Name: Ecografia spinale per anestesia neuroassiale lombare ecoguidata (Video) | JoVE Journal
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Description: Impara l'anestesia neuroassiale ecoguidata per migliorare il posizionamento del catetere epidurale. Questo metodo riduce i tentativi con l'ago e aumenta la soddisfazione del paziente.

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<meta charset="utf8"></head><body>Anestesia neuroassiale ecoguidata per anatomia complessa della colonna vertebrale

<ol><li>Berger, A. A., Jordan, J., Li, Y., Kowalczyk, J. J., Hess, P. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Epidural+catheter+replacement+rates+with+dural+puncture+epidural+labor+analgesia+compared+with+epidural+analgesia+without+dural+puncture%3A+a+retrospective+cohort+study%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Epidural catheter replacement rates with dural puncture epidural labor analgesia compared with epidural analgesia without dural puncture: a retrospective cohort study.</a> Int J Obstet Anesth. 52, 103590(2022).</li>
<li>Guglielminotti, J., Landau, R., Li, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Adverse+events+and+factors+associated+with+potentially+avoidable+use+of+general+anesthesia+in+cesarean+deliveries%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Adverse events and factors associated with potentially avoidable use of general anesthesia in cesarean deliveries.</a> Anesthesiology. 130, 912-922 (2020).</li>
<li>Guglielminotti, J., Li, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Exposure+to+general+anesthesia+for+cesarean+delivery+and+odds+of+severe+postpartum+depression+requiring+hospitalization%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Exposure to general anesthesia for cesarean delivery and odds of severe postpartum depression requiring hospitalization.</a> Anesth Analg. 131 (5), 1421-1429 (2020).</li>
<li>Booth, J. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Combined+spinal-epidural+technique+for+labor+analgesia+does+not+delay+recognition+of+epidural+catheter+failures%3A+A+single-center+retrospective+cohort+survival+analysis%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Combined spinal-epidural technique for labor analgesia does not delay recognition of epidural catheter failures: A single-center retrospective cohort survival analysis.</a> Anesthesiology. 125 (3), 516-524 (2016).</li>
<li>Groden, J., Gonzalez-Fiol, A., Aaronson, J., Sachs, A., Smiley, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Catheter+failure+rates+and+time+course+with+epidural+versus+combined+spinal-epidural+analgesia+in+labor%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Catheter failure rates and time course with epidural versus combined spinal-epidural analgesia in labor.</a> Int J Obstet Anesth. 26 (C), 4-7 (2016).</li>
<li>Vallejo, M. C., Phelps, A. L., Singh, S., Orebaugh, S. L., Sah, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+decreases+the+failed+labor+epidural+rate+in+resident+trainees%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Ultrasound decreases the failed labor epidural rate in resident trainees.</a> Int J Obstet Anesth. 19 (4), 373-378 (2010).</li>
<li>Zhang, Y., Peng, M., Wei, J., Huang, J., Ma, W., Li, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comparison+of+ultrasound-guided+and+traditional+localization+in+intraspinal+anesthesia%3A+A+systematic+review+and+network+meta-analysis%5BTitle%5D)+AND+%22BMJ+Open%22%5BJournal%5D)">Comparison of ultrasound-guided and traditional localization in intraspinal anesthesia: A systematic review and network meta-analysis.</a> BMJ Open. 13 (11), e071253(2023).</li>
<li>Young, B., Onwochei, D., Desai, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Conventional+landmark+palpation+vs.+preprocedural+ultrasound+for+neuraxial+analgesia+and+anesthesia+in+obstetrics+-+a+systematic+review+and+meta-analysis+with+trial+sequential+analyses%5BTitle%5D)+AND+%22Anaesthesia%22%5BJournal%5D)">Conventional landmark palpation vs. preprocedural ultrasound for neuraxial analgesia and anesthesia in obstetrics - a systematic review and meta-analysis with trial sequential analyses.</a> Anaesthesia. 76 (6), 818-831 (2021).</li>
<li>Perlas, A., Chaparro, L. E., Chin, K. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Lumbar+neuraxial+ultrasound+for+spinal+and+epidural+anesthesia%3A+A+systematic+review+and+meta-analysis%5BTitle%5D)+AND+%22Reg+Anesth+Pain+Med%22%5BJournal%5D)">Lumbar neuraxial ultrasound for spinal and epidural anesthesia: A systematic review and meta-analysis.</a> Reg Anesth Pain Med. 41 (2), 251-260 (2016).</li>
<li>Shaikh, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+imaging+for+lumbar+punctures+and+epidural+catheterizations%3A+systematic+review+and+meta-analysis%5BTitle%5D)+AND+%22BMJ%22%5BJournal%5D)">Ultrasound imaging for lumbar punctures and epidural catheterizations: systematic review and meta-analysis.</a> BMJ. 346, f1720(2013).</li>
<li>de Carvalho, C. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Efficacy+and+safety+of+ultrasound-guided+versus+landmark-guided+neuraxial+puncture%3A+A+systematic+review%2C+network+meta-analysis+and+trial+sequential+analysis+of+randomized+clinical+trials%5BTitle%5D)+AND+%22Reg+Anesth+Pain+Med%22%5BJournal%5D)">Efficacy and safety of ultrasound-guided versus landmark-guided neuraxial puncture: A systematic review, network meta-analysis and trial sequential analysis of randomized clinical trials.</a> Reg Anesth Pain Med. , (2024).</li>
<li>Kamimura, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comparative+efficacy+of+ultrasound+guidance+or+conventional+anatomical+landmarks+for+neuraxial+puncture+in+adult+patients%3A+A+systematic+review+and+network+meta-analysis%5BTitle%5D)+AND+%22Br+J+Anaesth%22%5BJournal%5D)">Comparative efficacy of ultrasound guidance or conventional anatomical landmarks for neuraxial puncture in adult patients: A systematic review and network meta-analysis.</a> Br J Anaesth. 132 (5), 1097-1111 (2024).</li>
<li>Watson, M. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Could+ultrasonography+be+used+by+an+anesthetist+to+identify+a+specified+lumbar+interspace+before+spinal+anesthesia%5BTitle%5D)+AND+%22Br+J+Anaesth%22%5BJournal%5D)">Could ultrasonography be used by an anesthetist to identify a specified lumbar interspace before spinal anesthesia.</a> Br J Anaesth. 90 (4), 509-511 (2003).</li>
<li>Furness, G., Reilly, M. P., Kuchi, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((An+evaluation+of+ultrasound+imaging+for+identification+of+lumbar+intervertebral+level%5BTitle%5D)+AND+%22Anaesthesia%22%5BJournal%5D)">An evaluation of ultrasound imaging for identification of lumbar intervertebral level.</a> Anaesthesia. 57 (3), 277-280 (2002).</li>
<li>Chin, K. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+imaging+facilitates+spinal+anesthesia+in+adults+with+difficult+surface+anatomic+landmarks%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Ultrasound imaging facilitates spinal anesthesia in adults with difficult surface anatomic landmarks.</a> Anesthesiology. 115 (1), 94-101 (2011).</li>
<li>Li, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-assisted+technology+versus+the+conventional+landmark+location+method+in+spinal+anesthesia+for+cesarean+delivery+in+obese+parturients%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Ultrasound-assisted technology versus the conventional landmark location method in spinal anesthesia for cesarean delivery in obese parturients.</a> Anesth Analg. 129 (1), 155-161 (2018).</li>
<li>Arzola, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Preprocedure+ultrasonography+before+initiating+a+neuraxial+anesthetic+procedure%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Preprocedure ultrasonography before initiating a neuraxial anesthetic procedure.</a> Anesth Analg. 124 (3), 712-713 (2017).</li>
<li>Gambling, D. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Lumbar+ultrasound%3A+Useful+gadget+or+time-consuming+gimmick%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Lumbar ultrasound: Useful gadget or time-consuming gimmick.</a> Int J Obstet Anesth. 20 (4), 318-320 (2011).</li>
<li>Wong, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Barriers+to+learning+and+using+point-of-care+ultrasound%3A+a+survey+of+practicing+internists+in+six+North+American+institutions%5BTitle%5D)+AND+%22Ultrasound+J%22%5BJournal%5D)">Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions.</a> Ultrasound J. 12 (1), 19(2020).</li>
<li>Chui, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Identifying+barriers+to+the+use+of+ultrasound+in+the+perioperative+period%3A+A+survey+of+southwestern+Ontario+anesthesiologists%5BTitle%5D)+AND+%22BMC+Health+Serv+Res%22%5BJournal%5D)">Identifying barriers to the use of ultrasound in the perioperative period: A survey of southwestern Ontario anesthesiologists.</a> BMC Health Serv Res. 19 (1), 214(2019).</li>
<li>Margarido, C. B., Arzola, C., Balki, M., Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Anesthesiologists%27+learning+curves+for+ultrasound+assessment+of+the+lumbar+spine%5BTitle%5D)+AND+%22Can+J+Anesth%22%5BJournal%5D)">Anesthesiologists' learning curves for ultrasound assessment of the lumbar spine.</a> Can J Anesth. 57 (2), 120-126 (2010).</li>
<li>Corr, R. C., Kryc, J. J., Vaughan, R. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasonic+localization+of+the+lumbar+epidural+space%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Ultrasonic localization of the lumbar epidural space.</a> Anesthesiology. 52 (6), 513-515 (1980).</li>
<li>Lee, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+in+obstetric+anesthesia%5BTitle%5D)+AND+%22Semin+Perinatol%22%5BJournal%5D)">Ultrasound in obstetric anesthesia.</a> Semin Perinatol. 38 (6), 349-358 (2014).</li>
<li>Weiniger, C. F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+randomized+trial+to+investigate+needle+redirections%2Fre-insertions+using+a+handheld+ultrasound+device+versus+traditional+palpation+for+spinal+anesthesia+in+obese+women+undergoing+cesarean+delivery%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">A randomized trial to investigate needle redirections/re-insertions using a handheld ultrasound device versus traditional palpation for spinal anesthesia in obese women undergoing cesarean delivery.</a> Int J Obstet Anesth. 49, 103229(2021).</li>
<li>Carvalho, B., Seligman, K. M., Weiniger, C. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+comparative+accuracy+of+a+handheld+and+console+ultrasound+device+for+neuraxial+depth+and+landmark+assessment%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">The comparative accuracy of a handheld and console ultrasound device for neuraxial depth and landmark assessment.</a> Int J Obstet Anesth. 39, 68-73 (2019).</li>
<li>Salimi, N., Aymen, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+image+quality+comparison+between+a+handheld+ultrasound+transducer+and+mid-range+ultrasound+machine%5BTitle%5D)+AND+%22POCUSJ%22%5BJournal%5D)">Ultrasound image quality comparison between a handheld ultrasound transducer and mid-range ultrasound machine.</a> POCUSJ. 7 (1), 154-159 (2022).</li>
<li>Sahin, T., Balaban, O., Sahin, L., Solak, M., Toker, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+randomized+controlled+trial+of+preinsertion+ultrasound+guidance+for+spinal+anesthesia+in+pregnancy%3A+Outcomes+among+obese+and+lean+parturients%5BTitle%5D)+AND+%22J+Anesth%22%5BJournal%5D)">A randomized controlled trial of preinsertion ultrasound guidance for spinal anesthesia in pregnancy: Outcomes among obese and lean parturients.</a> J Anesth. 28 (3), 413-419 (2014).</li>
<li>Park, S. -K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-assisted+versus+landmark-guided+spinal+anesthesia+in+patients+with+abnormal+spinal+anatomy%3A+A+randomized+controlled+trial%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Ultrasound-assisted versus landmark-guided spinal anesthesia in patients with abnormal spinal anatomy: A randomized controlled trial.</a> Anesth Analg. 130 (3), 787-795 (2020).</li>
<li>Fiol, A. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((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%5BTitle%5D)+AND+%22POCUS+J%22%5BJournal%5D)">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.</a> POCUS J. 8 (2), 153-158 (2023).</li>
<li>Arzola, C., Davies, S., Rofaeel, A., Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+using+the+transverse+approach+to+the+lumbar+spine+provides+reliable+landmarks+for+labor+epidurals%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Ultrasound using the transverse approach to the lumbar spine provides reliable landmarks for labor epidurals.</a> Anesth Analg. 104 (5), 1188-1192 (2007).</li>
<li>Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-facilitated+epidurals+and+spinals+in+obstetrics%5BTitle%5D)+AND+%22Anesthesiol+Clin%22%5BJournal%5D)">Ultrasound-facilitated epidurals and spinals in obstetrics.</a> Anesthesiol Clin. 26 (1), 145-158 (2008).</li>
<li>Sivakumar, R. K., Karmakar, M. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Spinal+sonography+and+central+neuraxial+blocks%5BTitle%5D)+AND+%22Best+Pract+Res+Clin+Anaesthesiol%22%5BJournal%5D)">Spinal sonography and central neuraxial blocks.</a> Best Pract Res Clin Anaesthesiol. 37 (2), 209-242 (2023).</li>
<li>Sutton, D. N., Linter, S. P. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Depth+of+extradural+space+and+dural+puncture%5BTitle%5D)+AND+%22Anaesthesia%22%5BJournal%5D)">Depth of extradural space and dural puncture.</a> Anaesthesia. 46 (2), 97-98 (1991).</li>
<li>Özhan, M. Ö, Çaparlar, C. Ö, Süzer, M. A., Eskin, M. B., Atik, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comparison+of+three+sitting+positions+for+combined+spinal+-+epidural+anesthesia%3A+a+multicenter+randomized+controlled+trial%5BTitle%5D)+AND+%22Braz+J+Anesthesiol.+%28English+Edition%29%22%5BJournal%5D)">Comparison of three sitting positions for combined spinal - epidural anesthesia: a multicenter randomized controlled trial.</a> Braz J Anesthesiol. (English Edition). 71 (2), 129-136 (2021).</li>
<li>Ansari, T., Yousef, A., Gamassy, A. E., Fayez, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-guided+spinal+anesthesia+in+obstetrics%3A+Is+there+an+advantage+over+the+landmark+technique+in+patients+with+easily+palpable+spines%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Ultrasound-guided spinal anesthesia in obstetrics: Is there an advantage over the landmark technique in patients with easily palpable spines.</a> Int J Obstet Anesth. 23 (3), 213-216 (2014).</li>
<li>Tawfik, M. M., Atallah, M. M., Elkharboutly, W. S., Allakkany, N. S., Abdelkhalek, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Does+preprocedural+ultrasound+increase+the+first-pass+success+rate+of+epidural+catheterization+before+cesarean+delivery%26quest%3B+a+randomized+controlled+trial%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Does preprocedural ultrasound increase the first-pass success rate of epidural catheterization before cesarean delivery&quest; a randomized controlled trial.</a> Anesth Analg. 124 (3), 851-856 (2017).</li>
<li>Singla, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Feasibility+of+spinal+anesthesia+placement+using+automated+interpretation+of+lumbar+ultrasound+images%3A+a+prospective+randomized+controlled+trial%5BTitle%5D)+AND+%22J+Anesthe+Clin+Res%22%5BJournal%5D)">Feasibility of spinal anesthesia placement using automated interpretation of lumbar ultrasound images: a prospective randomized controlled trial.</a> J Anesthe Clin Res. 10 (2), 878(2019).</li>
<li>Arnolds, D., Hofer, J., Scavone, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Inadvertent+neuraxial+block+placement+at+or+above+the+L1-L2+interspace+in+the+super-obese+parturient%3A+A+retrospective+study%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Inadvertent neuraxial block placement at or above the L1-L2 interspace in the super-obese parturient: A retrospective study.</a> Int J Obstet Anesth. 42, 20-25 (2019).</li>
<li>Creaney, M., Mullane, D., Casby, C., Tan, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+to+identify+the+lumbar+space+in+women+with+impalpable+bony+landmarks+presenting+for+elective+cesarean+delivery+under+spinal+anaesthesia%3A+A+randomised+trial%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Ultrasound to identify the lumbar space in women with impalpable bony landmarks presenting for elective cesarean delivery under spinal anaesthesia: A randomised trial.</a> Int J Obstet Anesth. 28, 12-16 (2016).</li>
<li>Arzola, C., Mikhael, R., Margarido, C., Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Spinal+ultrasound+versus+palpation+for+epidural+catheter+insertion+in+labor%5BTitle%5D)+AND+%22Eur+J+Anaesthesiol%22%5BJournal%5D)">Spinal ultrasound versus palpation for epidural catheter insertion in labor.</a> Eur J Anaesthesiol. 32 (7), 499-505 (2015).</li>
</ol>

<table><tbody><tr><td>ACCURO&nbsp;</td><td>Rivanna Medical</td><td>NA</td><td>Descritto in tutto il manoscritto come il dispositivo automatizzato</td></tr><tr><td>Butterfly iQ+&nbsp;</td><td>Butterfly Network</td><td>iQ+</td><td>Descritto in tutto il manoscritto come il dispositivo portatile</td></tr><tr><td>Ultrasuoni tradizionali</td><td>SonoSite</td><td>SonositePX</td><td>Selezionare una sonda curvilinea a bassa frequenza (2-5 MHZ) se si utilizza un dispositivo a ultrasuoni tradizionale.</td></tr></tbody></table>

ecografia spinale per anestesia neuroassiale lombare ecoguidata

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

I principali risultati di questa ricerca si sono concentrati sulla qualità dell'immagine e sulla competenza nell'esecuzione dell'anestesia neuroassiale ecoguidata. Confrontando la qualità delle immagini provenienti dalla BU con quelle di un ecografo di fascia media, è stato determinato che la prima è una buona alternativa per ottenere immagini di anatomia della colonna vertebrale26. In termini di competenza, in un'analisi prospettica di coorte, il tasso di successo del primo tentativo (definito co...

Ecografia spinale per anestesia neuroassiale lombare ecoguidata

Neuraxial anesthesia is one of the few remaining forms of regional anesthesia that relies on palpation and tactile feedback techniques to facilitate ...

spinal-sonography-for-ultrasound-guided-lumbar-neuraxial-anesthesia

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Ecografia intraoperatoria in chirurgia spinale

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Questo protocollo fornisce una guida passo passo per l'esecuzione della foraminotomia endoscopica completa transforaminale in anestesia locale. Questa tecnica di conservazione del movimento si presenta come un'alternativa chirurgica minimamente invasiva all'estensione della fusione per il trattamento della stenosi foraminale L5/S1 in pazienti con malattia del segmento adiacente.

Foraminotomia lombare transforaminale completamente endoscopica in anestesia locale per stenosi foraminale del segmento adiacente L5/S1

Abbiamo descritto una tecnica per mantenere l'ossigenazione e la ventilazione usando un tubo endotracheale inserito nasale a livello del naso-faringe, mentre tenuta la bocca e narici per il successo della ventilazione a pressione positiva.

Una nuova tecnica di soccorso per l&#39;intubazione e ventilazione Difficile Difficile

Iniezione percutanea intramiocardico ecocardiografia-guida rappresenta una modalità efficiente, affidabile, e il targeting per la fornitura di agenti di trasferimento di geni o cellule nel cuore murino. Seguendo la procedura descritta in questo protocollo, l'operatore può rapidamente diventare competente in questa versatile tecnica, mini-invasiva.

Ultrasound-guided transtoracica intramiocardico iniezione nei topi

Lesioni tiroidee retrosternale sono comuni, e devono essere differenziati da tumore maligno. Ottenere la biopsia percutanea con ago sottile non è possibile a causa della sua posizione retrosternale. In questo articolo si propone un protocollo per la biopsia delle lesioni tiroidee retrosternale con endobronchiale ecoguidata transbronchiale Needle Aspiration (EBUS-TBNA).

Retrosternale Tiroide biopsia endobronchiale Utilizzando ecoguidata transbronchiale Needle Aspiration

Impara l'anestesia neuroassiale ecoguidata per migliorare il posizionamento del catetere epidurale. Questo metodo riduce i tentativi con l'ago e aumenta la soddisfazione del paziente.

Ecografia spinale per anestesia neuroassiale lombare ecoguidata

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