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Ultrasound guidance as a gold standard in regional anaesthesia
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It is now just over 2 yr since Marhofer and colleagues,1 in this journal, reviewed the use of ultrasound in regional anaesthesia. They concluded with the hope that the availability of portable ultrasound systems with high-frequency probes would promote the routine use of ultrasound guidance in regional anaesthesia. This review, however, was accompanied by an editorial that queried the evidence base for preferring ultrasound guidance to other techniques of nerve localization.2 With the widespread availability to anaesthetists of high-resolution portable ultrasound machines,3 it is timely to consider if sufficient evidence has accumulated to quell the doubts expressed by Denny and Harrop-Griffiths.2
Denny and Harrop-Griffiths2 pointed out the difficulties in proving increased success rates in comparison with those of experienced regional anaesthetists and emphasized the paucity of data concerning improvements
Declaration of interest
Academic Unit of Anaesthesia St James' University Hospital Leeds LS9 7TF UK
E-mail: p.m.hopkins@leeds.ac.uk
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E-letters:
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- Ultrasound-Guided Regional Anaesthesia: Possibly Gold But Not Yet Standard
- Colin JL McCartney
- British Journal of Anaesthesia, 13 Mar 2007 [Full text]
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- British Journal of Anaesthesia, 15 Mar 2007 [Full text]
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- Author's response
- Philip M Hopkins
- British Journal of Anaesthesia, 1 May 2007 [Full text]