Application of sonoelastography to regional anaesthesia: a descriptive study with the Thiel embalmed cadaver model

Munirama, S., McLeod, G.A., Eisma, R., Schwab, A., Corner, G., Soames, R. and Cochran, S. (2012) Application of sonoelastography to regional anaesthesia: a descriptive study with the Thiel embalmed cadaver model. Ultrasound, 20(1), pp. 41-48. (doi: 10.1258/ult.2011.011039)

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Abstract

Introduction: Ultrasound-guided regional anaesthesia (UGRA) is being used increasingly in patients but varying patient characteristics make it difficult to visualize needles and spread of local anaesthetic fluid. Methods: To evaluate the use of elastography for UGRA by performing ultrasound-guided nerve blocks in Thiel embalmed cadavers. Both upper limb and lower limb blocks were performed on cadavers with ultrasound guidance. B-mode and elastography images obtained on split screen were analysed. Results: The B-mode images were superior compared with the ultrasound elastography images with respect to the anatomical details; however, dynamic changes such as fluid spread were visualized better with elastography. Conclusion: The elastography images also had good dose response to the volume of the injectate implying its usefulness in detecting local anaesthetic spread when low volumes are used as test doses.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Cochran, Professor Sandy
Authors: Munirama, S., McLeod, G.A., Eisma, R., Schwab, A., Corner, G., Soames, R., and Cochran, S.
College/School:College of Science and Engineering > School of Engineering > Systems Power and Energy
Journal Name:Ultrasound
Publisher:SAGE Publications
ISSN:1742-271X
ISSN (Online):1743-1344
Published Online:08 February 2012

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