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Anesthesia and analgesia · May 2015
Randomized Controlled TrialThe Disposition of Radiocontrast in the Interscalene Space in Healthy Volunteers.
- Philippe Gautier, Catherine Vandepitte, Isabelle Schaub, Kristof Fourneau, Maxine M Kuroda, Yvan De Merlier, and Admir Hadzic.
- From the Department of Anesthesiology, Clinique Ste Anne-St Remi, Brussels, Belgium; Ziekenhuis Oost-Limburg (ZOL), Genk, Belgium; Sint Jozefskliniek, Izegem, Belgium; NAICE (North American Institute for Continuous Education), New York, New York; Department of Radiology, Clinique Ste Anne-St Remi, Brussels, Belgium; and New York School of Regional Anesthesia, New York, New York.
- Anesth. Analg. 2015 May 1; 120 (5): 1138-1141.
BackgroundWe measured the spread of radiocontrast in the interscalene space after injection under low (<15 psi) and high (>20 psi) pressures.MethodsNine healthy volunteers received ultrasound-guided injections of 10 mL radio-opaque NaCl 0.9% in both interscalene spaces. Spread of injectate as assessed by computed tomography scan and discomfort on injection were recorded.ResultsUnder both opening pressure conditions, injectate contacted 3 brachial plexus roots and spilled over the surface of the anterior and/or middle scalene muscles underneath the cervical fascia.ConclusionsRegardless of injection pressure, the interscalene space was filled with 10 mL of radiocontrast injectate.
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