Richard J. Gawel; Sydney Sillar; Nova Panebianco; Michael Shalaby; Ian P. Ciesielski – This case illustrates the novel use of POCUS-guided upper extremity regional anesthesia by emergency physicians to manage ALI pain.
Article Tags: Regional Anesthesia
Ultrasound-Guided Nerve Blocks Have the Potential to Reduce Racial and Ethnic Disparities in Emergency Department Pain Management
Kendall Lavin-Parsons, Zachary W. Binder – Injuries are a common presenting complaint in the emergency department [1]. Pain from injuries has traditionally been treated with opioids [2]. Extensive research exists describing the potential adverse effects of systemic opioids including bradypnea, hypotension, and central nervous system depression.
A Prospective Cohort Study to Evaluate Needle Passes Using a Portable Ultrasound Device versus Traditional Landmark Approach for Epidural Anesthesia in a Busy Obstetric Tertiary Care Center
Antonio Gonzalez Fiol; Pedro Acevedo Rodriguez; Xiwen Zhao; Robert Gaiser; Adriana Herrera; Aymen Alian – Despite its many cited benefits, ultrasound guidance for neuraxial procedures is not widespread in anesthesiology. Some cited limitations include device cost and accessibility. We test the hypothesis that a handheld and relatively inexpensive ultrasound can improve neuraxial proficiency (e.g., decreased needle manipulations and block time). This prospective study compared the number of needle passes, redirections, and procedural time between epidural placed with a handheld ultrasound versus landmarks.
Ultrasound-Guided Nerve Blocks: Suggested Procedural Guidelines for Emergency Physicians
Joseph R. Brown, MD; Andrew J. Goldsmith, MD, MBA; Alexis LaPietra DO, FACEP; Jose L. Zeballos, MD; Kamen V. Vlassakov, MD; Alexander B. Stone, MD; R. Starr Knight, MD; Jennifer Carnell, MD; Arun Nagdev, MD – Acute pain is one of the most frequent, and yet one of the most challenging, complaints physicians encounter in the emergency department (ED). Currently, opioids are one of several pain medications given for acute pain, but given the long-term side effects and potential for abuse, alternative pain regimens are sought.