التفاصيل البيبلوغرافية
| العنوان: |
Revisiting the Genicular Nerve Block: An Up-to-Date Guide Utilizing Ultrasound Guidance and Peripheral Nerve Stimulation - Anatomy Description and Technique Standardization |
| المؤلفون: |
Ferreira-dos-Santos, G, Hurdle, MF, Gupta, S, Tran, J, Agur, A, Clendenen, S |
| سنة النشر: |
2021 |
| المجموعة: |
Repositório do Centro Hospitalar de Lisboa Central EPE |
| مصطلحات موضوعية: |
CHLC MFR, Knee / diagnostic imaging, Humans, Knee / surgery, Knee Joint / diagnostic imaging, Knee Joint / innervation, Knee Joint / surgery, Nerve Block / methods, Peripheral Nerves / diagnostic imaging, Transcutaneous Electric Nerve Stimulation, Ultrasonography, Interventional / methods |
| الوصف: |
Background: Over the last decade, several authors have reported that percutaneous peripheral nerve stimulation (PNS) can be used to assist in verifying the position of the procedure needle tip in relation to nerve structures, and that the combined technique using both ultrasound (US) guidance and PNS may serve as a reliable method for confirmation of the correct position of the procedure needle tip. It has also been reported that, when combined with US guidance, PNS may increase the success rate of pain management interventions. Objectives: The aim of this technical report was to standardize an effective and easy to learn illustrated step-by-step technical approach to nerve identification during US-guided genicular nerve blocks, using percutaneous PNS as a verification instrument for procedure needle tip location. Study design: This technical protocol was developed based on the results of the authors' most recent cadaveric study on the innervation of the knee joint capsule. The technique was developed and tested by 4 different interventionists with different levels of expertise in US-guided procedures. Setting: The cadaveric study of the knee joint capsule innervation was performed at the laboratory of the Division of Anatomy of one institution. The technical protocol using US and PNS was later developed at the medical simulation center of a different institution. Methods: A team of anatomists from a division of anatomy of one institution performed the cadaveric study on the innervation of the knee joint capsule. A team of physicians then developed the step-by-step approach to this technical protocol at the medical simulation center of a different institution. Finally, the illustrated step-by-step approach was tested by 4 different interventionists with different levels of expertise in US-guided procedures (1 beginner-level user; 1 intermediate-level user; 2 expert-level users), using a portable percutaneous PNS and 2 different US transducers at 2 different institutions. Results: This technical protocol was ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| العلاقة: |
Pain Physician. 2021 Mar;24(2):E177-E183.; http://hdl.handle.net/10400.17/4027Test |
| الإتاحة: |
http://hdl.handle.net/10400.17/4027Test |
| حقوق: |
openAccess |
| رقم الانضمام: |
edsbas.7B8D907F |
| قاعدة البيانات: |
BASE |
