Ultrasound assessment of the frequency and variation of arteries in the interscalene region.

IF 2.8 3区医学 Q2 ANESTHESIOLOGY

Journal of Anesthesia Pub Date : 2024-11-06 DOI:10.1007/s00540-024-03422-5

Rieko Oishi, Shinju Obara, Keisuke Yoshida, Shin Kurosawa, Hiroyuki Yaginuma, Satoki Inoue

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引用次数: 0

Abstract

Purpose: Given the abundance of arteries in the neck, a significant risk of puncturing arteries exists when performing a brachial plexus block. Therefore, it is important to confirm the presence of arteries when performing a brachial plexus block via the interscalene approach. This study aimed to investigate the frequency and variations of arteries in the interscalene region in healthy Japanese adults using ultrasonography.

Methods: This is an observational study at a university hospital. We analyzed videos of the brachial plexus recorded in another study using an ultrasound device and then investigated the frequency of the presence of arteries and the location of arteries in the interscalene region.

Results: Among 68 cases, 48 (70.6%) had one or more arteries in the interscalene region (63 arteries in total). The artery frequency on the ventral side of the 5th cervical nerve (C5), between C5 and the 6th cervical nerve (C6), between C6 and the 7th cervical nerve (C7), between C7 and the 8th cervical nerve (C8), and on the dorsal side of C8 was 19.1%, 1.5%, 35.3%, 29.4%, and 7.4%, respectively. The artery frequencies between C6 and C7 and between C7 and C8 were higher than those between C5 and C6 and on the dorsal side of C8.

Conclusion: Interscalene observations using ultrasound devices revealed a high artery frequency, with numerous topographic variations.

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腋窝间动脉频率和变化的超声评估。

目的：由于颈部有大量动脉，因此在进行臂丛神经阻滞时存在很大的穿刺动脉风险。因此，在通过椎间孔入路进行臂丛阻滞时，确认动脉的存在非常重要。本研究旨在使用超声波检查法调查日本健康成年人椎间孔区域动脉的频率和变化情况：这是一项在大学医院进行的观察性研究。我们分析了在另一项研究中使用超声设备记录的臂丛视频，然后调查了臂丛间区动脉出现的频率和动脉的位置：结果：在 68 个病例中，48 个（70.6%）在脐间区域有一条或多条动脉（共 63 条）。第 5 颈神经（C5）腹侧、C5 和第 6 颈神经（C6）之间、C6 和第 7 颈神经（C7）之间、C7 和第 8 颈神经（C8）之间以及 C8 背侧的动脉频率分别为 19.1%、1.5%、35.3%、29.4% 和 7.4%。C6和C7之间以及C7和C8之间的动脉频率高于C5和C6之间以及C8背侧的动脉频率：结论：使用超声设备进行腋窝间观察发现，动脉频率较高，且地形变化较多。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Anesthesia 医学-麻醉学

CiteScore

5.30

自引率

7.10%

发文量

112

审稿时长

3-8 weeks

期刊介绍： The Journal of Anesthesia is the official journal of the Japanese Society of Anesthesiologists. This journal publishes original articles, review articles, special articles, clinical reports, short communications, letters to the editor, and book and multimedia reviews. The editors welcome the submission of manuscripts devoted to anesthesia and related topics from any country of the world. Membership in the Society is not a prerequisite. The Journal of Anesthesia (JA) welcomes case reports that show unique cases in perioperative medicine, intensive care, emergency medicine, and pain management.