Bi-national survey of Korea and Japan related to the injection site for ultrasound-guided stellate ganglion blocks and anatomic comparisons using cadaver dissection
The aims of this study were to investigate the current clinical practice of ultrasound (US)-guided stellate ganglion block (SGB) using a bi-national survey of Korea and Japan, and to clarify the anatomical relation of the cervical sympathetic trunk with the prevertebral fascia at the level of cervic...
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description | The aims of this study were to investigate the current clinical practice of ultrasound (US)-guided stellate ganglion block (SGB) using a bi-national survey of Korea and Japan, and to clarify the anatomical relation of the cervical sympathetic trunk with the prevertebral fascia at the level of cervical vertebrae. The current clinical practice of US-guided SGB in Korea and Japan was investigated using an Internet survey, which received 206 (10.2%) replies from Korea and 97 (8.8%) replies from Japan. The survey questionnaire addressed the actual clinical practice for US-guided SGB, including where the tip of the injection needle is placed. Additionally, 16 half necks of 8 embalmed cadavers were used in an anatomical study. An in-plane needle approach technique and administering 5 ml of local anesthetic were preferred in both countries. However, the type of local anesthetic differed, being lidocaine in Korea and mepivacaine in Japan. The final position of the needle tip also clearly differed in an US image, being predominantly positioned above the prevertebral fascia in Korea (39.3%) and under the prevertebral fascia in Japan (59.8%). In all of the anatomic dissections, the cervical sympathetic trunk was over the prevertebral fascia at the level of the sixth vertebra and under the prevertebral fascia at the level of the seventh vertebra. These results are expected to improve the knowledge on the current clinical practice and to suggest future studies. |
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The current clinical practice of US-guided SGB in Korea and Japan was investigated using an Internet survey, which received 206 (10.2%) replies from Korea and 97 (8.8%) replies from Japan. The survey questionnaire addressed the actual clinical practice for US-guided SGB, including where the tip of the injection needle is placed. Additionally, 16 half necks of 8 embalmed cadavers were used in an anatomical study. An in-plane needle approach technique and administering 5 ml of local anesthetic were preferred in both countries. However, the type of local anesthetic differed, being lidocaine in Korea and mepivacaine in Japan. The final position of the needle tip also clearly differed in an US image, being predominantly positioned above the prevertebral fascia in Korea (39.3%) and under the prevertebral fascia in Japan (59.8%). In all of the anatomic dissections, the cervical sympathetic trunk was over the prevertebral fascia at the level of the sixth vertebra and under the prevertebral fascia at the level of the seventh vertebra. These results are expected to improve the knowledge on the current clinical practice and to suggest future studies.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0232586</identifier><identifier>PMID: 32357174</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Anatomy ; Anesthesiology ; Biology and Life Sciences ; Cadavers ; Central nervous system agents ; Clinical medicine ; Computer and Information Sciences ; Dissection ; Fascia ; Future predictions ; Ganglion cysts ; Hospitals ; Injection ; Internet ; Lidocaine ; Local anesthesia ; Medical schools ; Medicine ; Medicine and Health Sciences ; Mepivacaine ; Methods ; Pain ; People and Places ; Polls & surveys ; Public opinion ; Questionnaires ; Stellate ganglion ; Surgery ; Surveys ; Ultrasonic imaging ; Ultrasound ; Vertebrae</subject><ispartof>PloS one, 2020-05, Vol.15 (5), p.e0232586-e0232586</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Won et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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One</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>15</volume><issue>5</issue><spage>e0232586</spage><epage>e0232586</epage><pages>e0232586-e0232586</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The aims of this study were to investigate the current clinical practice of ultrasound (US)-guided stellate ganglion block (SGB) using a bi-national survey of Korea and Japan, and to clarify the anatomical relation of the cervical sympathetic trunk with the prevertebral fascia at the level of cervical vertebrae. The current clinical practice of US-guided SGB in Korea and Japan was investigated using an Internet survey, which received 206 (10.2%) replies from Korea and 97 (8.8%) replies from Japan. The survey questionnaire addressed the actual clinical practice for US-guided SGB, including where the tip of the injection needle is placed. Additionally, 16 half necks of 8 embalmed cadavers were used in an anatomical study. An in-plane needle approach technique and administering 5 ml of local anesthetic were preferred in both countries. However, the type of local anesthetic differed, being lidocaine in Korea and mepivacaine in Japan. The final position of the needle tip also clearly differed in an US image, being predominantly positioned above the prevertebral fascia in Korea (39.3%) and under the prevertebral fascia in Japan (59.8%). In all of the anatomic dissections, the cervical sympathetic trunk was over the prevertebral fascia at the level of the sixth vertebra and under the prevertebral fascia at the level of the seventh vertebra. These results are expected to improve the knowledge on the current clinical practice and to suggest future studies.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32357174</pmid><doi>10.1371/journal.pone.0232586</doi><tpages>e0232586</tpages><orcidid>https://orcid.org/0000-0001-6084-6698</orcidid><orcidid>https://orcid.org/0000-0003-0404-2657</orcidid><orcidid>https://orcid.org/0000-0003-2488-9986</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Anatomy Anesthesiology Biology and Life Sciences Cadavers Central nervous system agents Clinical medicine Computer and Information Sciences Dissection Fascia Future predictions Ganglion cysts Hospitals Injection Internet Lidocaine Local anesthesia Medical schools Medicine Medicine and Health Sciences Mepivacaine Methods Pain People and Places Polls & surveys Public opinion Questionnaires Stellate ganglion Surgery Surveys Ultrasonic imaging Ultrasound Vertebrae |
title | Bi-national survey of Korea and Japan related to the injection site for ultrasound-guided stellate ganglion blocks and anatomic comparisons using cadaver dissection |
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