Anaes SAQs · Ultrasound-guided peripheral nerve blocks
Ultrasound vs nerve stimulator guidance for PNB
The US-vs-stimulator SAQ — real-time visualisation, failure RR 0.41, faster onset, less vascular puncture; nerve-injury and LAST reduction unproven. Abrahams meta-analysis plus paediatric Cochrane evidence.
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ANZCAFRCAABAEDAIC
Prompt
Discuss the advantages of ultrasound guidance over nerve stimulation for peripheral nerve blocks, and the evidence that supports its use as the standard of care.
Question
Discuss the advantages of ultrasound guidance over nerve stimulation for peripheral nerve blocks, and the evidence that supports its use as the standard of care.[1]
References2ShowHide
- [1]Abrahams MS, Aziz MF, et al. Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block: a systematic review and meta-analysis of randomized controlled trials. Br J Anaesth, 2009.PMID 19174373
- [2]Guay J, Suresh S, et al. The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children. Cochrane Database Syst Rev, 2016.PMID 26895372