Atlas of Ultrasound-Guided Procedures in Interventional Pain Management

The BEST book fully devoted to the rapidly expanding field of ultrasound-guided pain medicine. Written by the world’s authorities, includes countless images, ultrasound-guided procedures, and indications. Plus – it is regularly enhanced by the PocketEDU e-Learning system, and NYSORA’s illustrations and animations. Read or Listen.

Material from: 'Samer Narouze, Atlas of Ultrasound-Guided Procedures in Interventional Pain Management, published in 2010 by Springer reproduced with permission of SNCSC'.

Author: Samer Narouze

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E-book content

Introduction

C-Arm FDCT

Ultrasound

Intra-Articular Injections

Trigger Point and Muscular Injections

Zygapophyseal and Medial Branch Blocks

Epidural Blocks

Sympathetic Blocks

Combined US and CT/Fluoroscopy

Conclusion

References

Basic Principles of B-Mode US

Generation of Ultrasound Pulses

Ultrasound Wavelength and Frequency

Ultrasound-Tissue Interaction

Recent Innovations in B – Mode Ultrasound

Conclusion

References

Frequency and Probe Selection

Depth

Gain

Time Gain Compensation

Focus

Presets

Color Doppler

Power Doppler

Compound Imaging

Tissue Harmonic Imaging

Optimization Button

Freeze Button and Image Acquisition

References

Training and Phantom Simulation

High-Fidelity Simulation

Combined Ultrasound and Fluoroscopic Phantom Simulators

Procedural Needle: Related Visibility Factors

Acoustic Impedance as the Basis for Procedure Needle Visualization

Size (Gauge) of the Procedure Needle and Its Echogenicity

The Skin Insertion Site Selected and Angle of Procedure Needle Passage

Echogenic Procedure Needles

Procedure Needle Tip

The Ultrasound Device and Procedure Needle Visibility

Impact of Various Sonographic Modes on Procedure Needle Visibility

Frequency of the Ultrasound Probe (AKA Depth) Acoustic Power and Gain

Time Gain Compensation and Harmonic Imaging

Brightness, Motion, and Doppler Modes

3D and 4D Ultrasound Imaging

Recent Advances in Ultrasound Imaging and Procedure Needle Visibility

Needle-Probe Alignment

“In-Plane” and “Out-Of-Plane” Needle Approach: Classical Probe-Needle Interpositions

Oblique Plane Needle Approach for Ultrasound-Guided Pain Management

Biplane Needle Imaging Approach for Ultrasound-Guided Pain Management

Mechanical and Optical Procedure Needle Guides

Advanced Procedure Needle Positioning Systems

The “ART” of Scanning for Better Procedure Needle Visualization

Ergonomics for Better Procedure Needle Visibility

Enhancement and Techniques to Improve Procedure Needle Localization

Enhancement with Priming, Insertion of Stylet or Guide Wire, and Vibration

Hydrolocalization of the Procedure Needle

Procedure Needle Visibility by Agitated Solutions or with Ultrasound Contrast Agents

Localization of the Procedure Needle Tip with the Aid of Nerve Stimulation

Summary

References

Cervical Spine

Thoracic Spine

Lumbar Spine

Sacrum

Sonoanatomy of the Cervical Spine: Superficial

Sonoanatomy of the Cervical Spine: Deep

Sonoanatomy of the Thoracic Spine: Superficial

Sonoanatomy of the Thoracic Spine: Deep

Sonoanatomy of the Lumbar Spine: Superficial

Sonoanatomy of the Lumbar Spine: Deep

Sonoanatomy of the Sacrum and Sacroiliac Joint: Superficial

Sonoanatomy of the Sacrum and Sacroiliac Joint: Deep

Indications for Cervical Medial Branch Block

Why Ultrasound-Guided Facet Nerve Block? The Literature and our Experience

Possible Advantages of Ultrasound for Cervical Facet Nerve Blocks

Limitations of Ultrasound

Ultrasound-Guided Technique for TON and Cervical Medial Branch Block

Identifying the Correct Level: Method 1

Identifying the Correct Level: Method 2

Practical Performance of Block

Conclusion

References

Indications for Cervical Zygapophyseal Joint Intra-Articular Injection

Literature Review of Ultrasound-Guided Cervical Facet Injections

Ultrasound-Guided Technique for Cervical Facet Intra-Articular Injection

Posterior Approach

References

Indications

Limitations of the Fluoroscopy-Guided Techniques

Literature Review and Advantages of Ultrasound-Guided Cervical Nerve Root Block

Identification of Small Critical Vessels

Why Ultrasound?

Sonoanatomy of the Cervical Spine and Identification of the Cervical Level

Ultrasound-Guided Technique for Cervical Selective Nerve Root Block

References

Anatomy

Mechanism of Blockade

Techniques of TPVB

Ultrasound-Guided TPVB

Sonoanatomy Relevant for TPVB

Techniques of USG TPVB

Conclusion

References

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