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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 244 - 251 (8page)
이용수
초록· 키워드
오류제보하기
Objective To evaluate the risk of phrenic nerve injury during ultrasound-guided stellate ganglion block (US-SGB) according to sonoanatomy of the phrenic nerve, and determine a safer posture for needle insertion by assessing its relationship with surrounding structure according to positional change.Methods Twenty-nine healthy volunteers were recruited and underwent ultrasound in two postures, i.e., supine position with the neck extension and head rotation, and lateral decubitus position. The transducer was placed at the anterior tubercle of the C6 level to identify phrenic nerve. The cross-sectional area (CSA), depth from skin, distance between phrenic nerve and anterior tubercle of C6 transverse process, and the angle formed by anterior tubercle, posterior tubercle and phrenic nerve were measured.Results The phrenic nerve was clearly identified in the intermuscular fascia layer between the anterior scalene and sternocleidomastoid muscles. The distance between the phrenic nerve and anterior tubercle was 10.33±3.20 mm with the supine position and 9.20±3.31 mm with the lateral decubitus position, respectively. The mean CSA and skin depth of phrenic nerve were not statistically different between the two positions. The angle with the supine position was 48.37o±27.43o, and 58.89o±30.02o with the lateral decubitus position. The difference of angle between the two positions was statistically significant.Conclusion Ultrasound is a useful tool for assessing the phrenic nerve and its anatomical relation with other cervical structures. In addition, lateral decubitus position seems to be safer by providing wider angle for needle insertion than the supine position in US-SGB.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Elias M / 2000 / Cervical sympathetic and stellate ganglion blocks / Pain Physician 3:294~304
Kessler J / 2008 / An ultrasound study of the phrenic nerve in the posterior cervical triangle: implications for the interscalene brachial plexus block / Reg Anesth Pain Med 33:545~550
Canella C / 2010 / Anatomical study of phrenic nerve using ultrasound / Eur Radiol 20:659~665
Gofeld M / 2009 / Development and validation of a new technique for ultrasound-guided stellate ganglion block / Reg Anesth Pain Med 34:475~479
Narouze SN / 2012 / Ultrasound-guided cervical spine injections:ultrasound “prevents” whereas contrast fluoroscopy “detects” intravascular injections / Reg Anesth Pain Med 37:127~130
Kessler J / 2008 / An ultrasound study of the phrenic nerve in the posterior cervical triangle: implications for the interscalene brachial plexus block / Reg Anesth Pain Med 33:545~550
Canella C / 2010 / Anatomical study of phrenic nerve using ultrasound / Eur Radiol 20:659~665
Gofeld M / 2009 / Development and validation of a new technique for ultrasound-guided stellate ganglion block / Reg Anesth Pain Med 34:475~479
Narouze SN / 2012 / Ultrasound-guided cervical spine injections:ultrasound “prevents” whereas contrast fluoroscopy “detects” intravascular injections / Reg Anesth Pain Med 37:127~130
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