Ultrasound-guided versus landmark-guided neuraxial puncture

Yale Anesthesiology

In this episode, Dr. de Carvalho discusses his article, Efficacy and safety of ultrasound-guided versus landmark-guided neuraxial puncture: a systematic review, network meta-analysis and trial sequential analysis of randomized clinical trials. Dr. de Carvalho’s work reiterates that using ultrasound-guided neuraxial anesthesia results in a more efficient neuraxial placement. Ultrasound-guided neuraxial use results in fewer needle attempts and redirections and may improve patient satisfaction. Besides, his works demonstrate that ultrasound benefits both patients with normal and abnormal anatomy.

Efficacy and safety of ultrasound-guided versus landmark-guided neuraxial puncture: a systematic review, network meta-analysis and trial sequential analysis of randomized clinical trials
https://pubmed.ncbi.nlm.nih.gov/38876801/

Comparison of ultrasound-guided and traditional localisation in intraspinal anesthesia: a systematic review and network meta-analysis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626869/

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