Real-Time UltrasoundMRI Fusion for Suprasacral Parallel Shift Approach to Lumbosacral Plexus Blockade and Analysis of Injectate Spread: An Exploratory Randomized Controlled Trial
Joint Authors
Børglum, Jens
Dam, Mette
Strid, Jennie Maria Christin
Pedersen, Erik Morre
Al-Karradi, Sinan Naseer Hussain
Bendtsen, Mathias Alrø Fichtner
Bjørn, Siska
Daugaard, Morten
Hansen, Martin Sejr
Linnet, Katrine Danker
Søballe, Kjeld
Bendtsen, Thomas Fichtner
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-15
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Fused real-time ultrasound and magnetic resonance imaging (MRI) may be used to improve the accuracy of advanced image guided procedures.
However, its use in regional anesthesia is practically nonexistent.
In this randomized controlled crossover trial, we aim to explore effectiveness, procedure-related outcomes, injectate spread analyzed by MRI, and safety of ultrasound/MRI fusion versus ultrasound guided Suprasacral Parallel Shift (SSPS) technique for lumbosacral plexus blockade.
Twenty-six healthy subjects aged 21–36 years received two SSPS blocks (20 mL 2% lidocaine-epinephrine [1 : 200,000] added 1 mL diluted contrast) guided by ultrasound/MRI fusion versus ultrasound.
Number (proportion) of subjects with motor blockade of the femoral and obturator nerves and the lumbosacral trunk was equal (ultrasound/MRI, 23/26 [88%]; ultrasound, 23/26 [88%]; p=1.00).
Median (interquartile range) preparation and procedure times (s) were longer for the ultrasound/MRI fusion guided technique (686 [552–1023] versus 196 [167–228], p<0.001 and 333 [254–439] versus 216 [176–294], p=0.001).
Both techniques produced perineural spread and corresponding sensory analgesia from L2 to S1.
Epidural spread and lidocaine pharmacokinetics were similar.
Different compartmentalized patterns of injectate spread were observed.
Ultrasound/MRI fusion guided SSPS was equally effective and safe but required prolonged time, compared to ultrasound guided SSPS.
This trial is registered with EudraCT (2013-004013-41) and ClinicalTrials.gov (NCT02593370).
American Psychological Association (APA)
Strid, Jennie Maria Christin& Pedersen, Erik Morre& Al-Karradi, Sinan Naseer Hussain& Bendtsen, Mathias Alrø Fichtner& Bjørn, Siska& Dam, Mette…[et al.]. 2017. Real-Time UltrasoundMRI Fusion for Suprasacral Parallel Shift Approach to Lumbosacral Plexus Blockade and Analysis of Injectate Spread: An Exploratory Randomized Controlled Trial. BioMed Research International،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1134294
Modern Language Association (MLA)
Strid, Jennie Maria Christin…[et al.]. Real-Time UltrasoundMRI Fusion for Suprasacral Parallel Shift Approach to Lumbosacral Plexus Blockade and Analysis of Injectate Spread: An Exploratory Randomized Controlled Trial. BioMed Research International No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1134294
American Medical Association (AMA)
Strid, Jennie Maria Christin& Pedersen, Erik Morre& Al-Karradi, Sinan Naseer Hussain& Bendtsen, Mathias Alrø Fichtner& Bjørn, Siska& Dam, Mette…[et al.]. Real-Time UltrasoundMRI Fusion for Suprasacral Parallel Shift Approach to Lumbosacral Plexus Blockade and Analysis of Injectate Spread: An Exploratory Randomized Controlled Trial. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1134294
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134294