Early detection of intraneural and intravascular injections with real‐time injection pressure monitoring in cadavers
Background and Objectives Injection pressure monitoring can help detecting the needle tip position and avoid intraneural injection. However, it shall be measured at the needle tip in order to be accurate and reproducible with any injection system and non operator‐dependent. With an innovative system...
Gespeichert in:
| Veröffentlicht in: | Acta anaesthesiologica Scandinavica 2020-11, Vol.64 (10), p.1513-1518 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1518 |
|---|---|
| container_issue | 10 |
| container_start_page | 1513 |
| container_title | Acta anaesthesiologica Scandinavica |
| container_volume | 64 |
| creator | Saporito, Andrea Quadri, Christian Steinfeldt, Thorsten Wiesmann, Thomas Cantini, Laura Micòl Capdevila, Xavier |
| description | Background and Objectives
Injection pressure monitoring can help detecting the needle tip position and avoid intraneural injection. However, it shall be measured at the needle tip in order to be accurate and reproducible with any injection system and non operator‐dependent. With an innovative system monitoring the injection pressure right at the needle tip we show that it is possible to early detect an intraneural and also an intravascular injection.
Methods
We performed supraclavicular block‐like procedures under real‐time ultrasound guidance on two fresh cadaver torsos using a sensing needle with an optical fiber pressure sensor within the shaft continuously measuring injection pressure at the needle tip. A total of 45 ultrasound‐guided injections were performed (15 perineural, 15 intraneural and 15 intravenous injections).
Results
Mean (SD) injection pressure after only 1 mL injected volume was already significantly higher for the intraneural compared to the perineural injections: 70.46 kPa (11.72) vs 8.34 (4.68) kPa; P |
| doi_str_mv | 10.1111/aas.13681 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03166647v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2449423819</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3871-dc7b542e7a1c323ed3a280960511b7f8518029e912fa598c4129ec39dcc3e3d73</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhi0EapfSAy-ALHGBQ1o7duL4uKpKi7QSh5azNetMqFdOvNjJVnvrI_CMPEm9pLQSEr5Yv-fTP575CXnP2RnP5xwgnXFRN_wVWXChdVFXqn5NFowxXlRclcfkbUqbLIXU-ogcCyGFlo1akN0lRL-nLY5oRxcGGjrqhjHCgFMET2FoZ72DZCcPMavNjCZ678Y7GhH874dfo-vxpUa3EVOaItI-DG4M0Q0_cpVaaGGHMb0jbzrwCU-f7hPy_cvl7cV1sfp29fViuSqsaBQvWqvWlSxRAbeiFNgKKBuma1ZxvlZdU_GGlRo1LzuodGMlz8oK3VorULRKnJDPs-8deLONroe4NwGcuV6uzOGNCV7XtVQ7ntlPM7uN4eeEaTS9Sxa9z7sIUzKlVKpioioP6Md_0E2Y4pAnyZTUshQN1y_NbQwpReyef8CZOQRncnDmT3CZ_fDkOK17bJ_Jv0ll4HwG7p3H_f-dzHJ5M1s-Aj5Uo0Y</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2449423819</pqid></control><display><type>article</type><title>Early detection of intraneural and intravascular injections with real‐time injection pressure monitoring in cadavers</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Saporito, Andrea ; Quadri, Christian ; Steinfeldt, Thorsten ; Wiesmann, Thomas ; Cantini, Laura Micòl ; Capdevila, Xavier</creator><creatorcontrib>Saporito, Andrea ; Quadri, Christian ; Steinfeldt, Thorsten ; Wiesmann, Thomas ; Cantini, Laura Micòl ; Capdevila, Xavier</creatorcontrib><description>Background and Objectives
Injection pressure monitoring can help detecting the needle tip position and avoid intraneural injection. However, it shall be measured at the needle tip in order to be accurate and reproducible with any injection system and non operator‐dependent. With an innovative system monitoring the injection pressure right at the needle tip we show that it is possible to early detect an intraneural and also an intravascular injection.
Methods
We performed supraclavicular block‐like procedures under real‐time ultrasound guidance on two fresh cadaver torsos using a sensing needle with an optical fiber pressure sensor within the shaft continuously measuring injection pressure at the needle tip. A total of 45 ultrasound‐guided injections were performed (15 perineural, 15 intraneural and 15 intravenous injections).
Results
Mean (SD) injection pressure after only 1 mL injected volume was already significantly higher for the intraneural compared to the perineural injections: 70.46 kPa (11.72) vs 8.34 (4.68) kPa; P < .001. Mean (SD) injection pressure at 1 mL injected volume was significantly lower for the intravascular compared to the perineural injections: 1.51 (0.48) vs 8.34 (4.68) kPa; P < .001.
Conclusions
Our results show that injection pressure monitoring at the needle tip has the potential to help identifying an accidental intraneural or intravascular injection at a very early stage.</description><identifier>ISSN: 0001-5172</identifier><identifier>EISSN: 1399-6576</identifier><identifier>DOI: 10.1111/aas.13681</identifier><identifier>PMID: 33439487</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Cadavers ; Clavicle ; Continuous fiber composites ; Human health and pathology ; Injection ; Injection molding ; Intravenous administration ; Life Sciences ; Monitoring ; Optical fibers ; Position measurement ; Pressure ; Pressure sensors ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Acta anaesthesiologica Scandinavica, 2020-11, Vol.64 (10), p.1513-1518</ispartof><rights>2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd</rights><rights>2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2020 The Acta Anaesthesiologica Scandinavica Foundation</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3871-dc7b542e7a1c323ed3a280960511b7f8518029e912fa598c4129ec39dcc3e3d73</citedby><cites>FETCH-LOGICAL-c3871-dc7b542e7a1c323ed3a280960511b7f8518029e912fa598c4129ec39dcc3e3d73</cites><orcidid>0000-0003-4924-4228 ; 0000-0002-6712-2163 ; 0000-0002-9791-8779</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faas.13681$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faas.13681$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33439487$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.umontpellier.fr/hal-03166647$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Saporito, Andrea</creatorcontrib><creatorcontrib>Quadri, Christian</creatorcontrib><creatorcontrib>Steinfeldt, Thorsten</creatorcontrib><creatorcontrib>Wiesmann, Thomas</creatorcontrib><creatorcontrib>Cantini, Laura Micòl</creatorcontrib><creatorcontrib>Capdevila, Xavier</creatorcontrib><title>Early detection of intraneural and intravascular injections with real‐time injection pressure monitoring in cadavers</title><title>Acta anaesthesiologica Scandinavica</title><addtitle>Acta Anaesthesiol Scand</addtitle><description>Background and Objectives
Injection pressure monitoring can help detecting the needle tip position and avoid intraneural injection. However, it shall be measured at the needle tip in order to be accurate and reproducible with any injection system and non operator‐dependent. With an innovative system monitoring the injection pressure right at the needle tip we show that it is possible to early detect an intraneural and also an intravascular injection.
Methods
We performed supraclavicular block‐like procedures under real‐time ultrasound guidance on two fresh cadaver torsos using a sensing needle with an optical fiber pressure sensor within the shaft continuously measuring injection pressure at the needle tip. A total of 45 ultrasound‐guided injections were performed (15 perineural, 15 intraneural and 15 intravenous injections).
Results
Mean (SD) injection pressure after only 1 mL injected volume was already significantly higher for the intraneural compared to the perineural injections: 70.46 kPa (11.72) vs 8.34 (4.68) kPa; P < .001. Mean (SD) injection pressure at 1 mL injected volume was significantly lower for the intravascular compared to the perineural injections: 1.51 (0.48) vs 8.34 (4.68) kPa; P < .001.
Conclusions
Our results show that injection pressure monitoring at the needle tip has the potential to help identifying an accidental intraneural or intravascular injection at a very early stage.</description><subject>Cadavers</subject><subject>Clavicle</subject><subject>Continuous fiber composites</subject><subject>Human health and pathology</subject><subject>Injection</subject><subject>Injection molding</subject><subject>Intravenous administration</subject><subject>Life Sciences</subject><subject>Monitoring</subject><subject>Optical fibers</subject><subject>Position measurement</subject><subject>Pressure</subject><subject>Pressure sensors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>0001-5172</issn><issn>1399-6576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kcFu1DAQhi0EapfSAy-ALHGBQ1o7duL4uKpKi7QSh5azNetMqFdOvNjJVnvrI_CMPEm9pLQSEr5Yv-fTP575CXnP2RnP5xwgnXFRN_wVWXChdVFXqn5NFowxXlRclcfkbUqbLIXU-ogcCyGFlo1akN0lRL-nLY5oRxcGGjrqhjHCgFMET2FoZ72DZCcPMavNjCZ678Y7GhH874dfo-vxpUa3EVOaItI-DG4M0Q0_cpVaaGGHMb0jbzrwCU-f7hPy_cvl7cV1sfp29fViuSqsaBQvWqvWlSxRAbeiFNgKKBuma1ZxvlZdU_GGlRo1LzuodGMlz8oK3VorULRKnJDPs-8deLONroe4NwGcuV6uzOGNCV7XtVQ7ntlPM7uN4eeEaTS9Sxa9z7sIUzKlVKpioioP6Md_0E2Y4pAnyZTUshQN1y_NbQwpReyef8CZOQRncnDmT3CZ_fDkOK17bJ_Jv0ll4HwG7p3H_f-dzHJ5M1s-Aj5Uo0Y</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Saporito, Andrea</creator><creator>Quadri, Christian</creator><creator>Steinfeldt, Thorsten</creator><creator>Wiesmann, Thomas</creator><creator>Cantini, Laura Micòl</creator><creator>Capdevila, Xavier</creator><general>Wiley Subscription Services, Inc</general><general>Wiley</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-4924-4228</orcidid><orcidid>https://orcid.org/0000-0002-6712-2163</orcidid><orcidid>https://orcid.org/0000-0002-9791-8779</orcidid></search><sort><creationdate>202011</creationdate><title>Early detection of intraneural and intravascular injections with real‐time injection pressure monitoring in cadavers</title><author>Saporito, Andrea ; Quadri, Christian ; Steinfeldt, Thorsten ; Wiesmann, Thomas ; Cantini, Laura Micòl ; Capdevila, Xavier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3871-dc7b542e7a1c323ed3a280960511b7f8518029e912fa598c4129ec39dcc3e3d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cadavers</topic><topic>Clavicle</topic><topic>Continuous fiber composites</topic><topic>Human health and pathology</topic><topic>Injection</topic><topic>Injection molding</topic><topic>Intravenous administration</topic><topic>Life Sciences</topic><topic>Monitoring</topic><topic>Optical fibers</topic><topic>Position measurement</topic><topic>Pressure</topic><topic>Pressure sensors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saporito, Andrea</creatorcontrib><creatorcontrib>Quadri, Christian</creatorcontrib><creatorcontrib>Steinfeldt, Thorsten</creatorcontrib><creatorcontrib>Wiesmann, Thomas</creatorcontrib><creatorcontrib>Cantini, Laura Micòl</creatorcontrib><creatorcontrib>Capdevila, Xavier</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Acta anaesthesiologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saporito, Andrea</au><au>Quadri, Christian</au><au>Steinfeldt, Thorsten</au><au>Wiesmann, Thomas</au><au>Cantini, Laura Micòl</au><au>Capdevila, Xavier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early detection of intraneural and intravascular injections with real‐time injection pressure monitoring in cadavers</atitle><jtitle>Acta anaesthesiologica Scandinavica</jtitle><addtitle>Acta Anaesthesiol Scand</addtitle><date>2020-11</date><risdate>2020</risdate><volume>64</volume><issue>10</issue><spage>1513</spage><epage>1518</epage><pages>1513-1518</pages><issn>0001-5172</issn><eissn>1399-6576</eissn><abstract>Background and Objectives
Injection pressure monitoring can help detecting the needle tip position and avoid intraneural injection. However, it shall be measured at the needle tip in order to be accurate and reproducible with any injection system and non operator‐dependent. With an innovative system monitoring the injection pressure right at the needle tip we show that it is possible to early detect an intraneural and also an intravascular injection.
Methods
We performed supraclavicular block‐like procedures under real‐time ultrasound guidance on two fresh cadaver torsos using a sensing needle with an optical fiber pressure sensor within the shaft continuously measuring injection pressure at the needle tip. A total of 45 ultrasound‐guided injections were performed (15 perineural, 15 intraneural and 15 intravenous injections).
Results
Mean (SD) injection pressure after only 1 mL injected volume was already significantly higher for the intraneural compared to the perineural injections: 70.46 kPa (11.72) vs 8.34 (4.68) kPa; P < .001. Mean (SD) injection pressure at 1 mL injected volume was significantly lower for the intravascular compared to the perineural injections: 1.51 (0.48) vs 8.34 (4.68) kPa; P < .001.
Conclusions
Our results show that injection pressure monitoring at the needle tip has the potential to help identifying an accidental intraneural or intravascular injection at a very early stage.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33439487</pmid><doi>10.1111/aas.13681</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4924-4228</orcidid><orcidid>https://orcid.org/0000-0002-6712-2163</orcidid><orcidid>https://orcid.org/0000-0002-9791-8779</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0001-5172 |
| ispartof | Acta anaesthesiologica Scandinavica, 2020-11, Vol.64 (10), p.1513-1518 |
| issn | 0001-5172 1399-6576 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_03166647v1 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Cadavers Clavicle Continuous fiber composites Human health and pathology Injection Injection molding Intravenous administration Life Sciences Monitoring Optical fibers Position measurement Pressure Pressure sensors Ultrasonic imaging Ultrasound |
| title | Early detection of intraneural and intravascular injections with real‐time injection pressure monitoring in cadavers |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T12%3A28%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Early%20detection%20of%20intraneural%20and%20intravascular%20injections%20with%20real%E2%80%90time%20injection%20pressure%20monitoring%20in%20cadavers&rft.jtitle=Acta%20anaesthesiologica%20Scandinavica&rft.au=Saporito,%20Andrea&rft.date=2020-11&rft.volume=64&rft.issue=10&rft.spage=1513&rft.epage=1518&rft.pages=1513-1518&rft.issn=0001-5172&rft.eissn=1399-6576&rft_id=info:doi/10.1111/aas.13681&rft_dat=%3Cproquest_hal_p%3E2449423819%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2449423819&rft_id=info:pmid/33439487&rfr_iscdi=true |