Name: Ultrassonografia da coluna vertebral para anestesia neuroaxial lombar guiada por ultrassom (Vídeo) | JoVE Journal
Uploaded: 2025-01-31T12:10:00.000+00:00
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Description: Aprenda a realizar anestesia neuroaxial guiada por ultrassom para melhorar a eficiência na colocação de cateteres epidurais. Este método reduz tentativas de punção e aumenta a satisfação do paciente em procedimentos clínicos.

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<meta charset="utf8"></head><body>Anestesia neuroaxial guiada por ultrassom para anatomia complexa da coluna vertebral

<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>Descrito ao longo do manuscrito como o dispositivo automatizado</td></tr><tr><td>Butterfly iQ+&nbsp;</td><td>Butterfly Network</td><td>iQ+</td><td>Descrito em todo o manuscrito como o dispositivo portátil</td></tr><tr><td>Ultrassom tradicional</td><td>SonoSite</td><td>SonositePX</td><td>Selecione uma sonda curvilínea de baixa frequência (2-5 MHZ) se estiver utilizando um dispositivo de ultrassom tradicional.</td></tr></tbody></table>

ultrassonografia da coluna vertebral para anestesia neuroaxial lombar guiada por ultrassom

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

Os principais resultados desta pesquisa se concentraram na qualidade da imagem e na proficiência na realização de anestesia neuroaxial guiada por ultrassom. Ao comparar a qualidade das imagens da UB com as de um aparelho de ultrassom de médio porte, verificou-se que a primeira é uma boa alternativa para a obtenção de imagens da anatomia da colunavertebral 26. Em termos de proficiência, em uma análise de coorte prospectiva, taxa de sucesso na primeira tentativa (definida como o número de punções co...

Ultrassonografia da coluna vertebral para anestesia neuroaxial lombar guiada por ultrassom

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

Research

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Medicina

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Laminotomy para acesso de gânglio lombar Dorsal raiz e injeção em suínos

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Este protocolo fornece um guia passo a passo para a realização da foraminotomia endoscópica total transforaminal sob anestesia local. Esta técnica de preservação de movimento é apresentada como uma alternativa cirúrgica minimamente invasiva à extensão de fusão para o tratamento da estenose foraminal L5/S1 em pacientes com doença do segmento adjacente.

Foraminotomia lombar endoscópica total transforaminal sob anestesia local para estenose foraminal do segmento adjacente L5/S1

Nós descrevemos uma técnica para manter a oxigenação e ventilação utilizando um tubo endotraqueal inserido por via nasal ao nível do naso-faringe, enquanto vedação da boca e narinas de ventilação com pressão positiva de sucesso.

A Técnica de Resgate Novel para intubação difícil e Ventilação Difícil

Injeção intramiocárdica percutânea guiada por ecocardiografia representa uma modalidade eficiente, confiável e targetable para a entrega de agentes de transferência de genes ou células no coração murino. Seguindo os passos descritos neste protocolo, o operador pode rapidamente tornar-se competente nessa técnica versátil, minimamente invasiva.

Guiada por ultra-som transtorácica intramiocárdico Injection em Ratos

Lesões da tiróide substernal são comuns, e precisa ser diferenciada da malignidade. A obtenção de biópsia percutânea com agulha fina não é possível devido à sua localização retroesternal. Este artigo propõe um protocolo para biópsia de lesões da tireóide substernal usando endobrônquico guiada por ultrassom transbrônquica Punção Aspirativa por Agulha (EBUS-TBNA).

Substernal Tireóide Biópsia Usando endobrônquica guiada por ultrassom transbrônquica Punção Aspirativa por Agulha

Aprenda a realizar anestesia neuroaxial guiada por ultrassom para melhorar a eficiência na colocação de cateteres epidurais. Este método reduz tentativas de punção e aumenta a satisfação do paciente em procedimentos clínicos.

Ultrassonografia da coluna vertebral para anestesia neuroaxial lombar guiada por ultrassom

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