Ultrasound provides a reliable test of local anesthetic spread

Reg Anesth Pain Med. 2010 Jul-Aug;35(4):361-3. doi: 10.1097/aap.0b013e3181e82e79.

Abstract

Background and objectives: We predicted that practitioners could identify injectate spread in a model of ultrasound-guided peripheral nerve block.

Methods: Both novices and experts in ultrasound-guided peripheral nerve block were asked to recognize the spread of local anesthetic in a gelatin ultrasound phantom. In a blinded and randomized fashion, these participants were observed to either successfully or unsuccessfully state whether an injection had been made.

Results: Twelve novices and 8 experts each completed the trials. Accuracy, Sensitivity and specificity were calculated for all trials. Users attained a very high accuracy and sensitivity (> 85%) as well as specificity (> 90%) with ultrasound in this model.

Conclusions: This study shows that ultrasound is a reliable method of detecting injectate spread in a gelatin phantom model.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Anesthetics, Local / administration & dosage*
  • Clinical Competence
  • Gelatin
  • Humans
  • Injections
  • Nerve Block*
  • Ontario
  • Phantoms, Imaging
  • Predictive Value of Tests
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Ultrasonography, Interventional* / instrumentation

Substances

  • Anesthetics, Local
  • Gelatin