Evidence-Based Medicine
| Autor: | L. Michele Noles, Jean-Louis Horn, Matthew S. Abrahams, Michael F. Aziz |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Evidence-Based Medicine Health Planning Guidelines business.industry Abdominal Wall MEDLINE Nerve Block General Medicine Rectus sheath Evidence-based medicine Surgery Strength of evidence Ultrasound guidance Anesthesiology and Pain Medicine medicine.anatomical_structure Health care medicine Humans Intercostal Nerves Medical physics Transversus abdominis business Ultrasonography Interventional Randomized Controlled Trials as Topic Medical literature |
| Zdroj: | Regional Anesthesia and Pain Medicine. 35:S36-S42 |
| ISSN: | 1098-7339 |
| DOI: | 10.1097/aap.0b013e3181d32841 |
| Popis: | We performed a systematic search of the medical literature and reviewed the evidence examining success rates and incidence of complications of ultrasound (US) guidance relative to traditional techniques for the following blocks: paravertebral, intercostal, transversus abdominis plane, rectus sheath, and ilioinguinal/iliohypogastric. We included studies of sufficient methodologic quality for review and excluded poor-quality studies. We then rated the strength of evidence for US guidance for each block using a system developed by the United States Agency for Health Care Policy and Research. Although relatively few studies have compared US guidance with established techniques, the available evidence suggests that the use of US guidance is a safe and effective means to facilitate correct needle placement and adequate spread of local anesthetic for truncal blocks. Further studies are needed to directly compare US guidance to traditional techniques and to clarify potential benefits and limitations of US guidance for truncal blocks. |
| Databáze: | OpenAIRE |
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