Efficacy of Pre-procedural Ultrasound in Facilitating Neuraxial Anesthetics: An Integrative Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/621597
Category:
Full-text
Format:
Text-based Document
Type:
Other Graduate Paper
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Efficacy of Pre-procedural Ultrasound in Facilitating Neuraxial Anesthetics: An Integrative Review
Author(s):
Brinser, Jonathan
Additional Author Information:
Jonathan Brinser, DNAP, CRNA jonathan.brinser@bryanhealthcollege.edu
Advisors:
Tritt, Matt
Degree:
Doctoral – Other
Degree Year:
2017
Grantor:
Bryan College of Health Sciences
Abstract:

The purpose of this integrative review is to investigate the efficacy of pre-procedural ultrasound examination to facilitate neuraxial anesthesia techniques and its impact on first attempt success rates, number of attempts required, and duration of procedure. A literature review was performed to obtain current research involving the use of ultrasound for neuraxial anesthesia. Fourteen randomized-control trials (RCT) met criteria and were included in this review. Six RCTs demonstrate significant increases in first attempt success rates and four RCTs suggest no significant difference in the first attempt success rate when ultrasound is utilized for neuraxial anesthesia techniques. Ten of the RCTs suggest that the use of pre-procedural ultrasound examination significantly reduces the number of attempts required for neuraxial anesthesia techniques while three found no significant difference. Four out of five RCTs found a significant increase in total duration of the procedure when pre-procedural ultrasound examination was utilized. The most striking benefit of pre-procedural ultrasound examination is the reduction in number of attempts required for successful neuraxial anesthetics. Pre-procedural ultrasound is particularly beneficial in the obese patient population in whom landmarks are difficult to palpate.

Keywords:
neuraxial anesthesia; ultrasound; spinal anesthesia; epidural anesthesia
CINAHL Headings:
Anesthesia, Epidural; Anesthesia, Spinal; Ultrasonography; Ultrasonography--Methods
Repository Posting Date:
2017-06-26T18:15:42Z
Date of Publication:
2017-06-26

Full metadata record

DC FieldValue Language
dc.contributor.advisorTritt, Matten
dc.contributor.authorBrinser, Jonathanen
dc.date.accessioned2017-06-26T18:15:42Z-
dc.date.available2017-06-26T18:15:42Z-
dc.date.issued2017-06-26-
dc.identifier.urihttp://hdl.handle.net/10755/621597-
dc.description.abstract<p>The purpose of this integrative review is to investigate the efficacy of pre-procedural ultrasound examination to facilitate neuraxial anesthesia techniques and its impact on first attempt success rates, number of attempts required, and duration of procedure. A literature review was performed to obtain current research involving the use of ultrasound for neuraxial anesthesia. Fourteen randomized-control trials (RCT) met criteria and were included in this review. Six RCTs demonstrate significant increases in first attempt success rates and four RCTs suggest no significant difference in the first attempt success rate when ultrasound is utilized for neuraxial anesthesia techniques. Ten of the RCTs suggest that the use of pre-procedural ultrasound examination significantly reduces the number of attempts required for neuraxial anesthesia techniques while three found no significant difference. Four out of five RCTs found a significant increase in total duration of the procedure when pre-procedural ultrasound examination was utilized. The most striking benefit of pre-procedural ultrasound examination is the reduction in number of attempts required for successful neuraxial anesthetics. Pre-procedural ultrasound is particularly beneficial in the obese patient population in whom landmarks are difficult to palpate.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectneuraxial anesthesiaen
dc.subjectultrasounden
dc.subjectspinal anesthesiaen
dc.subjectepidural anesthesiaen
dc.titleEfficacy of Pre-procedural Ultrasound in Facilitating Neuraxial Anesthetics: An Integrative Reviewen_US
dc.typeOther Graduate Paperen
thesis.degree.grantorBryan College of Health Sciencesen
thesis.degree.levelDoctoral – Otheren
dc.primary-author.detailsJonathan Brinser, DNAP, CRNA jonathan.brinser@bryanhealthcollege.eduen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.subject.cinahlAnesthesia, Epiduralen
dc.subject.cinahlAnesthesia, Spinalen
dc.subject.cinahlUltrasonographyen
dc.subject.cinahlUltrasonography--Methodsen
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