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Musculoskeletal Sonopathology and Ultrasound-Guided Regional Anesthesia
Authors:Alan J. R. Macfarlane MBChB   MRCP   FRCA  Brian D. Sites MD  Vincent R. Sites MD  Ali M. Naraghi MD   FRCR  Vincent W. S. Chan MD   FRCPC  Mandeep Singh MBBS   MD  John G. Antonakakis MD  Richard Brull MD   FRCPC
Affiliation:(1) Department of Anaesthesia, Glasgow Royal Infirmary, Scotland, UK;(2) Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA;(3) Department of Radiology, Lahey Clinic, Burlington, MA, USA;(4) Joint Department of Medical Imaging of University Health Network and Mount Sinai Hospital, Toronto Western Hospital, Toronto, ON, Canada;(5) Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA;(6) Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada;
Abstract:The use of real-time ultrasound guidance has revolutionized the practice of regional anesthesia. Ultrasound is rapidly becoming the technique of choice for nerve blockade due to increased success rates, faster onset, and potentially improved safety. In the course of ultrasound-guided regional anesthesia, unexpected pathology may be encountered. Such anomalous or pathological findings may alter the choice of nerve block and occasionally affect surgical management. This case series presents a variety of musculoskeletal conditions that may be encountered during ultrasound-guided regional anesthesia practice.
Keywords:anesthesia   ultrasound   regional anesthesia
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