Evidence-based medicine

ultrasound guidance for truncal blocks.

Matthew S. Abrahams, Jean Louis Horn, L. Michele Noles, Michael Aziz

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

We performed a systematic search of the medical literature and reviewed the evidence examining success rates and incidence of complications of ultrasound (US) guidance relative to traditional techniques for the following blocks: paravertebral, intercostal, transversus abdominis plane, rectus sheath, and ilioinguinal/iliohypogastric. We included studies of sufficient methodologic quality for review and excluded poor-quality studies. We then rated the strength of evidence for US guidance for each block using a system developed by the United States Agency for Health Care Policy and Research. Although relatively few studies have compared US guidance with established techniques, the available evidence suggests that the use of US guidance is a safe and effective means to facilitate correct needle placement and adequate spread of local anesthetic for truncal blocks. Further studies are needed to directly compare US guidance to traditional techniques and to clarify potential benefits and limitations of US guidance for truncal blocks.

Original languageEnglish (US)
JournalRegional Anesthesia and Pain Medicine
Volume35
Issue number2 Suppl
StatePublished - Mar 2010
Externally publishedYes

Fingerprint

United States Agency for Healthcare Research and Quality
Abdominal Muscles
Evidence-Based Medicine
Local Anesthetics
Needles
Incidence

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Evidence-based medicine : ultrasound guidance for truncal blocks. / Abrahams, Matthew S.; Horn, Jean Louis; Noles, L. Michele; Aziz, Michael.

In: Regional Anesthesia and Pain Medicine, Vol. 35, No. 2 Suppl, 03.2010.

Research output: Contribution to journalArticle

Abrahams, Matthew S. ; Horn, Jean Louis ; Noles, L. Michele ; Aziz, Michael. / Evidence-based medicine : ultrasound guidance for truncal blocks. In: Regional Anesthesia and Pain Medicine. 2010 ; Vol. 35, No. 2 Suppl.
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