Sonoanatomy of the vasculature at the supraclavicular and interscalene regions relevant for brachial plexus block.

Abstract:

BACKGROUND:Our aim in this observational study was to utilize ultrasound, as well as anatomic dissection, to document the frequency with which branches of the subclavian vessels are found in close association with the brachial plexus at the locations of supraclavicular and interscalene brachial plexus block. METHODS:Ultrasound was utilized to document the presence of branches of the subclavian vein and artery, adjacent to the brachial plexus in the supraclavicular and in the interscalene region in 50 patients undergoing shoulder surgery. The position, depth, and dimensions of the vessels were described, and the origin determined when possible. In addition, the posterior triangle of the neck on both sides of three non-preserved cadavers was dissected to evaluate the vascular anatomy and correlate the ultrasound findings. RESULTS:Ultrasound scanning revealed an arterial branch adjacent to, or passing directly through, the brachial plexus in the supraclavicular region in 43/50 (86%) patients. Within the interscalene region, an artery was identified coursing in a lateral direction in 45/50 (90%) of cases, while a corresponding small vein, coursing medial to lateral in this area, was noted in 23/50 (46%) of cases. CONCLUSIONS:Small branch vessels from the subclavian artery and vein were frequently evident, on ultrasound imaging, in close association with the nerve elements of the brachial plexus in the supraclavicular and interscalene regions. Appreciation of the presence of these vessels and their likely origin and course will aid the anesthesiologist in planning a safe nerve block.

authors

Muhly WT,Orebaugh SL

doi

10.1111/j.1399-6576.2011.02528.x

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1247-53

issue

10

eissn

0001-5172

issn

1399-6576

journal_volume

55

pub_type

杂志文章
  • Shock treatment in a cohort of Scandinavian intensive care units in 2014.

    abstract:BACKGROUND:Shock is common in intensive care units, and treatment includes fluids, vasopressor and/or inotropic drugs, guided by hemodynamic monitoring. The aim of this study was to identify current practice for treatment of shock in Scandinavian intensive care units. METHODS:Seven-day inception cohort study in 43 int...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 评论,杂志文章

    doi:10.1111/aas.12745

    authors: Kollind M,Wickbom F,Wilkman E,Snäckestrand MS,Holmén A,Oldner A,Perner A,Åneman A,Chew MS,Scandinavian Critical Care Trials Group.

    更新日期:2016-08-01 00:00:00

  • Extremely prolonged neuromuscular blockade after rocuronium: a case report.

    abstract::It is known that the duration of rocuronium action can be prolonged in elderly patients and that such action shows important interindividual variability. We report a case of prolonged neuromuscular block lasting 11 h, in a woman subjected to kidney transplantation. The possible causes of such prolonged action, inheren...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2009.01977.x

    authors: Morales Martín AC,Vaquero Roncero LM,Muriel Villoria C

    更新日期:2009-08-01 00:00:00

  • CT-proAVP (copeptin), MR-proANP and Peroxiredoxin 4 after cardiac arrest: release profiles and correlation to outcome.

    abstract:BACKGROUND:Further characterization of the post-cardiac arrest syndrome (PCAS) is essential to better understand the mechanisms resulting in injury and death. We investigated serial serum concentrations of the stress hormone c-terminal provasopressin (CT-proAVP or copeptin), the cardiac biomarker MR-proANP and a biomar...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12282

    authors: Annborn M,Dankiewicz J,Nielsen N,Rundgren M,Smith JG,Hertel S,Struck J,Friberg H

    更新日期:2014-04-01 00:00:00

  • Bystander first aid in trauma - prevalence and quality: a prospective observational study.

    abstract:BACKGROUND:Bystander first aid and basic life support can likely improve victim survival in trauma. In contrast to bystander first aid and out-of-hospital cardiac arrest, little is known about the role of bystanders in trauma response. Our aim was to determine how frequently first aid is given to trauma victims by byst...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12561

    authors: Bakke HK,Steinvik T,Eidissen SI,Gilbert M,Wisborg T

    更新日期:2015-10-01 00:00:00

  • Keeping the spirit high: why trauma team training is (sometimes) implemented.

    abstract:BACKGROUND:Systematic and multiprofessional trauma team training using simulation was introduced in Norway in 1997. The concept was developed out of necessity in two district general hospitals and one university hospital but gradually spread to 45 of Norway's 50 acute-care hospitals over the next decade. Implementation...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1399-6576.2007.01539.x

    authors: Wisborg T,Brattebø G

    更新日期:2008-03-01 00:00:00

  • Cardiovascular effects of desflurane and isoflurane in patients with coronary artery disease.

    abstract:BACKGROUND:Anaesthesia in patients with ischaemic heart disease may cause adverse haemodynamic reactions. This investigation compares the cardiovascular effects of equipotent concentrations of desflurane and isoflurane in 30 patients (ASA III) with coronary artery disease before surgical stimulation. METHODS:After sta...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1996.tb05571.x

    authors: Grundmann U,Müller M,Kleinschmidt S,Larsen B,Larsen R

    更新日期:1996-10-01 00:00:00

  • Recovery and outcome after propofol and isoflurane anesthesia in patients undergoing laparoscopic hysterectomy.

    abstract:BACKGROUND:Laparoscopic hysterectomy (LH) is expected to provide fast and comfortable recovery, plus an early return to normal daily activities. This study was carried out to compare the outcome after LH in patients anesthetized with isoflurane or propofol. METHODS:Sixty-two patients undergoing LH were randomized to r...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1997.tb04699.x

    authors: Nelskylä K,Eriksson H,Soikkeli A,Korttila K

    更新日期:1997-03-01 00:00:00

  • Intraoperative methadone for postoperative pain after laparoscopic hysterectomy: Protocol for a randomised, double-blind trial.

    abstract:BACKGROUND:Hysterectomy is often carried out as same-day surgery. Treatment of postoperative pain is, therefore, of utmost importance to ensure timely discharge from hospital. Methadone has several desirable pharmacological features, including a long elimination half-life. Theoretically, a single intraoperative dose co...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.13433

    authors: Friesgaard KD,Brix LD,Kristensen CB,Rian O,Nikolajsen L

    更新日期:2019-10-01 00:00:00

  • Patient-controlled versus nurse-controlled pain treatment after coronary artery bypass surgery.

    abstract:BACKGROUND:Pain after coronary artery bypass surgery persists for several days. A continuous intravenous infusion of an opioid adequately accomplishes good pain control in the intensive care unit, but it is often not suitable on the ordinary ward. Patient-controlled analgesia (PCA) with intermittent injections delivere...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2000.440108.x

    authors: Pettersson PH,Lindskog EA,Owall A

    更新日期:2000-01-01 00:00:00

  • Effect of different general anaesthetics on ventricular repolarisation in robot-assisted laparoscopic prostatectomy.

    abstract:BACKGROUND:Ventricular repolarisation is affected differently by the types of anaesthetics used. This study aimed to compare the effect of different types of anaesthetics on ventricular repolarisation during robot-assisted laparoscopic radical prostatectomy (RALP). METHODS:Sixty-nine patients were randomly assigned in...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13653

    authors: Park JH,Lee KY,Choi YD,Lee J,Shin HJ,Han DW,Baek J,Kim SY

    更新日期:2020-10-01 00:00:00

  • Tracheal intubation in patients with anticipated difficult airway using Boedeker intubation forceps and McGrath videolaryngoscope.

    abstract:BACKGROUND:Videolaryngoscopes with sharp angulated blades improve the view of the vocal cords but this does not necessarily result in higher success rates of intubation The aim of this study was to evaluate the efficacy of using Boedeker intubation forceps in conjunction with McGrath Series 5 Videolaryngoscope (MVL) in...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12543

    authors: Strøm C,Barnung S,Kristensen MS,Bøttger M,Tvede MF,Rasmussen LS

    更新日期:2015-10-01 00:00:00

  • Tracheal intubation through the intubating laryngeal mask in patients with unstable necks.

    abstract:BACKGROUND:In patients with unstable necks, the neck should be stabilized during induction of anaesthesia, but this may make tracheal intubation difficult. Awake intubation may produce straining, which could be detrimental to the unstable neck. METHODS:We studied 20 patients with unstable necks to examine the efficacy...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2001.045007818.x

    authors: Asai T,Shingu K

    更新日期:2001-08-01 00:00:00

  • Heat and moisture exchangers and the body temperature: a peroperative study.

    abstract::The importance of conditioning the inhaled gas for maintaining the body temperature during artificial respiration was investigated. The mean body temperature (MBT) was deduced from readings from five measuring sites, four of which were situated at the skin and the fifth in the rectum. Temperature recordings were made ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1990.tb03141.x

    authors: Eckerbom B,Lindholm CE

    更新日期:1990-10-01 00:00:00

  • Effect of dexmedetomidine on the characteristics of bupivacaine in a caudal block in pediatrics.

    abstract:BACKGROUND:Dexmedetomidine (DEX) is a highly selective alpha(2)-adrenoceptor agonist that has been used increasingly in children. However, the effect of caudal DEX has not been evaluated before in children. This prospective randomized double-blinded study was designed to evaluate the analgesic efficacy of caudal DEX wi...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2008.01818.x

    authors: Saadawy I,Boker A,Elshahawy MA,Almazrooa A,Melibary S,Abdellatif AA,Afifi W

    更新日期:2009-02-01 00:00:00

  • The influence of intramuscularly administered pethidine on the amnesic effects of intravenous diazepam during intravenous regional anaesthesia.

    abstract::Patients undergoing surgery under regional anaesthesia often receive narcotic analgesics for premedication which may modify the sedative and amnesic effects of intravenously administered diazepam. Sixty-two patients scheduled for upper extremity surgery under intravenous regional anaesthesia received 0.15 mg/kg of dia...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01660.x

    authors: Korttila K,Tarkkanen L,Aittomäki J,Hyöty P,Auvinen J

    更新日期:1981-08-01 00:00:00

  • Nitrous oxide activates the supraspinal pain inhibition system.

    abstract::The effects th groups the changes in CO and SV were due mainly to a reduced demand of oxygen transport and expected changes in sympatho-adrenergic tone rather than to myocardial depression. ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01697.x

    authors: Komatsu T,Shingu K,Tomemori N,Urabe N,Mori K

    更新日期:1981-12-01 00:00:00

  • Chest physiotherapy with positive expiratory pressure breathing after abdominal and thoracic surgery: a systematic review.

    abstract::A variety of chest physiotherapy techniques are used following abdominal and thoracic surgery to prevent or reduce post-operative complications. Breathing techniques with a positive expiratory pressure (PEP) are used to increase airway pressure and improve pulmonary function. No systematic review of the effects of PEP...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-6576.2009.02143.x

    authors: Orman J,Westerdahl E

    更新日期:2010-03-01 00:00:00

  • Impact of upper respiratory tract infections on perioperative outcomes of children undergoing therapeutic cardiac catheterisation.

    abstract:BACKGROUND:Recent upper respiratory tract infection (URI) is associated with increased incidence of perioperative complications in children undergoing open heart surgery. As a result, surgery is often postponed. However, the effect of recent URI on the incidence of perioperative complications in children undergoing the...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13113

    authors: Zhang S,Ding S,Cai M,Bai J,Zhang M,Huang Y,Zheng J

    更新日期:2018-08-01 00:00:00

  • Bupivacaine does not suppress cardiac sympathetic nerve activity during halothane anesthesia in the cat.

    abstract:BACKGROUND:The finding that i.v. lidocaine suppresses cardiac sympathetic nerve activity during 1 MAC halothane, but not during 2 MAC or 3 MAC halothane, suggests that the neurally mediated circulatory effects of i.v. local anesthetics may vary with background autonomic activity. This study aimed to compare the effects...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04749.x

    authors: Nishikawa K,Terai T,Morimoto O,Yukioka H,Asada A

    更新日期:1997-05-01 00:00:00

  • Transversus abdominis plane block or subcutaneous wound infiltration after open radical prostatectomy: a randomized study.

    abstract:BACKGROUND:Open radical retropubic prostatectomy (ORRP) is associated with moderate pain. We hypothesized that a transversus abdominis plane (TAP) block would reduce post-operative pain, morphine consumption and opioid-related side effects compared with wound infiltration and placebo in this population. METHODS:This w...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.12080

    authors: Skjelsager A,Ruhnau B,Kistorp TK,Kridina I,Hvarness H,Mathiesen O,Dahl JB

    更新日期:2013-04-01 00:00:00

  • Mechanism of the ropivacaine-induced increase in intracellular Ca2+ concentration in rat aortic smooth muscle.

    abstract:BACKGROUND:Ropivacaine is a long-acting local anesthetic with low cardiac toxicity that induces vasoconstriction in vitro and in vivo. Vascular smooth muscle tone is regulated by changes in both intracellular Ca(2+) concentration ([Ca(2+)](i)) and myofilament Ca(2+) sensitivity. Therefore, the aim of this study was to ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01390.x

    authors: Tokinaga Y,Ogawa K,Yu J,Kuriyama T,Minonishi T,Hatano Y

    更新日期:2007-10-01 00:00:00

  • Recovery from sufentanil anaesthesia for outpatient arthroscopy: a comparison with isoflurane.

    abstract::This study compares the recovery from sufentanil and isoflurane anaesthesia in patients undergoing outpatient arthroscopy of the knee under general anaesthesia. In 40 unpremedicated patients, divided at random into two groups, anaesthesia was induced with methohexitone and vecuronium bromide and, after intubation, mai...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1987.tb02539.x

    authors: Zuurmond WW,van Leeuwen L

    更新日期:1987-02-01 00:00:00

  • Neutrophil mobility during anaesthesia in children. A trial of ascorbate premedication.

    abstract::In 20 healthy children undergoing elective surgery, mobility of neutrophils, both unstimulated and stimulated by endotoxin, was studied using a millipore filter system with microscopic determination of leading front migration. Paired samples were incubated with 10(-2) mol l-1 calcium ascorbate and ten children also re...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1987.tb02580.x

    authors: Charlton AJ,Harvey BA,Hatch DJ,Soothill JF

    更新日期:1987-05-01 00:00:00

  • Changes in rapidly extracted auditory evoked potentials during tracheal intubation.

    abstract:BACKGROUND:One of the problems encountered in assessment of the hypnotic level during anesthesia is the extraction of a consistent and reliable measure online and close to real time. Hemodynamic parameters such as heart rate and blood pressure are not, at least with the traditional single parameter versus time presenta...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2000.440614.x

    authors: Urhonen E,Jensen EW,Lund J

    更新日期:2000-07-01 00:00:00

  • Induction of mild hypothermia in cardiac arrest survivors presenting with cardiogenic shock syndrome.

    abstract:BACKGROUND:Induction of mild hypothermia (MH) in patients resuscitated from cardiac arrest improves their outcome. However, benefits and risks of MH in patients who remain in cardiogenic shock after the return of spontaneous circulation (ROSC) are unclear. We analysed all cardiac arrest survivors who were treated with ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01510.x

    authors: Skulec R,Kovarnik T,Dostalova G,Kolar J,Linhart A

    更新日期:2008-02-01 00:00:00

  • Adductor canal blocks: changing practice patterns and associated quality profile.

    abstract:BACKGROUND:Femoral nerve blocks have been the gold standard approach for post-operative analgesia following total knee arthroplasty; however, the adductor canal block has recently gained popularity due to less block-induced motor weakness. The primary aim of this time-series analysis was to identify whether regional an...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12845

    authors: Masaracchia MM,Herrick MD,Barrington MJ,Hartmann PR,Sites BD

    更新日期:2017-02-01 00:00:00

  • The addition of fentanyl to 1.5 mg/ml ropivacaine has no advantage for paediatric epidural analgesia.

    abstract:BACKGROUND:Epidural opioids are frequently combined with local anaesthetics for an additive antinociceptive effect. We investigated the efficacy of epidural fentanyl to 1.25 or 1.5 mg/ml ropivacaine for post-operative epidural analgesia in children. METHODS:One hundred and eight children undergoing hypospadias repair ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2009.02046.x

    authors: Cho JE,Kim JY,Hong JY,Kil HK

    更新日期:2009-09-01 00:00:00

  • Anaesthetic-induced cardioprotection in an experimental model of the Takotsubo syndrome - isoflurane vs. propofol.

    abstract:BACKGROUND:Takotsubo syndrome (TS) is an acute cardiac condition with a substantial mortality for which no specific treatment is available. We have previously shown that isoflurane attenuates the development of left ventricular (LV) dysfunction in an experimental TS-model. We compared the effects of equi-anaesthetic do...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12857

    authors: Oras J,Redfors B,Ali A,Lundgren J,Sihlbom C,Thorsell A,Seeman-Lodding H,Omerovic E,Ricksten SE

    更新日期:2017-03-01 00:00:00

  • Eye symptoms, visual evoked potentials and EEG during intravenous infusion of glycine.

    abstract::Disturbance of vision is a complication that may occur from absorption of the glycine solution used to irrigate the bladder during transurethral operations. We examined for a possible dose-response relationship between glycine dose, eye symptoms and neurophysiological changes after repeated intermittent intravenous in...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1995.tb04046.x

    authors: Hahn RG,Andersson T,Sikk M

    更新日期:1995-02-01 00:00:00

  • Pharmacology of G-1-64, a new nondepolarizing neuromuscular blocking agent with rapid onset and short duration of action.

    abstract:BACKGROUND:Chances are slim that a clinically useful ultra-short-acting neuromuscular blocking agent of rapid onset will emerge from the benzylisoquinolinium or the aminosteroid series to which all currently popular relaxants belong. G-1-64 is a promising prototype of a new series of bis-quaternary ammonium salt of bis...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.1999.430610.x

    authors: Gyermek L,Lee C,Nguyen N

    更新日期:1999-07-01 00:00:00