Purpose of Review

There has been a recent surge of interest in clinical applications of ultrasound, which has revolutionized acute pain management. This review is to summarize the current status of ultrasound utilization in neuraxial anesthesia, the most common type of regional anesthesia.

Recent Findings

Ultrasound-assisted and ultrasound-guided neuraxial anesthesia has improved clinical accuracy and patient safety through landmark identification including proper vertebral level and midline, as well as via measurements on neuraxial space. Direct needle or catheter visualization during the entire procedure has not yet been achieved consistently.

Summary

The recent introduction of ultrasound into neural anesthesia has clinical performance benefits and patient safety implications, with documented improvement on overall efficacy with higher first attempt success rate as well as less needle pass. More controlled studies are needed for the overall impact of ultrasonography in neuraxial anesthesia in obstetric and non-obstetric patients.

中文翻译：

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超声引导下的神经麻醉。

审查目的

最近，对超声的临床应用兴趣激增，彻底改变了急性疼痛管理。这篇综述总结了超声麻醉在神经麻醉中的现状，神经麻醉是最常见的区域麻醉类型。

最近的发现

超声辅助和超声引导的神经麻醉通过具有里程碑意义的识别（包括适当的椎骨水平和中线）以及对神经间隙的测量，提高了临床准确性和患者安全性。在整个过程中，直接针头或导管的可视化尚未始终如一。

概要

超声在神经麻醉中的最新应用具有临床性能优势和对患者安全的影响，已证明总体功效得到改善，首次尝试成功率更高，针刺次数更少。对于产科和非产科患者的超声检查对神经麻醉的总体影响，需要进行更多的对照研究。