Ultrasound-guided peripheral nerve blocks in anticoagulated patients - case series

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dc.citation.issue1
dc.citation.volume67
dc.contributor.authorMartins, Luis Eduardo Silveira [UNIFESP]
dc.contributor.authorFerraro, Leonardo Henrique Cunha [UNIFESP]
dc.contributor.authorTakeda, Alexandre [UNIFESP]
dc.contributor.authorMunechika, Masashi [UNIFESP]
dc.contributor.authorTardelli, Maria Angela [UNIFESP]
dc.coverageNew York
dc.date.accessioned2020-07-31T12:46:47Z
dc.date.available2020-07-31T12:46:47Z
dc.date.issued2017
dc.description.abstractBackground 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.en
dc.description.affiliationUniv Fed Sao Paulo Unifesp, Escola Paulista Med, Disciplina Anestesiol Dor & Terapia Intens, Sao Paulo, SP, Brazil
dc.description.affiliationSoc Brasileira Anestesiol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina, Disciplina de Anestesiologia, Dor e Terapia Intensiva, São Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent100-106
dc.identifierhttp://dx.doi.org/10.1016/j.bjane.2015.06.005
dc.identifier.citationRevista Brasileira De Anestesiologia. New York, v. 67, n. 1, p. 100-106, 2017.
dc.identifier.doi10.1016/j.bjane.2015.06.005
dc.identifier.fileWOS000394033300016.pdf
dc.identifier.issn0034-7094
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56363
dc.identifier.wosWOS:000394033300016
dc.language.isoeng
dc.publisherElsevier Science Inc
dc.relation.ispartofRevista Brasileira De Anestesiologia
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPeripheral nerveen
dc.subjectblocken
dc.subjectUltrasounden
dc.subjectCoagulationen
dc.titleUltrasound-guided peripheral nerve blocks in anticoagulated patients - case seriesen
dc.typeinfo:eu-repo/semantics/article
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