The Efficacy and Safety of Ultrasound Guided Peripheral Nerve Blockade A Qualitative Systematic Review

Persistent Link:
http://hdl.handle.net/10150/183698
Title:
The Efficacy and Safety of Ultrasound Guided Peripheral Nerve Blockade A Qualitative Systematic Review
Author:
Parisian, David Lynn
Affiliation:
The University of Arizona College of Medicine - Phoenix
Issue Date:
Mar-2011
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Collection Information:
This item is part of the College of Medicine - Phoenix Scholarly Projects 2011 collection. For more information, contact the Phoenix Biomedical Campus Library at pbc-library@email.arizona.edu.
Abstract:
The clinical application of regional anesthesia has grown dramatically in recent years in part due to the increasing adoption of ultrasound imaging for peripheral block placement. Ultrasound technology enables real-time visualization of nerves, surrounding structures and local anesthetic spread and therefore offers theoretical advantages over existing methods of nerve localization. This systematic analysis was conducted to assess the current state of evidence for improved block efficacy, safety and other patient related outcomes with ultrasound guided peripheral nerve blockade (UGPNB). A search of the PubMed database was conducted for all randomized controlled trials comparing UGPNB to peripheral blocks performed at the same anatomic site by an alternative method of nerve localization. Forty-four studies, 39 adult and 5 pediatric, were identified for analysis and the results presented in Appendix 1,2,3,4,5. There is increasing Level Ib Grade A evidence that UGPNB, when applied by clinicians with the appropriate skill set, can be performed faster than alternative techniques yielding blocks that are more effective, with quicker onset and longer duration, requiring less local anesthetic, and causing less vascular puncture and greater patient comfort. Improved safety with UGPNB remains largely theoretical due to the low complication rate of all techniques of peripheral nerve block, but there is Level III Grade
MeSH Subjects:
Anesthesia, Local; Ultrasonography
Description:
A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
Mentor:
Rosenfeld, David, MD

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_US
dc.titleThe Efficacy and Safety of Ultrasound Guided Peripheral Nerve Blockade A Qualitative Systematic Reviewen_US
dc.contributor.authorParisian, David Lynnen_US
dc.contributor.departmentThe University of Arizona College of Medicine - Phoenixen_US
dc.date.issued2011-03-
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.collectioninformationThis item is part of the College of Medicine - Phoenix Scholarly Projects 2011 collection. For more information, contact the Phoenix Biomedical Campus Library at pbc-library@email.arizona.edu.en_US
dc.description.abstractThe clinical application of regional anesthesia has grown dramatically in recent years in part due to the increasing adoption of ultrasound imaging for peripheral block placement. Ultrasound technology enables real-time visualization of nerves, surrounding structures and local anesthetic spread and therefore offers theoretical advantages over existing methods of nerve localization. This systematic analysis was conducted to assess the current state of evidence for improved block efficacy, safety and other patient related outcomes with ultrasound guided peripheral nerve blockade (UGPNB). A search of the PubMed database was conducted for all randomized controlled trials comparing UGPNB to peripheral blocks performed at the same anatomic site by an alternative method of nerve localization. Forty-four studies, 39 adult and 5 pediatric, were identified for analysis and the results presented in Appendix 1,2,3,4,5. There is increasing Level Ib Grade A evidence that UGPNB, when applied by clinicians with the appropriate skill set, can be performed faster than alternative techniques yielding blocks that are more effective, with quicker onset and longer duration, requiring less local anesthetic, and causing less vascular puncture and greater patient comfort. Improved safety with UGPNB remains largely theoretical due to the low complication rate of all techniques of peripheral nerve block, but there is Level III Gradeen_US
dc.typeThesisen_US
dc.subject.meshAnesthesia, Localen_US
dc.subject.meshUltrasonographyen_US
dc.descriptionA Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.en_US
dc.contributor.mentorRosenfeld, David, MDen_US
All Items in UA Campus Repository are protected by copyright, with all rights reserved, unless otherwise indicated.