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Category: Regional Anaesthesia

Posted in: ATOTW > Regional Anaesthesia 2017 Language: french

L'échographie est l’outil préféré de l'anesthésiologiste, mais est rarement utilisé pour l'anesthésie médullaire. Ce didacticiel vise à éclairer le lecteur; montre les preuves de l'échographie médullaire, et le guide dans le processus de réalisation de blocs médullaires échoguidés, afin qu'il puisse envisager l'intégrer dans leur propre pratique.

Posted in: ATOTW > Regional Anaesthesia 2017 Language: portuguese

O ultrassom está sendo integrado à rotina prática de vários procedimentos invasivos (por exemplo acesso vascular e bloqueios regionais/nervos), com seus principais benefícios propostos sendo: aumento da taxa de sucesso e redução da taxa de complicações. A medida que ficamos mais confortáveis e experts com o ultrassom, podemos ampliar suas aplicações e benefícios para outros procedimentos que também eram baseados em referencias anatômicas.

This tutorial discusses the feasibility of neuraxial anesthesia in a parturient with scoliosis or previous spinal surgery with emphasis on the challenges, practical tips as well as alternative approaches to labor analgesia.

Posted in: ATOTW > Regional Anaesthesia 2017 Language: english

Ultrasound is a favourite tool of the anaesthetist, but is seldom used in neuraxial anaesthesia. This tutorial aims to enlighten the reader; show the evidence behind neuraxial ultrasound, and guide them through the process of performing ultrasound guided neuraxial blocks, so they may consider integrating it into their own practice.

Posted in: ATOTW > Regional Anaesthesia 2017 Language: english

PECS blocks are regional fascial blocks that block the pectoral and intercostal nerves and provides analgesia for breast surgery and other procedures involving the thoracic wall. This tutorial covers the anatomy, technique and tips for performing PECS blocks.

Posted in: ATOTW > Regional Anaesthesia 2016 Language: spanish

Este artículo se enfocará en el abordaje axilar del plexo braquial guiado por ultrasonido que tiene como objetivo bloquear los siguientes cuatro nervios: musculocutáneo, radial, cubital y mediano. Es un bloqueo comúnmente usado para cirugía de la mano y el antebrazo ya que su riesgo es relativamente bajo en comparación con otros bloqueos del plexo braquial. La arteria axilar se utiliza como un punto de referencia ya que está estrechamente relacionada con estos nervios.

Posted in: ATOTW > Regional Anaesthesia 2016 Language: chinese

本文将将重点研究超声引导下腋路臂丛神经阻滞,其主要阻滞以下四个神经:肌皮神经、桡神经、尺神经和正中神经。腋路臂丛神经阻滞因风险较其他阻滞路径小而广泛用于上肢手术。腋动脉位于臂丛神经旁,是臂丛阻滞的主要标志。

Posted in: ATOTW > Regional Anaesthesia 2016 Language: english

This tutorial describes the anatomy, principles and a safe technique for performing an axillary brachial plexus nerve block under ultrasound guidance. This nerve block is in an invaluable regional anaesthesia technique for upper limb surgery.

Posted in: ATOTW > Regional Anaesthesia 2014 Language: portuguese

O bloqueio do neuroeixo é uma alternativa e as vezes a primeira escolha para muitos procedimentos cirúrgicos de membros inferiores, períneo e abdome. Tem como principal vantagem a manutenção da ventilação espontânea do paciente, a consciência e a patência das vias aéreas.

Posted in: ATOTW > Regional Anaesthesia 2014 Language: chinese

超声引导下收肌管阻滞(隐神经阻滞) 每周麻醉教程辅导 301 2014年01月13日 丹尼尔·昆比医生,麻醉培训专员 安德鲁·麦克尤恩医生,麻醉顾问 英国托贝医院 引言 作为一个纯感觉神经,隐神经支配小腿和足的内侧;尽管支配情况在不同病人中有很大的变异性。收肌管阻滞包括向收肌管内深至缝匠肌注射局麻药,这项阻滞方法技术上操作简单,而且对于隐神经的阻滞效果可靠。这可能对于膝、足、踝手术术后镇痛是非常有用的(通常联合腘窝阻滞)。同时它还可以导致髌下神经阻滞,而这一点可能对膝关节镜或者前交叉韧带修复术后镇痛起到一定作用。 最终,大量的局麻药可以达到收肌管近端导致整个膝前区的感觉阻滞,而对运动功能没有很大的影响。尽管关于这一点最近的研究证据中令人鼓舞的结果是有限的,但是这对膝关节大手术(例如全膝关节置换)仍然具有重要意义。

Posted in: ATOTW > Regional Anaesthesia 2014 Language: english

ULTRASOUND GUIDED ADDUCTOR CANAL BLOCK (SAPHENOUS NERVE BLOCK) ANAESTHESIA TUTORIAL OF THE WEEK 301 13TH JANUARY 2014 Dr Daniel Quemby, Specialist Trainee Anaesthesia Dr Andrew McEwen, Consultant Anaesthetist

Posted in: ATOTW > Regional Anaesthesia 2013 Language: english

ULTRASOUND GUIDED FEMORAL NERVE BLOCK ANAESTHESIA TUTORIAL OF THE WEEK 284 15TH APRIL 2013 Dr Suresh Kumar Jeyaraj, Specialty Doctor Dr Tim Pepall, Consultant Anaesthetist Frimley Park Hospital NHS foundation trust

Posted in: ATOTW > Regional Anaesthesia 2012 Language: spanish

Bloqueo de Muñeca – Técnica de Landmark ANESTESIA Tutorial de la semana 275, 19 de Noviembre de 2012 Dr A. Girolami, Sheffield Teaching Hospitals, Sheffield, UK, Dr K. Russon, Rotherham District General Hospital, Rotherham,UK, Mr. A. Kocheta, Rotherham District General Hospital, Rotherham, UK Un bloqueo de muñeca es una técnica de bloqueo de ramas terminales de algunos, o todos los nervios (seis nervios,) que inervan la muñeca, la mano y los dedos. La combinación de nervios que se necesite bloquear depende de la localización exacta de la cirugía. Este bloqueo se puede utilizar para proporcionar anestesia regional para un paciente sometido a una cirugía despierto, o como una técnica analgésica para ser utilizada en combinación con la anestesia general, o utilizando un bloqueo del plexo braquial (BPB) con anestésico local de acción rápida (el bloqueo de muñeca proporcionará un alivio prolongado del dolor una vez que el BPB ha desaparecido). Esto es fácil de realizar, con puntos de referencia fácilmente identificables, pero, sin embargo sigue siendo un arma infrautilizada por los anestesistas.

Posted in: ATOTW > Regional Anaesthesia 2012 Language: english

WRIST BLOCK – LANDMARK TECHNIQUE ANAESTHESIA TUTORIAL OF THE WEEK 275 19th NOVEMBER 2012 Dr A. Girolami, Sheffield Teaching Hospitals, Sheffield, UK Dr K. Russon, Rotherham District General Hospital, Rotherham, UK Mr A. Kocheta, Rotherham District General Hospital, Rotherham, UK

Posted in: ATOTW > Regional Anaesthesia 2012 Language: english

LUMBAR PLEXUS BLOCK – LANDMARK TECHNIQUE (PSOAS COMPARTMENT BLOCK) ANAESTHESIA TUTORIAL OF THE WEEK 263 18TH JUNE 2012 Katie Patton1 and Paul Warman 1. Torbay Hospital, Torquay 2. Leeds General Infirmary, Lee

Posted in: ATOTW > Regional Anaesthesia 2012 Language: english

FEMORAL NERVE BLOCK: LANDMARK APPROACH ANAESTHESIA TUTORIAL OF THE WEEK 249 6TH FEBRUARY 2012 Dr Andrew McEwen, Specialist Registrar Anaesthesia Torbay Hospital, Torquay

Posted in: ATOTW > Regional Anaesthesia & Basic Sciences 2012 Language: english

STELLATE GANGLION BLOCK ANAESTHESIA TUTORIAL OF THE WEEK 256 26TH MARCH 2012 Dr Vishal Thanawala, Specialist registrar, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom. Dr Jatin Dedhia, Consultant in Anaesthesia and Pain medicine, United Lincolnshire Hospitals NHS Trust, Lincoln, United Kingdom.

Posted in: ATOTW > Regional Anaesthesia 2011 Language: english

TRANSVERSUS ABDOMINIS PLANE BLOCK ANAESTHESIA TUTORIAL OF THE WEEK 239 5TH SEPTEMEBER 2011 Dr Paul Townsley, Fellow in Regional Anaesthesia Dr James French, Consultant Anaesthetist Nottingham University Hospitals NHS Trust.

Posted in: ATOTW > Regional Anaesthesia 2011 Language: english

ULTRASOUND-GUIDED LOCAL ANAESTHETIC BLOCKS OF THE FOREARM ANAESTHESIA TUTORIAL OF THE WEEK 208 10 TH JANUARY 2011 Dr Andrew Brennan, Dr Martin Jones, Dr Joanna Gordon Bradford Teaching Hospitals NHS Trust, Bradford, UK.

Posted in: ATOTW > Regional Anaesthesia 2011 Language: english

THORACIC PARAVERTEBRAL BLOCK: LANDMARK TECHNIQUES ANAESTHESIA TUTORIAL OF THE WEEK 224 23RD MAY 2011 Dr Mark Dodd and Dr John Hunsley Northern General Hospital, Sheffield, UK