Skin temperature measured by infrared thermography after specific ultrasound-guided blocking of the musculocutaneous, radial, ulnar, and median nerves.

Slides:



Advertisements
Similar presentations
Human factors in anaesthesia: lessons from aviation
Advertisements

Mohammed Al-Omran, MD, MSc  Journal of Vascular Surgery 
Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World.
C. Dubost, A. Le Gouez, P. J. Zetlaoui, D. Benhamou, F. J. Mercier, T
Peter F. Lawrence, MD, Olivia I
Influence of arm position on catheter placement during real-time ultrasound-guided right infraclavicular proximal axillary venous catheterization†   J.H.
AnestAssist British Journal of Anaesthesia
Richard Brannegan, MD, Russell Bartt, MD 
Supplemental oxygen and surgical site infection: getting to the truth
A.C. Krediet, C.J. Kalkman, M.J. Bonten, A.C.M. Gigengack, P. Barach 
M. Bachmann, P. Pere, P. Kairaluoma, P.H. Rosenberg, H. Kallio 
Lidocaine use in ultrasound-guided femoral nerve block: what is the minimum effective anaesthetic concentration (MEAC90)?†  A.M. Taha, A.M. Abd-Elmaksoud 
Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasound-guided rectus sheath block and local anaesthetic infiltration.
L. Triffterer, P. Marhofer, H. Willschke, A. M. Machata, G. Reichel, T
Ultrasound-guided radial artery cannulation in adult and paediatric populations: a systematic review and meta-analysis  Leigh White, Alice Halpin, Marianne.
Cutaneous Nerve Transection for the Management of Intractable Upper Extremity Pain Caused By Invasive Squamous Cell Carcinoma  John H. Turnbull, MD, Sara.
A different use of visual analytic techniques in anaesthetics
Postoperative pulmonary complications
Neuraxial anaesthesia in patients with scoliosis
Comparison between ultrasound-guided supraclavicular and infraclavicular approaches for subclavian venous catheterization in children'a randomized trial 
Evaluation and Treatment of Upper Extremity Nerve Entrapment Syndromes
S.J. Howell, J.J. Pandit, D.J. Rowbotham 
Ultrasound-guided anterior sciatic nerve block in the proximal thigh: an in-plane approach improving the needle view and respecting fascial planes  J.
Randomized, prospective, observational simulation study comparing residents’ needle- guided vs free-hand ultrasound techniques for central venous catheter.
Does motor block related to long-acting brachial plexus block cause patient dissatisfaction after minor wrist and hand surgery? A randomized observer-blinded.
Concomitant infraclavicular plus distal median, radial, and ulnar nerve blockade accelerates upper extremity anaesthesia and improves block consistency.
Ultrasound visual image-guided vs Doppler auditory-assisted radial artery cannulation in infants and small children by non-expert anaesthesiologists:
Consecutive, prospective case series of a new method for ultrasound-guided supraclavicular approach to the brachiocephalic vein in children  C. Breschan,
Modification of tracheal tubes
Anticipating guidelines for ultrasound-guided arterial catheterization
Effect of local anaesthetic volume (20 vs 5 ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block 
Efficacy of intravenous magnesium in neuropathic pain
J.B. Whiteside, D Burke, J.A.W. Wildsmith 
Ultrasound-guided percutaneous cryoneurolysis for treatment of acute pain: could cryoanalgesia replace continuous peripheral nerve blocks?  B.M. Ilfeld,
Hand-arm vibration syndrome: A rarely seen diagnosis
Effect of patient sex on general anaesthesia and recovery
K.J. Chin  British Journal of Anaesthesia 
T. Saranteas, I. Koliantzaki  British Journal of Anaesthesia 
A. Abdelnasser, B. Abdelhamid, A. Elsonbaty, A. Hasanin, A. Rady 
Digital ischaemia after ulnar artery cannulation
Amrinone can accelerate the cooling rate of core temperature during deliberate mild hypothermia for neurosurgical procedures  S. Inoue, M. Kawaguchi,
Comparison of motor-evoked potentials monitoring in response to transcranial electrical stimulation in subjects undergoing neurosurgery with partial vs.
Sonographic visualization and ultrasound-guided blockade of the greater occipital nerve: a comparison of two selective techniques confirmed by anatomical.
Ultrasound standard for lumbar plexus block
Bigeleisen P , Wilson M   British Journal of Anaesthesia 
The novel Kv1.5 channel blocker vernakalant for successful treatment of new-onset atrial fibrillation in a critically ill abdominal surgical patient 
FastrachTM tubes: modifying the design for use with the LMA CTrachTM?
Ultrasound-guided central venous catheterization in the prone position
Effects of ultrasound guidance on the minimum effective anaesthetic volume required to block the femoral nerve  A. Casati, M. Baciarello, S. Di Cianni,
Optimized method for correct left-sided central venous catheter placement under electrocardiographic guidance  J. Kremser, F. Kleemann, K. Reinhart, W.
Ultrasound-guided popliteal sciatic nerve block using a pocket-sized ultrasound machine: preliminary evidence  T. Saranteas, F. Zafiropoulou, G. Kostopanagiotou,
Optimizing cerebral oxygenation in anaesthetized patients with carotid artery stenosis: the influence of inspired oxygen fraction  P. Picton, S.K. Ramachandran,
J.B. Barbary, F. Remérand, J. Brilhault, M. Laffon, J. Fusciardi 
Neurological biomarkers in the perioperative period
Does hyperbaric oxygen have positive effect on neurological recovery in spinal–epidural haematoma?: a case report  Z. Wajima, S. Aida  British Journal.
R Hofmeyr, A Myburgh  British Journal of Anaesthesia 
Meningitis or epidural abscesses after neuraxial block for removal of infected hip or knee prostheses  K. Gritsenko, D. Marcello, G.A. Liguori, K. Jules-Elyse'e,
ICU fire evacuation preparedness in London: a cross-sectional study
Suspected opioid-induced hyperalgesia in an infant
G. Haller, D.S. Courvoisier, H. Anderson, P.S. Myles 
Discriminant analysis for anaesthetic decision-making: an intelligent recognition system for epidural needle insertion  S.P. Lin, M.S. Mandell, Y. Chang,
Fluoroderma after exposure to sevoflurane
International practices of organ donation
Combined ultrasound imaging and hydrolocalization technique for accurate placement of perineural catheters  T. Saranteas, A. Adoni, T. Sidiropoulou, T.
Influence of shoulder position on central venous catheter tip location during infraclavicular subclavian approach  M Kang, H.-G. Ryu, I.-S. Son, J.-H.
C.M. Chalmers, A.M. Bal  British Journal of Anaesthesia 
Evaluation of artery and vein differentiation methods using ultrasound imaging among medical students  N. Komasawa, R. Mihara, K. Hattori, T. Minami 
Effectiveness of electroacupuncture analgesia compared with opioid administration in a dog model: a pilot study  D. Groppetti, A.M. Pecile, P. Sacerdote,
Real-time ultrasound-guided epidural anaesthesia technique can be improved by new echogenic Tuohy needles: a pilot study in cadavers  C. Menacé, O. Choquet,
Hand-arm vibration syndrome: A rarely seen diagnosis
Presentation transcript:

Skin temperature measured by infrared thermography after specific ultrasound-guided blocking of the musculocutaneous, radial, ulnar, and median nerves in the upper extremity  K.H.W. Lange, T. Jansen, S. Asghar, P.L. Kristensen, M. Skjønnemand, P. Nørgaard  British Journal of Anaesthesia  Volume 106, Issue 6, Pages 887-895 (June 2011) DOI: 10.1093/bja/aer085 Copyright © 2011 The Author(s) Terms and Conditions

Fig 1 AOIs in the forearm and hand. Circular light blue areas on the second and fifth digit depict Tspot. (a) Prone (dorsal) position; (b) supine (palmar) position. British Journal of Anaesthesia 2011 106, 887-895DOI: (10.1093/bja/aer085) Copyright © 2011 The Author(s) Terms and Conditions

Fig 2 Mean skin temperature in the AOIs (TsAOI) at baseline and at 2 min intervals after performing the specific musculocutaneous, radial, ulnar, or median nerve blocks. Included in the median nerve AOI is the AOI innervated by the radial nerve on the dorsal hand (Fig. 1a). Values are means (sem). P-values obtained by a repeated-measures anova, including the values at t=0, 6, 10, and 22 min. n=7 in the musculocutaneous and radial nerve groups. n=14 in the median and ulnar nerve groups (both seven dorsal and seven palmar measurements). British Journal of Anaesthesia 2011 106, 887-895DOI: (10.1093/bja/aer085) Copyright © 2011 The Author(s) Terms and Conditions

Fig 3 Typical infrared thermographic images of the hand in the prone position after performing the specific ulnar nerve block. (a) Baseline; (b) 22 min after performing the block. British Journal of Anaesthesia 2011 106, 887-895DOI: (10.1093/bja/aer085) Copyright © 2011 The Author(s) Terms and Conditions

Fig 4 Typical infrared thermographic images of the hand in the prone position after performing the specific median nerve block. (a) Baseline, (b) 4 min, (c) 5 min, (d) 6 min, (e) 7 min, and (f) 22 min after performing the block. The skin temperature initially increases at the fingertips and extends proximally along the veins. British Journal of Anaesthesia 2011 106, 887-895DOI: (10.1093/bja/aer085) Copyright © 2011 The Author(s) Terms and Conditions

Fig 5 Mean skin temperature after specific ulnar and median nerve blocking. Pooled data from both groups. Measurements performed at the fingertips (tips), at the wrist, and the dorsal and palmar AOI of each nerve (Fig. 1). Included in the data after median nerve block are data from areas innervated by the radial nerve on the dorsal side of the hand (Fig. 1a). Values are means (sem). P-values obtained by a repeated-measures anova, including the values at t=0, 6, 10, and 22 min. n=14 in the palmar and dorsal groups, n=28 in the wrist and tip groups. British Journal of Anaesthesia 2011 106, 887-895DOI: (10.1093/bja/aer085) Copyright © 2011 The Author(s) Terms and Conditions