• Best Pract Res Clin Anaesthesiol · Jun 2016

    Review

    Do ultrasound-guided regional blocks signify a new paradigm in high-risk patients?

    • Thomas F Bendtsen, Stephen Haskins, Kølsen Petersen Jens Aage JA Department of Anaesthesiology, Aarhus University Hospital, Denmark., and Jens Børglum.
    • Department of Anaesthesiology, Aarhus University Hospital, Denmark. Electronic address: tfb@dadlnet.dk.
    • Best Pract Res Clin Anaesthesiol. 2016 Jun 1; 30 (2): 191-200.

    AbstractIt has been suggested for many years that regional anaesthesia is advantageous in high-risk patients, either as the sole anaesthetic or in combination with general anaesthesia. Regional techniques are safe and even more so when guided by ultrasound. In the high-risk patient population, ultrasound-guided regional anaesthesia (UGRA) can help decrease risk of perioperative morbidity and improve short-term as well as long-term outcomes, particularly in the orthopaedic, vascular, oncologic and chronic pain patient populations. Nevertheless, complications do still occur and benefits of a specific regional nerve blockade need to be weighed against potential risks on an individual basis. The emergence of reasonably priced, easy-to-use ultrasound machines facilitates regional anaesthesia, and this kind of anaesthesia may become the standard of care in high-risk patients. Copyright © 2016 Elsevier Ltd. All rights reserved.

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