Publication in refereed journal
香港中文大学研究人员 ( 现职)
| Professor Manoj Kumar KARMAKAR (麻醉及深切治疗学系) |
全文
| 数位物件识别号 (DOI) http://dx.doi.org/10.1053/j.trap.2009.06.021 |
引用次数
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/12Scopus source URL
其它资讯
摘要Recent advances in ultrasound (US) imaging have significantly improved our understanding of spinal sonoanatomy. Today, US imaging has been used to assist or guide central neuraxial blocks, and it appears to be a promising alternative to traditional landmark-based technique. US is noninvasive, safe, simple to use, can be quickly performed, does not involve exposure to radiation, provides real-time images, and is free from adverse effects. Currently, the majority of the outcome data are from its application in the lumbar region. A scout (prepuncture) scan allows the operator to preview the spinal anatomy, identify the midline, accurately predict the depth to the epidural space, and determine the optimal site and trajectory for needle insertion. When used for central neuraxial blocks, it also improves the success rate of epidural access on the first attempt, reduces the number of puncture attempts or the need to puncture multiple levels, and improves patient comfort during the procedure. Preliminary data suggest that US may also offer technical advantages in patients with abnormal spinal anatomy. It is also an excellent teaching tool and improves the learning curve of epidural blocks in parturients. However, the use of US for central neuraxial blocks is still in its infancy, and there is a need for more research in this state of the art regional anesthesia before it can become a standard of care. ? 2009 Elsevier Inc. All rights reserved.
着者Karmakar M.K.
期刊名称Techniques in Regional Anesthesia and Pain Management
出版年份2009
月份7
日期1
卷号13
期次3
出版社W. B. Saunders Co., Ltd.
出版地United Kingdom
页次161 - 170
国际标準期刊号1084-208X
语言英式英语
关键词Analgesia, Anesthesia, Caudal, Epidural, Extradural, Spinal, Ultrasound
