Epidural catheter placement in children: comparing a novel approach using ultrasound guidance and a standard loss-of-resistance technique Willschke H.

Slides:

Advertisements

Similar presentations

Ultrasound guidance in regional anaesthesia†

Advertisements

Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study C. Luyet, U. Eichenberger, R. Greif, A. Vogt,

Erector spinae plane block for pain relief in rib fractures

T. Pirotte, F. Veyckemans British Journal of Anaesthesia

D. Belavy, M.J. Ruitenberg, R.B. Brijball

Touch contamination levels during anaesthetic procedures and their relationship to hand hygiene procedures: a clinical audit A.F. Merry, T.E. Miller,

D Latzke, P Marhofer, M Zeitlinger, A Machata, F Neumann, E Lackner, S

Neurosurgical operations with the patient in sitting position: analysis of risk factors using transcranial Doppler sonography Engelhardt M , Folkers.

M. Lundblad, S. Kapral, P. Marhofer, P.-A. Lönnqvist

The entrapped central venous catheter

Fifteen years of ultrasound guidance in regional anaesthesia: Part 1

S.M. Burns, C.M. Cowan, P.M. Barclay, R.G. Wilkes

Magnetic resonance imaging study of the in vivo position of the extraglottic airway devices i-gel™ and LMA-Supreme™ in anaesthetized human volunteers

J. Karmrodt, C. Bletz, S. Yuan, M. David, C. -P. Heussel, K

L. Triffterer, P. Marhofer, H. Willschke, A. M. Machata, G. Reichel, T

Prediction of tracheostomy tube size for paediatric long-term ventilation: an audit of children with spinal cord injury Behl S. , Watt J.W.H. British.

Comparison of coagulation and blood loss during anaesthesia with inhaled isoflurane or intravenous propofol N.L. Law, K.F.J. Ng, M.G. Irwin, J.S.F. Man

A different use of visual analytic techniques in anaesthetics

Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic.

Neuraxial anaesthesia in patients with scoliosis

Comparison between ultrasound-guided supraclavicular and infraclavicular approaches for subclavian venous catheterization in children'a randomized trial

Supraclavicular continuous peripheral nerve block in a wounded soldier: when ultrasound is the only option A.R. Plunkett, D.S. Brown, J.M. Rogers, C.C.

Secondary spread of caudal block as assessed by ultrasonography

Size of internal jugular vs subclavian vein in small infants: an observational, anatomical evaluation with ultrasound C Breschan, M Platzer, R Jost,

Ultrasonography-guided rectus sheath block in paediatric anaesthesia—a new approach to an old technique† Willschke H , Bösenberg A , Marhofer P , Johnston.

The carina as a landmark in central venous catheter placement†

Consecutive, prospective case series of a new method for ultrasound-guided supraclavicular approach to the brachiocephalic vein in children C. Breschan,

Anticipating guidelines for ultrasound-guided arterial catheterization

BIS guided sedation with propofol during spinal anaesthesia: influence of anaesthetic level on sedation requirement Ozkan-Seyhan T. , Sungur M. Orhan.

Randomized, double-blind comparison of patient-controlled epidural infusion vs nurse- administered epidural infusion for postoperative analgesia in patients.

Complete heart block during central venous catheter placement in a patient with pre- existing left bundle branch block D Unnikrishnan, N Idris, N Varshneya

Effect of postoperative analgesia on surgical outcome

Real-time ultrasound-guided paramedian spinal anaesthesia: evaluation of the efficacy and the success rate of single needle pass S.E. Chong, A. Mohd.

Dislocation rates of perineural catheters: a volunteer study

J.M. Davies, A. Murphy, M. Smith, G. O’Sullivan

Ultrasound standard for lumbar plexus block

Bigeleisen P , Wilson M British Journal of Anaesthesia

T. Grau, R.W. Leipold, J. Horter, R. Conradi, E. Martin, J. Motsch

A. Mekontso-Dessap, L. Tual, M. Kirsch, G. D'Honneur, D. Loisance, L

Ultrasound-assisted spinal anaesthesia in a patient with Wildervanck syndrome and congenital abnormalities of the lumbar spine T. Schisler, H. Huttunen,

G. Park, M. Lane, S. Rogers, P. Bassett British Journal of Anaesthesia

Magnesium sulphate as a technique of hypotensive anaesthesia

Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing A. Sarang, J. Dinsmore British Journal of Anaesthesia

Distraction and interruption in anaesthetic practice

J.G. Hardman, J.S. Wills British Journal of Anaesthesia

Ultrasound-guided central venous catheterization in the prone position

Marion Wiegele, Peter Marhofer, Per-Arne Lönnqvist

B.C. Tsui, V.H. Ip British Journal of Anaesthesia

Ultrasound-guided popliteal sciatic nerve block using a pocket-sized ultrasound machine: preliminary evidence T. Saranteas, F. Zafiropoulou, G. Kostopanagiotou,

An approach to neuraxial anaesthesia for the severely scoliotic spine

J.B. Barbary, F. Remérand, J. Brilhault, M. Laffon, J. Fusciardi

Bedside prediction of the central venous catheter insertion depth

H. Schlotterbeck, R. Schaeffer, W. A. Dow, Y. Touret, S. Bailey, P

Absorption of carbon dioxide during laparoscopy in children measured using a novel mass spectrometric technique Pacilli M , Pierro A , Kingsley C , Curry.

Teamwork, communication, and anaesthetic assistance in Scotland

J.E. Spiegel, A. Vasudevan, Y. Li, P.E. Hess

Usefulness of the carina as a radiographic landmark for central venous catheter placement in paediatric patients† S.Z. Yoon, J.H. Shin, S. Hahn, A.Y.

Does hyperbaric oxygen have positive effect on neurological recovery in spinal–epidural haematoma?: a case report Z. Wajima, S. Aida British Journal.

Discriminant analysis for anaesthetic decision-making: an intelligent recognition system for epidural needle insertion S.P. Lin, M.S. Mandell, Y. Chang,

Ultrasound assessment of cranial spread during caudal blockade in children: the effect of different volumes of local anaesthetics L. Brenner, P. Marhofer,

Haemodynamic effects of oxytocin given as i. v

M. A. Yousef, S. Vaida, M. Somri, J. Mogilner, A. Lanir, A. Tamir, R

Combined ultrasound imaging and hydrolocalization technique for accurate placement of perineural catheters T. Saranteas, A. Adoni, T. Sidiropoulou, T.

Cervical epidural analgesia in current anaesthesia practice: systematic review of its clinical utility and rationale, and technical considerations H.

A. Schlager, M. Boehler, F. Pühringer British Journal of Anaesthesia

D.A. Rowney, R. Fairgrieve, B. Bissonnette

F. Neunhoeffer, T. Wahl, M. Hofbeck, H. Renk, M. Esslinger, M

Effect of concentration of local anaesthetic solution on the ED50 of bupivacaine for supraclavicular brachial plexus block† P.K. Gupta, P.M. Hopkins

P Marhofer, S.C. Kettner, L Hajbok, P Dubsky, E Fleischmann

Demoule A. , Lefort Y. , Lopes M.-E. , Lemaire F.

Presentation transcript:

Epidural catheter placement in children: comparing a novel approach using ultrasound guidance and a standard loss-of-resistance technique Willschke H , Marhofer P , Bösenberg A , Johnston S , Wanzel O , Sitzwohl C , Kettner S , Kapral S British Journal of Anaesthesia Volume 97, Issue 2, Pages 200-207 (August 2006) DOI: 10.1093/bja/ael121 Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

Fig 1 Epidural insertion was performed using a midline approach and a paramedian longitudinal position of the ultrasound probe. British Journal of Anaesthesia 2006 97, 200-207DOI: (10.1093/bja/ael121) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

Fig 2 Measuring points for skin–epidural distance and diameter of epidural space in a longitudinal transversal paramedian ultrasonographic view. The lower grey arrow indicates the dura. British Journal of Anaesthesia 2006 97, 200-207DOI: (10.1093/bja/ael121) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

Fig 3 Longitudinal transversal ultrasonographic view of neuraxial anatomy in a child weighing 4 kg. The epidural space is wider cranially (left) than caudally (right), because of the expansive force of local anaesthetic infused through the epidural catheter. British Journal of Anaesthesia 2006 97, 200-207DOI: (10.1093/bja/ael121) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

Fig 4 Correlation between body weight (kg) and depth of epidural space as measured with a linear 5–10 MHz hockey-stick probe from a paramedian longitudinal view in children under 6 months (Pearson correlation coefficient: 0.9). British Journal of Anaesthesia 2006 97, 200-207DOI: (10.1093/bja/ael121) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions