Fedko MG, Nestler DM, Hess EP. Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine. J Allergy Clin Immunol Pract. 2015;3:76–80.

    Article  PubMed  Google Scholar 

  29. Ho K-Y, Tan K-H. Botulinum toxin A for myofascial trigger point injection: a qualitative systematic review. Euro J Pain. 2007;11:519–27.

    Article  CAS  Google Scholar 

  30. Robbins MS, Kuruvilla D, Blumenfeld A, Charleston L 4th, Sorrell M, Robertson CE, Grosberg BM, Bender SD, Napchan U, Ashkenazi A. Trigger point injections for headache disorders: expert consensus methodology and narrative review. Headache. 2014;54:1441–59.

    Article  PubMed  Google Scholar 

  31. Abdi S, Cheng J. Complications of joint, tendon, and muscle injections. Tech Reg Anesth Pain Manag. 2007;11:141–7.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Benoit PW, Belt WD. Some effects of local anesthetic agents on skeletal muscle. Exp Neurol. 1972;34:264–78.

    Article  CAS  PubMed  Google Scholar 

  33. Zink W, Bohl JR, Hacke N, Sinner B, Martin E, Graf BM. The long term myotoxic effects of bupivacaine and ropivacaine after continuous peripheral nerve blocks. Anesth Analg. 2005;101:548–54.

    Article  CAS  PubMed  Google Scholar 

  34. Zink W, Seif C, Bohl JR, Hacke N, Braun PM, Sinner B, Martin E, Fink RH, Graf BM. The acute myotoxic effects of bupivacaine and ropivacaine after continuous peripheral nerve blockades. Anesth Analg. 2003;97:1173–9.

    Article  CAS  PubMed  Google Scholar 

  35. Hall-Craggs EC. Early ultrastructural changes in skeletal muscle exposed to the local anaesthetic bupivacaine (Marcaine). Br J Exp Pathol. 1980;61:139–49.

    CAS  PubMed  PubMed Central  Google Scholar 

  36. Benoit PW, Belt WD. Destruction and regeneration of skeletal muscle after treatment with a local anaesthetic, bupivacaine (Marcaine). J Anat. 1970;107(Pt 3):547–56.

    CAS  PubMed  PubMed Central  Google Scholar 

  37. Yagiela JA, Benoit PW, Fort NF. Mechanism of epinephrine enhancement of lidocaine-induced skeletal muscle necrosis. J Dent Res. 1982;61:686–90.

    Article  CAS  PubMed  Google Scholar 

  38. Karadas O, Gul HL, Inan LE. Lidocaine injection of pericranial myofascial trigger points in the treatment of frequent episodic tension-type headache. J Headache Pain. 2013;14:44.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Stundner O, Meissnitzer M, Brummett CM, Moser S, Forstner R, Koköfer A, Danninger T, Gerner P, Kirchmair L, Fritsch G. Comparison of tissue distribution, phrenic nerve involvement, and epidural spread in standard- vs low-volume ultrasound-guided interscalene plexus block using contrast magnetic resonance imaging: a randomized, controlled trial. Br J Anaesth. 2016;116:405–12.

    Article  CAS  PubMed  Google Scholar 

  40. Kaufman MR, Elkwood AI, Rose MI, Patel T, Ashinoff R, Fields R, Brown D. Surgical treatment of permanent diaphragm paralysis after interscalene nerve block for shoulder surgery. Anesthesiology. 2013;119:484–7.

    Article  PubMed  Google Scholar 

  41. Zink W, Graf BM. Local anesthetic myotoxicity. Reg Anesth Pain Med. 2004;29:333–40.

    Article  CAS  PubMed  Google Scholar 

  42. Vargas-Schaffer G, Nowakowsky M, Eghtesadi M, Cogan J. Ultrasound-guided trigger point injection for serratus anterior muscle pain syndrome: description of technique and case series. A&A Case Rep. 2015;5:99–102.

    Article  Google Scholar 

  43. Braun RM, Shah KN, Rechnic M, Doehr S, Woods N. Quantitative assessment of scalene muscle block for the diagnosis of suspected thoracic outlet syndrome. J Hand Surg Am. 2015;40:2255–61.

    Article  PubMed  Google Scholar 

  44. Usui Y, Kobayashi T, Kakinuma H, Watanabe K, Kitajima T, Matsuno K. An anatomical basis for blocking of the deep cervical plexus and cervical sympathetic tract using an ultrasound-guided technique. Anesth Analg. 2010;110:964–8.

    Article  PubMed  Google Scholar 

  45. Scott NA, Guo B, Barton PM, Gerwin RD. Trigger point injections for chronic non-malignant musculoskeletal pain: a systematic review. Pain Med. 2009;10:54–69.

    Article  PubMed  Google Scholar 

  46. Finlayson RJ. Ultrasound guidance for trigger point injections: gold standard or fool’s gold? Reg Anesth Pain Med. 2017;42:279–80.

    Article  PubMed  Google Scholar 

  47. Masic I, Begic E. Biomedical scientific and professional social networks in the service of the development of modern Scientific Publishing. Acta Inform Med. 2016;24:409–12.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Hayanga AJ, Kaiser HE. Medical information on YouTube. JAMA. 2008;299:1424–6.

    Article  CAS  PubMed  Google Scholar 

  49. Br Rössle, Lahner D, Schebesta K, Chiari A, Plöchl W. Medical information on the Internet: quality assessment of lumbar puncture and neuroaxial block techniques on YouTube. Clin Neurol Neurosurg. 2012;114:655–8.

    Article  Google Scholar 

  50. Instructions for authors. J Anesth. 2017;31: http://www.springer.com/medicine/anesthesiology/journal/540?detailsPage=pltci_2114920. 10 Dec 2017.

  51. Resnik DB, Tyler AM, Black JR, Kissling G. Authorship policies of scientific journals. J Med Ethics. 2016;42:199–202.

    Article  PubMed  Google Scholar 

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Acknowledgements

I would like to thank Editage (www.editage.jp) for English language editing.

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Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, Tohoku University School of Medicine, Seiryo-cho 1-1, Aoba-ku, Sendai, Miyagi, 980-8575, Japan

    Masanori Yamauchi

  2. Department of Anesthesia and Pain Medicine, Junjindo Yuza Hospital, Yuza, Yamagata, Japan

    Yutaka Sato

Authors
  1. Masanori Yamauchi
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  2. Yutaka Sato
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Correspondence to Masanori Yamauchi.

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Yamauchi, M., Sato, Y. Complex issues in new ultrasound-guided nerve blocks: how to name, where to inject, and how to publish. J Anesth 32, 283–287 (2018). https://doi.org/10.1007/s00540-018-2452-5

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  • DOI: https://doi.org/10.1007/s00540-018-2452-5

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