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回声技术在超声引导下连续外周神经阻滞所用导管中的应用。

Application of echogenic technology for catheters used in ultrasound-guided continuous peripheral nerve blocks.

作者信息

Mariano Edward R, Yun Romy Dju Hiee, Kim T Edward, Carvalho Brendan

机构信息

MAS, Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, 3801 Miranda Ave, 112A, Palo Alto, CA 94304 USA.

出版信息

J Ultrasound Med. 2014 May;33(5):905-11. doi: 10.7863/ultra.33.5.905.

DOI:10.7863/ultra.33.5.905
PMID:24764346
Abstract

Limited data exist regarding the echogenicity of perineural catheters, but visualization is crucial to ensure accurate placement and efficacy of the subsequent local anesthetic infusion. The objective of this study was to determine the comparative echogenicity of various regional anesthesia catheters. In an in vitro porcine-bovine model, we compared the echogenic qualities of 3 commercially available regional anesthesia catheters and 1 catheter under development to optimize echogenicity. Outcomes included visual echogenicity ranking, image quality, and scanning time, as assessed by 2 blinded investigators. The experimental catheter was found to be more echogenic than 2 of the 3 comparators.

摘要

关于神经周围导管的回声性,现有数据有限,但可视化对于确保后续局部麻醉剂输注的准确放置和效果至关重要。本研究的目的是确定各种区域麻醉导管的相对回声性。在体外猪-牛模型中,我们比较了3种市售区域麻醉导管和1种正在研发以优化回声性的导管的回声特性。由2名盲法研究者评估的结果包括视觉回声性排名、图像质量和扫描时间。发现实验导管的回声性高于3种对照导管中的2种。

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J Ultrasound Med. 2014 May;33(5):905-11. doi: 10.7863/ultra.33.5.905.
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J Anesth. 2017 Jun;31(3):463-466. doi: 10.1007/s00540-017-2361-z. Epub 2017 Apr 28.
2
Simulation in teaching regional anesthesia: current perspectives.区域麻醉教学中的模拟:当前观点
Local Reg Anesth. 2015 Aug 11;8:33-43. doi: 10.2147/LRA.S68223. eCollection 2015.
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Comparison of catheter tip migration using flexible and stimulating catheters inserted into the adductor canal in a cadaver model.在尸体模型中,比较使用插入内收肌管的柔性导管和刺激导管时导管尖端的移位情况。
J Anesth. 2015 Jun;29(3):471-474. doi: 10.1007/s00540-014-1957-9. Epub 2014 Dec 16.