Case report: Three-dimensional high-resolution ultrasound-guided nerve blocks: a new panoramic vision of local anesthetic spread and perineural catheter tip location

Anesth Analg. 2013 May;116(5):1176-1181. doi: 10.1213/ANE.0b013e31828b34ae. Epub 2013 Mar 14.

Abstract

We report in 3 patients that high-frequency ultrasound 3-dimensional imaging enabled us to analyze anatomic variations, evaluate local anesthetic spread, and optimize a perineural catheter location by withdrawing it until its tip was appropriately positioned. This innovative technology may provide answers to different problems facing the operator performing ultrasound-guided nerve blocks. It may enhance predictability and safety aspects of peripheral nerve blocks.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Achilles Tendon / surgery
  • Adult
  • Anesthetics, Local / pharmacokinetics*
  • Ankle Joint / surgery
  • Arthrodesis
  • Catheterization, Peripheral / methods*
  • Catheters
  • Female
  • Finger Injuries / surgery
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Male
  • Median Nerve / diagnostic imaging
  • Middle Aged
  • Needles
  • Nerve Block / methods*
  • Orthopedic Procedures
  • Peripheral Nerves / diagnostic imaging
  • Plastic Surgery Procedures
  • Radial Nerve / diagnostic imaging
  • Sciatic Nerve / diagnostic imaging
  • Ultrasonography, Interventional / methods*

Substances

  • Anesthetics, Local