Real-time three-dimensional ultrasound for continuous interscalene brachial plexus blockade.
Two-dimensional ultrasound guidance is used commonly for regional anesthetic techniques. This report describes the novel use of three-dimensional, ultrasound-guided, continuous interscalene regional analgesia, which was used in a 36-year-old woman undergoing left total elbow arthroplasty. Possible advantages of this novel technology over current two-dimensional methods include a larger area of available scan information that enables multiple planes of view without having to reposition the ultrasound probe, and three-dimensional visualization of local anesthetic deposition perineurally. Current technological limitations include an upper frequency of 7 MHz, which decreases the resolution of superficial scanning.
Clendenen
Steven R
SR
Department of Anesthesiology, Mayo Clinic College of Medicine, 4500 San Pablo Road S, Jacksonville, FL 32224, USA.
Riutort
Kevin T
KT
Feinglass
Neil G
NG
Greengrass
Roy A
RA
Brull
Sorin J
SJ
D000328:Adult; D000779:Anesthetics, Local; D001178:Arthroplasty; D001917:Brachial Plexus / Q000000981:diagnostic imaging*; D004550:Elbow / Q000601:surgery; D005260:Female; D006556:Heroin Dependence / Q000150:complications; D006801:Humans; D021621:Imaging, Three-Dimensional; D009407:Nerve Block; D019637:Orthopedic Procedures; D010149:Postoperative Pain / Q000188:drug therapy*; D014463:Ultrasonography
D000779:Anesthetics, Local
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