ACP Journal Club. Review: Ultrasonography reduces failed lumbar punctures and epidural catheterizations.
نویسنده
چکیده
Review scope Included studies compared US (landmarking before or real time during the procedure) with a standard, nonimaging technique, such as palpation or loss of resistance (change in pressure on the piston of the syringe when the epidural space is entered). Exclusion criteria were procedures involving peripheral nerves or caudal, paravertebral, radicular, or plexus regions. Outcomes included failed procedures (absence of cerebrospinal fluid sample, not placing or needing to replace the epidural catheter, or need for additional intraoperative analgesia), traumatic procedures (visible blood aspiration or red blood cell count greater than defined threshold in cerebrospinal fluid), number of insertion attempts (withdrawal with a new skin puncture), and number of needle redirections (no further skin punctures).
منابع مشابه
Ultrasound imaging for lumbar punctures and epidural catheterisations: systematic review andmeta-analysis OPEN ACCESS
Objective To determine whether ultrasound imaging can reduce the risk of failed lumbar punctures or epidural catheterisations, when compared with standard palpation methods, and whether ultrasound imaging can reduce traumatic procedures, insertion attempts, and needle redirections. Design Systematic review and meta-analysis of randomised controlled trials. Data sources Ovid Medline, Embase, and...
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and commentary also appear in ACP Journal Club. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For correspondence: Dr S W Heim, University of Virginia Health System, Charlottesville, VA, USA. [email protected] Source of funding: US Department of Health and Human Services. Factors associated with the performance (diagnos...
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ورودعنوان ژورنال:
- Annals of internal medicine
دوره 159 2 شماره
صفحات -
تاریخ انتشار 2013