SAFETY OF REGIONAL ANESTHESIA: PARESTHESIA TECHNIQUE VERSUS ULTRASOUND-GUIDED ANESTHESIA IN PATIENTS WITH LIMB TRAUMA. A PILOT STUDY

Authors

  • Ruslan Baltaga
  • Oleg Arnaut
  • Serghei Sandru
  • Serghei Cobâlețchi
  • Elena Grosu
  • Gheorghe Rojnoveanu

DOI:

https://doi.org/10.31379/2411.2616.15.1.2

Keywords:

ultrasound navigation during regional anesthesia, paresthesia, patient safety.

Abstract

This article introduces the reader to the results of a pilot project in rep. Moldova regarding the comparison of techniques for inducing paresthesia and ultrasound navigation when performing regional blockades in patients with limb injuries. The article will be interesting to read for practicing anesthetists, traumatologists, surgeons, as well as interns.

References

Marhofer, P., Willschke, H., Kettner, S. Current concepts and future trends in ultrasoundguided regional anaesthesia. / P. Marhofer. H. Willschke, S. Kettner // Current Opinion in Anaesthesiology. – 2010. – Vol. 23. – P. 632-636.

Gray, A.T. Ultrasound-guided regional anesthesia: current state of art. / A.T. Gray // Anesthesiology. – 2006. – Vol. 104. – P. 368-373.

Barrington, M.J., Uda, Y. Did ultrasound fulfill the promise of safety in regional anesthesia? / M.J. Barrington, Y. Uda // Current Opinion in Anaesthesiology. – 2018. – Vol. 31 (5). – P. 649-655.

Marhofer, P., Fritsch, G. Safe performance of peripheral regional anaesthesia: the significance of ultrasound guidance. / P. Marhofer, G. Fritsch //Anaesthesia. – 2017. – Vol. 72. – P. 427-438.

Peripheral regional anaesthesia and outcome: lessons learned from the last 10 years. / J. Kessler [et al.] // British Journal of Anaesthesia. – 2015. –Vol. 114 (5). – P. 728-745.

Anestezia plexului brahial. / S. Cobâleţchi [et al.] // Curierul Medical. – 2011. – Vol. 322 (4). – P. 60-62.

Kessler, J. Education concepts in regional anaesthesia. / J. Kessler // European Society of Anaesthesiology. – Euroanaesthesia 2011, Amsterdam, The Netherlands.

Neal, J.M. Ultrasound-Guided Regional Anesthesia and Patient Safety: Update of an Evidence-Based Analysis. / J.M. Neal // Regional Anesthesia and Pain Medicine. – 2016. – Vol. 41 (2). – P. 195-204.

Hopkins, P.M. Ultrasound guidance as a gold standart in regional anaesthesia. / P.M. Hopkins // British Journal of Anaesthesia. – 2007. – Vol. 98. – P. 299-301.

The American Society of Regional Anesthesia and Pain Medicine and the European Society of Regional Anaesthesia and Pain Therapy joint committee recommendations for education and training in ultrasound-guided regional anesthesia. / B.D. Sites [et. al.] // Regional Anesthesia and Pain Medicine. – 2010. – Vol. 35. – P. 74-80.

Christie, L. E., Picard, J., Guy, L. Weinberg. Local anaesthetic systemic toxicity. / L. E. Christie, J. Picard, L. Guy // British Journal of Anaesthesia. – 2015. – Vol. 15 (3). – P. 136-142.

Wolfe, R. C., Spillars, A. Local Anesthetic Systemic Toxicity: Reviewing Updates from the American Society of Regional Anesthesia and Pain Medicine Practice Advisory. / R. C. Wolfe, A. Spillars // Journal of PeriAnesthesia Nursing. – 2018. – Vol. 33 (6). – P. 1000-1005.

Rosenberg, P.H., Veering, B.T., Urmey, W.F. Maximum recommended doses of local anesthetics: a multifactorial concept. / P.H. Rosenberg, B.T. Veering, W.F. Urmey // Regional Anesthesia and Pain Medicine. – 2004. –Vol. 29. – P. 564-575.

A Comparison of the Pharmacodynamics and Pharmacokinetics of Bupivacaine, Ropivacaine (with Epinephrine) and Their Equal Volume Mixtures with Lidocaine Used for Femural and Sciatic Nerve Blocks: A Double-Blind Randomized Study. / P. Cuvillon [et al.] // Anesthesia and Analgesia. – 2009. – Vol. 108 (2). – P. 641-649.

Onset and duration of anesthesia for local anesthetic combinations commonly used in forefoot surgery; surprise results with sequential blocks. / M. M. Blazer [et al.] // The Foot. – 2015. – Vol. 25. – P. 75-78.

The effect of addition of lidocaine to bupivacaine on anesthesia beginning time, block time, and block quality in lateral sagittal infraclavicular block. / Ö. Özmen [et al.] // Turkish Journal of Medical Sciences. – 2013. – Vol. 43. – P. 542-547.

Ribotsky, B. M., Berkowitz, K. D., Montague, J. Local anesthetics. Is there an advantage to mixing solutions? / B.M. Ribotsky, K. D. Berkowitz, J. Montague // Journal of the American Pediatric Medical Association. – 1996. – Vol. 86 (10). – P. 487-491.

Barrington, M.J., Kluger, R. Ultrasoung guidance reduces therisk of local anesthetic systemic toxicity following peripheral nerve blockade. / M.J. Barrington, R. Kluger // Regional Anesthesia and Pain Medicine. – 2013. – Vol. 38. – P. 289-297.

Mercado, P., Weinberg, G.L. Local anesthetic systemic toxicity: prevention and treatment. / P. Mercado, G.L. Weinberg // Clinical Anesthesiology. – 2011. –Vol. 29. – P. 233-242.

Dickerson, D.M., Apfelbaum, J.L. Local anesthetic systemic toxicity. / D.M. Dickerson, J.L. Apfelbaum // Aesthetic Surgery Journal. – 2014. – Vol. 34. – P. 1111-1119.

Accreditation Council for Graduate Medical Education and the American Board of Anesthesiology. The anesthesiology milestone project. 2015 https://www.acgme.org/Portals/0/PDFs/Milestones/AnesthesiologyMilestones.pdf. (останній вхід 10 листопада

р.).

Hu, P., Harmon, D., Frizelle, H. Patient comfort during regional anesthesia. / P. Hu, D. Harmon, H. Frizelle // Journal of Clinical Anesthesia. – 2007. – Vol. 19 (1). – P. 67-74.

Mackenzie, N. Sedation during regional anaesthesia: indications, advantages and methods. / N. Mackenzie // European Journal of Anaesthesiology. – 1996. – Vol. 13 (Suppl). – P. 2-7.

Kenny, G.N. Patient sedation: technical problemsand developments. / G.N. Kenny // European Journal of Anaesthesiology. – 1996. – Vol. 13 (Suppl). – P. 18-21.

Competency-based assessment tools for regional anaesthesia: a narrative review. / A. Chuan [et al.] // British Journal of Anaesthesia. – 2018. – Vol. 120 (2). – P. 264-273.

Bould, M., Crabtree, N., Naik, V. Assessment of procedural skills in anaesthesia. / M. Bould, N. Crabtree, V. Naik // British Journal of Anaesthesia. – 2009. – Vol. 103. – P. 472-483.

Kathirgamanathan, A., Woods, L. Educational tools in the assessment of trainees in anaesthesia. / A. Kathirgamanathan, L. Woods // Contin Educ Anaesth Crit Care Pain. – 2011. – Vol. 11. – P. 138-142.

An assessment tool for brachial plexus regional anesthesia performance: establishing construct validity and reliability. / V. Naik [et al.] // Reg Anesth Pain Med. – 2007. – Vol. 32. – P. 41-50.

Visuospatial ability as a predictor of nocive performance in ultrasound-guided regional anesthesia. / A. Shafqat [et al.] // Anesthesiology. – 2015. – Vol. 123. – P. 1188-1197.

Learning manual skills in anesthesiology: Is there a recommended number of cases for anesthetic procedures? / C. Konrad [et al.] // Anesthesia and Analgesia. – 1998. – Vol. 86. – P. 635-639.

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Published

2022-02-14

How to Cite

Baltaga, R., Arnaut, O., Sandru, S., Cobâlețchi, S., Grosu, E., & Rojnoveanu, G. (2022). SAFETY OF REGIONAL ANESTHESIA: PARESTHESIA TECHNIQUE VERSUS ULTRASOUND-GUIDED ANESTHESIA IN PATIENTS WITH LIMB TRAUMA. A PILOT STUDY. Clinical Anesthesiology, Intensive Care and Emergency Medicine, (1), 12–24. https://doi.org/10.31379/2411.2616.15.1.2