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• W2129604429 abstract "R egional anesthesia has traditionally been performed with the help of a single modality, which has depended on the availability of technology at the time of performance of these blocks. The transitions from paresthesia-guided to nerve stimulation to ultrasound-guided nerve blocks have helped advance regional anesthesia as a science rather than an art, and have taken it to a higher level of sophistication. However, the visual information obtained with the use of ultrasonography remains subject to interpretation by the user and, consequently, is limited by the ability to optimize the sonographic image, variations in formal training of applied ultrasound physics, and overall experience in ultrasonography. Even though ultrasound visualization by itself is presumably associated with minimal risks, the safety claimed by ultrasound enthusiasts may not necessarily result in the safest clinical practice. There is current debate as to whether the use of nerve stimulation or ultrasonography is superior as a nerve localization instrument for regional anesthesia; there is also a proposal that the use of dual or multiple guidance modalities may further expand the opportunities to employ regional anesthesia versus use of a single method. Regional anesthesia reliably works if the correct amount of the correct local anesthetic is placed within the correct fascial plane in correct proximity to the nerve. Nerve stimulation is generally able to provide one or two of these objectively, that is, depositing a local anesthetic near the nerve to be blocked. Anesthesiologists traditionally have used larger doses of local anesthetics with this technique to ascertain block success, as it is not possible to stimulate the nerve again after even a small dose of local anesthetic has been deposited. Ultrasonography does not solve all of these problems but it" @default.
• W2129604429 created "2016-06-24" @default.
• W2129604429 creator A5011665049 @default.
• W2129604429 creator A5039442206 @default.
• W2129604429 creator A5065150905 @default.
• W2129604429 date "2010-01-01" @default.
• W2129604429 modified "2023-09-23" @default.
• W2129604429 title "Single or Multiple Guidance Methods for Peripheral Nerve Blockade in Modern-Day Practice of Regional Anesthesia" @default.
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