Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New Technology
Background. There are a variety of techniques for targeting placement of an infraclavicular blockade; these include eliciting paresthesias, nerve stimulation, and 2-dimensional (2D) ultrasound (US) guidance. Current 2D US allows direct visualization of a “flat” image of the advancing needle and neu...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/208025 |
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| author | Steven R. Clendenen Christopher B. Robards Nathan J. Clendenen James E. Freidenstein Roy A. Greengrass |
| author_facet | Steven R. Clendenen Christopher B. Robards Nathan J. Clendenen James E. Freidenstein Roy A. Greengrass |
| author_sort | Steven R. Clendenen |
| collection | DOAJ |
| description | Background. There are a variety of techniques for targeting placement of an infraclavicular blockade; these include eliciting paresthesias, nerve stimulation, and 2-dimensional (2D) ultrasound (US) guidance. Current 2D US allows direct visualization of a “flat” image of the advancing needle and neurovascular structures but without the ability to extensively analyze multidimensional data and allow for real-time manipulation. Three-dimensional (3D) ultrasonography has gained popularity and usefulness in many clinical specialties such as obstetrics and cardiology. We describe some of the potential clinical applications of 3D US in regional anesthesia. Methods. This case represents an infraclavicular catheter placement facilitated by 3D US, which demonstrates 360-degree spatial relationships of the entire anatomic region. Results. The block needle, peripheral nerve catheter, and local anesthetic diffusion were observed in multiple planes of view without manipulation of the US probe. Conclusion. Advantages of 3D US may include the ability to confirm correct needle and catheter placement prior to the injection of local anesthetic. The spread of local anesthetic along the length of the nerve can be easily observed while manipulating the 3D images in real-time by simply rotating the trackball on the US machine to provide additional information that cannot be identified with 2D US alone. |
| format | Article |
| id | doaj-art-12573c413fbf41e193794dc4dbd22af4 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-12573c413fbf41e193794dc4dbd22af42025-08-20T03:54:20ZengWileyAnesthesiology Research and Practice1687-69621687-69702010-01-01201010.1155/2010/208025208025Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New TechnologySteven R. Clendenen0Christopher B. Robards1Nathan J. Clendenen2James E. Freidenstein3Roy A. Greengrass4Department of Anesthesiology, Mayo Clinic College of Medicine, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Anesthesiology, Mayo Clinic College of Medicine, Mayo Clinic, Jacksonville, FL 32224, USARoyal College of Surgeons, 123 St. Stephens Green, Dublin 2, IrelandDepartment of Anesthesiology, Mayo Clinic College of Medicine, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Anesthesiology, Mayo Clinic College of Medicine, Mayo Clinic, Jacksonville, FL 32224, USABackground. There are a variety of techniques for targeting placement of an infraclavicular blockade; these include eliciting paresthesias, nerve stimulation, and 2-dimensional (2D) ultrasound (US) guidance. Current 2D US allows direct visualization of a “flat” image of the advancing needle and neurovascular structures but without the ability to extensively analyze multidimensional data and allow for real-time manipulation. Three-dimensional (3D) ultrasonography has gained popularity and usefulness in many clinical specialties such as obstetrics and cardiology. We describe some of the potential clinical applications of 3D US in regional anesthesia. Methods. This case represents an infraclavicular catheter placement facilitated by 3D US, which demonstrates 360-degree spatial relationships of the entire anatomic region. Results. The block needle, peripheral nerve catheter, and local anesthetic diffusion were observed in multiple planes of view without manipulation of the US probe. Conclusion. Advantages of 3D US may include the ability to confirm correct needle and catheter placement prior to the injection of local anesthetic. The spread of local anesthetic along the length of the nerve can be easily observed while manipulating the 3D images in real-time by simply rotating the trackball on the US machine to provide additional information that cannot be identified with 2D US alone.http://dx.doi.org/10.1155/2010/208025 |
| spellingShingle | Steven R. Clendenen Christopher B. Robards Nathan J. Clendenen James E. Freidenstein Roy A. Greengrass Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New Technology Anesthesiology Research and Practice |
| title | Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New Technology |
| title_full | Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New Technology |
| title_fullStr | Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New Technology |
| title_full_unstemmed | Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New Technology |
| title_short | Real-Time 3-Dimensional Ultrasound-Assisted Infraclavicular Brachial Plexus Catheter Placement: Implications of a New Technology |
| title_sort | real time 3 dimensional ultrasound assisted infraclavicular brachial plexus catheter placement implications of a new technology |
| url | http://dx.doi.org/10.1155/2010/208025 |
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