Ultrasound for neuraxial blockade

作者：Srinivasan Karthikeyan Kallidaikurichi^*; Lee Peter John; Iohom Gabriella

来源：Medical Ultrasonography, 2014, 16(4): 356-363.

• neuraxial blockade
• spinal
• epidural
• ultrasound
• pre-procedure scanning

Neuraxial blockade is still largely performed as a blind procedure. Despite of developments in the type of needles used and drugs administered, the process of locating the epidural or intra-thecal space is still limited to identification of landmarks by palpation and reliance on tactile feedback of the operator. Ultrasound has provided the long needed %26quot;eye%26quot; to the procedure and has already shown promise of improving the safety and efficacy or neuraxial blocks. This review focuses on understanding the sonoanatomy of the neuraxial space, performing a systematic pre-procedural ultrasound scan, and reviewing the available evidence.

• 出版日期2014-12