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Titre : | Use of Ultrasound in Needle Placement in Intercostal Muscles: A Method for Increased Accuracy in Cadavers (2013) |
Auteurs : | Michele Retrouvey ; Tony Chiodo ; Anton Quidley-Nevares ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/7, 2013) |
Article en page(s) : | pp. 1256-1259 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anesthésie ; Rééducation et réadaptation |
Mots-clés: | Anesthesia ; Cadaver ; Cadavre ; Intercostal nerves ; Nerfs intercostaux ; Nerve block ; Bloc nerveux ; Ultrasonography ; Interventional ; Échographie interventionnelle |
Résumé : |
Objective To validate the use of ultrasound technology for the positioning and leveling of intercostal needle placement. Design Double-blinded experimental study. Setting An anatomy laboratory. Participants Two board-certified physical medicine and rehabilitation physicians, 2 first-year medical students, 1 anatomist, and 8 cadavers. Interventions Four unfixed cadavers were used for unguided needle placement, and 3 unfixed and 1 partially fixed cadavers were used for ultrasound-guided needle placement. Ultrasound-guided needle placement was then confirmed with computed tomography and blind dissection. Main Outcome Measure The accuracy of needle placement. Results The unguided study showed needle placement in an intercostal muscle 89% of the time, but in only 15.4% of the time was the correct level sampled. In the 96 needle placements completed, the unguided needle placements had an accuracy of 8.3%, while ultrasound-guided needle placements had an accuracy of 93% (χ2 with P<.005> Conclusions Ultrasound guidance dramatically increases needle placement accuracy for intercostal nerve blocks and intercostal muscle sampling for electromyography. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |