conclusions lidocaine-meperidine-diltiazem gel provides significantly better pain control than lidocaine-diltiazem gel and lidocaine gel alone during transrectal ultrasound guided prostate biopsy and probe insertion. this mixture gel is safe, easy to administer and well accepted by patients. results the mean of visual analog pain scale was 4.5 in group a, 3.5 in group b, and 2.0 in group c duri...

1209 November 2013 T transversus abdominis (TA) plane regional anesthesia block is a well-described and effective method for reducing pain from lower abdominal surgeries. Successful ultrasound-guided TA plane block is dependent on correct recognition of muscle borders within the anterolateral abdominal wall.1 This wall is composed of three distinct muscle layers from the external oblique (eO), ...

Ultrasonography is the primary imaging tool for a patient considered to have an ovarian cyst. On a sonogram, simple ovarian cysts have a uniformly thin, rounded wall and a unilocular appearance that is either hypoechoic or anechoic. They usually measure 2.5-15 cm in diameter, and posterior acoustic enhancement (a hyperechoic area) may be visible deep to the fluid-filled cyst. Most commonly, the...

OBJECTIVE Endobronchial ultrasound-guided transbronchial needle aspiration is of diagnostic value in hilar/mediastinal (N1/N2) lymph node staging. We assessed the utility of endobronchial ultrasound-guided transbronchial needle aspiration in lung cancer patients with N1/N2 lymph nodes detected on (18)F-fluorodeoxyglucose positron emission tomography/computed tomography. METHODS Fifty lung can...

BACKGROUND Central venous access is a mandatory part of patient management in many clinical settings and is usually achieved with a blind, external landmark-guided technique. The purpose of this study is to evaluate whether an ultrasound technique can improve on the external landmark method. METHODS We prospectively evaluated an ultrasound-guided method in 28 patients undergoing femoral vein ...

BACKGROUND Transversus abdominis plane (TAP) block is suitable for lower abdominal surgeries. Blind TAP block has many complications and uncertainty of its effects. Use of ultrasonography increases the safety and efficacy. This study was conducted to evaluate the analgesic efficacy of ultrasound (USG)-guided TAP block for retroperitoneoscopic donor nephrectomy (RDN). METHODS In a prospective ...

CONTEXT Pancreatic splenosis is a benign condition which can mimic a pancreatic neoplasm. OBJECTIVE To describe the role of the endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of pancreatic nodules suspicious for pancreatic splenosis. METHOD From 1997 to 2011, patients with pancreatic solid tumors suspicious for splenosis by computed tomography and/or magnetic resonance imagin...

Introduction: Brachial plexus block has evolved in procedures for upper limb surgeries when William Halsted performed it for the first time in 1884. Brachial plexus is formed by anterior primary rami of C5 to C8 and T1 nerves which emerge from intervertebral foramina. Objective: The objective of this study was to compare ultrasound-guided perivascular (PV) and perineural (PN) axillary nerve blo...

BACKGROUND Ultrasound guidance for central and peripheral venous access has been proven to improve success rates and reduce complications of venous cannulation. Appropriately trained and experienced operators add significantly to diminished patient morbidity related to venous access procedures. We discuss a patient who required an arterial stent-graft to prevent arterial hemorrhage following in...

BACKGROUND Hematoma blocks of the radius can provide excellent analgesia for simple distal radius fractures. However, the landmark-based approach can be difficult, and ultrasound guidance may improve success of the block and analgesia during reduction. There is limited literature describing the ultrasound-guided approach, and prior case descriptions have not involved comminuted fractures or con...