Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/56363 http://dx.doi.org/10.1016/j.bjane.2015.06.005 |
Resumo: | Background and objectives: The advent of ultrasound has brought many benefits to peripheral nerve blocks. It includes both safety and effectiveness, given the possibility of visualizing the neurovascular structures and the needle during the procedure. Despite these benefits, there is no consensus in the literature on the use of this technique in anticoagulated patients or with other coagulation disorders. Moreover, peripheral blocks vary in depth, spreadability, and possibility of local compression. However, few societies take it into account when drawing up its recommendations, establishing a single recommendation for performing peripheral blocks, regardless of the route used. The objective of this series is to expand the discussion on peripheral nerve block in anticoagulated patients. Case reports: This series reports 9 cases of superficial peripheral nerve blocks guided by ultrasound in patients with primary or secondary dyscrasias. All blocks were performed by experienced anesthesiologists in the management of ultrasound, and there was no bruising or neurological injuries in the cases. Conclusions: This case series support the discussion on conducting surface peripheral nerve blocks and easy local knowledge as the axillary, interscalene, femoral, saphenous or popliteal in anticoagulated patients, on dual antiaggregation therapy and/or with other coagulation disorders, provided that guided by ultrasound and performed by an anesthesiologist with extensive experience in guided nerve blocks. However, larger series should be performed to prove the safety of the technique for these patients. (C) 2016 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
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Martins, Luis Eduardo Silveira [UNIFESP]Ferraro, Leonardo Henrique Cunha [UNIFESP]Takeda, Alexandre [UNIFESP]Munechika, Masashi [UNIFESP]Tardelli, Maria Angela [UNIFESP]2020-07-31T12:46:47Z2020-07-31T12:46:47Z2017Revista Brasileira De Anestesiologia. New York, v. 67, n. 1, p. 100-106, 2017.0034-7094https://repositorio.unifesp.br/handle/11600/56363http://dx.doi.org/10.1016/j.bjane.2015.06.005WOS000394033300016.pdf10.1016/j.bjane.2015.06.005WOS:000394033300016Background and objectives: The advent of ultrasound has brought many benefits to peripheral nerve blocks. It includes both safety and effectiveness, given the possibility of visualizing the neurovascular structures and the needle during the procedure. Despite these benefits, there is no consensus in the literature on the use of this technique in anticoagulated patients or with other coagulation disorders. Moreover, peripheral blocks vary in depth, spreadability, and possibility of local compression. However, few societies take it into account when drawing up its recommendations, establishing a single recommendation for performing peripheral blocks, regardless of the route used. The objective of this series is to expand the discussion on peripheral nerve block in anticoagulated patients. Case reports: This series reports 9 cases of superficial peripheral nerve blocks guided by ultrasound in patients with primary or secondary dyscrasias. All blocks were performed by experienced anesthesiologists in the management of ultrasound, and there was no bruising or neurological injuries in the cases. Conclusions: This case series support the discussion on conducting surface peripheral nerve blocks and easy local knowledge as the axillary, interscalene, femoral, saphenous or popliteal in anticoagulated patients, on dual antiaggregation therapy and/or with other coagulation disorders, provided that guided by ultrasound and performed by an anesthesiologist with extensive experience in guided nerve blocks. However, larger series should be performed to prove the safety of the technique for these patients. (C) 2016 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.Univ Fed Sao Paulo Unifesp, Escola Paulista Med, Disciplina Anestesiol Dor & Terapia Intens, Sao Paulo, SP, BrazilSoc Brasileira Anestesiol, Sao Paulo, SP, BrazilUniversidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, Disciplina de Anestesiologia, Dor e Terapia Intensiva, São Paulo, SP, BrazilWeb of Science100-106engElsevier Science IncRevista Brasileira De AnestesiologiaPeripheral nerveblockUltrasoundCoagulationUltrasound-guided peripheral nerve blocks in anticoagulated patients - case seriesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleNew York671info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000394033300016.pdfapplication/pdf417281${dspace.ui.url}/bitstream/11600/56363/1/WOS000394033300016.pdf1b6ef3b24b7a380908f592488061cb86MD51open accessTEXTWOS000394033300016.pdf.txtWOS000394033300016.pdf.txtExtracted texttext/plain31716${dspace.ui.url}/bitstream/11600/56363/2/WOS000394033300016.pdf.txt486c88a00c6800430d684f4e15834fe1MD52open accessTHUMBNAILWOS000394033300016.pdf.jpgWOS000394033300016.pdf.jpgIM Thumbnailimage/jpeg6693${dspace.ui.url}/bitstream/11600/56363/4/WOS000394033300016.pdf.jpga6d0c5b60a6ab546a7c908eb14c45155MD54open access11600/563632022-08-01 00:24:32.271open accessoai:repositorio.unifesp.br:11600/56363Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-08-01T03:24:32Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series |
title |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series |
spellingShingle |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series Martins, Luis Eduardo Silveira [UNIFESP] Peripheral nerve block Ultrasound Coagulation |
title_short |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series |
title_full |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series |
title_fullStr |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series |
title_full_unstemmed |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series |
title_sort |
Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series |
author |
Martins, Luis Eduardo Silveira [UNIFESP] |
author_facet |
Martins, Luis Eduardo Silveira [UNIFESP] Ferraro, Leonardo Henrique Cunha [UNIFESP] Takeda, Alexandre [UNIFESP] Munechika, Masashi [UNIFESP] Tardelli, Maria Angela [UNIFESP] |
author_role |
author |
author2 |
Ferraro, Leonardo Henrique Cunha [UNIFESP] Takeda, Alexandre [UNIFESP] Munechika, Masashi [UNIFESP] Tardelli, Maria Angela [UNIFESP] |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Martins, Luis Eduardo Silveira [UNIFESP] Ferraro, Leonardo Henrique Cunha [UNIFESP] Takeda, Alexandre [UNIFESP] Munechika, Masashi [UNIFESP] Tardelli, Maria Angela [UNIFESP] |
dc.subject.eng.fl_str_mv |
Peripheral nerve block Ultrasound Coagulation |
topic |
Peripheral nerve block Ultrasound Coagulation |
description |
Background and objectives: The advent of ultrasound has brought many benefits to peripheral nerve blocks. It includes both safety and effectiveness, given the possibility of visualizing the neurovascular structures and the needle during the procedure. Despite these benefits, there is no consensus in the literature on the use of this technique in anticoagulated patients or with other coagulation disorders. Moreover, peripheral blocks vary in depth, spreadability, and possibility of local compression. However, few societies take it into account when drawing up its recommendations, establishing a single recommendation for performing peripheral blocks, regardless of the route used. The objective of this series is to expand the discussion on peripheral nerve block in anticoagulated patients. Case reports: This series reports 9 cases of superficial peripheral nerve blocks guided by ultrasound in patients with primary or secondary dyscrasias. All blocks were performed by experienced anesthesiologists in the management of ultrasound, and there was no bruising or neurological injuries in the cases. Conclusions: This case series support the discussion on conducting surface peripheral nerve blocks and easy local knowledge as the axillary, interscalene, femoral, saphenous or popliteal in anticoagulated patients, on dual antiaggregation therapy and/or with other coagulation disorders, provided that guided by ultrasound and performed by an anesthesiologist with extensive experience in guided nerve blocks. However, larger series should be performed to prove the safety of the technique for these patients. (C) 2016 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017 |
dc.date.accessioned.fl_str_mv |
2020-07-31T12:46:47Z |
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2020-07-31T12:46:47Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Revista Brasileira De Anestesiologia. New York, v. 67, n. 1, p. 100-106, 2017. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/handle/11600/56363 http://dx.doi.org/10.1016/j.bjane.2015.06.005 |
dc.identifier.issn.none.fl_str_mv |
0034-7094 |
dc.identifier.file.none.fl_str_mv |
WOS000394033300016.pdf |
dc.identifier.doi.none.fl_str_mv |
10.1016/j.bjane.2015.06.005 |
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WOS:000394033300016 |
identifier_str_mv |
Revista Brasileira De Anestesiologia. New York, v. 67, n. 1, p. 100-106, 2017. 0034-7094 WOS000394033300016.pdf 10.1016/j.bjane.2015.06.005 WOS:000394033300016 |
url |
https://repositorio.unifesp.br/handle/11600/56363 http://dx.doi.org/10.1016/j.bjane.2015.06.005 |
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Revista Brasileira De Anestesiologia |
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100-106 |
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Elsevier Science Inc |
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Elsevier Science Inc |
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