Ultrasound guidance, a win-win approach to peripheral nerve blockade

The objective of the current review is to examine the likelihood of improved safety in peripheral nerve blockade attributable to ultrasound guidance. With ultrasound guidance, a 10-fold reduction in the incidence of local anesthetic systemic toxicity as well as a tendency toward less long-term neuro...

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Veröffentlicht in:	Current opinion in anaesthesiology 2013-10, Vol.26 (5), p.600-604
Hauptverfasser:	Jochum, Denis, Iohom, Gabriella, Bouaziz, Hervé
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthetics, Local - adverse effects Electric Stimulation Humans Nerve Block - adverse effects Nerve Block - methods Nervous System Diseases - etiology Peripheral Nerves - drug effects Ultrasonography, Interventional - methods
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Zusammenfassung:	The objective of the current review is to examine the likelihood of improved safety in peripheral nerve blockade attributable to ultrasound guidance. With ultrasound guidance, a 10-fold reduction in the incidence of local anesthetic systemic toxicity as well as a tendency toward less long-term neuropathies are shown. Ultrasound is clearly superior to other techniques with the aim of achieving maximum efficacy with minimum risk: a win-win approach.
ISSN:	0952-7907 1473-6500
DOI:	10.1097/01.aco.0000432518.78468.56