Proximal humeral fractures are a common injury after falls, particularly in the elderly population. An ultrasound-guided hematoma block is a novel technique for analgesia in cases when standard intravenous analgesia is not efficacious. We present a case in which ultrasound-guided hematoma block was the ideal method for adjunctive pain control in a patient with a comminuted humeral head fracture.

Dr MacLennan is a Specialist Anaesthetist at Auckland City Hospital His clinical interests include ultrasound guided regional anaesthesia, cardiac evaluation for non cardiac surgery, anaesthesia for vascular surgery and liver transplantation. He is currently conducting a prospective audit of the saftey and efficacy of ultrasounded (US) guided nerve blocks and has runs frequent ultrasound worksh...

Freehand three-dimensional ultrasound system allows intra-operative imaging of pathologic tissue for image-guided injection. Accurate registration of ultrasound image for injection navigation requires calibration that is timeconsuming and tedious. We present an efficient calibration system based on a clinical injector. The injector equipped with an optical tracking sensor is moved in the vicini...

Ultrasound-guided procedures are becoming very common in emergency medicine and critical care. Ultrasound guidance for pericardiocentesis has been shown to reduce errors as compared with the landmark-based technique. A simplified in-plane ultrasound-guided pericardiocentesis allows the clinician an opportunity to visualize the needle and the guide wire during the procedure. In addition, post pr...

T issue diagnosis of pathological lesions located in the mediastinum has been difficult to obtain by nonsurgical methods, well protected as it is by the bony covering of the thorax and the surrounding lungs. A variety of lesions involve the mediastinum either as primary tumours or as secondary deposits from both benign and malignant diseases. It is therefore of paramount clinical importance to ...

After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema. A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route f...

The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilization is by nonradiologists. In sports medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases, and hydrodissections. This American Medical Society for Sports Medicine (AMSSM) pos...

medical practice. Ultrasonography can confirm endotracheal intubation, assess vocal cord function, detect endobronchial intubation and diagnose pneumothorax. We present a novel use of real time ultrasound to guide tracheal intubation in a series of 25 children. This new technique is called Ultrasound Guided Tracheal Intubation (UGTI). It is kinesthetically similar to the lighted stylet techniqu...

BACKGROUND Recently, ultrasound has been commonly used. Ultrasound-guided interscalene brachial plexus block (IBPB) by posterior approach is more commonly used because anterior approach has been reported to have the risk of phrenic nerve injury. However, posterior approach also has the risk of causing nerve injury because there are risks of encountering dorsal scapular nerve (DSN) and long thor...

Plancarte first described a fluoroscopy-guided superior hypogastric plexus block to manage pelvic pain in 1990. Modifications have since been described using different imaging modalities. Ultrasound-guided approach has been described in a clinical outcome study. However, the accuracy of an ultrasound-guided method has never been validated by alternative imaging. We conducted an experiment aimin...