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Ultrasound-Guided Regional Anesthesia: Evidence-Based Medicine Assessment

Regional Anesthesia and Pain Medicine:
March/April 2016 - Volume 41 - Issue 2 - pp 181–194
doi: 10.1097/AAP.0b013e3181d22fe0


Neal, Joseph M. MD; Brull, Richard MD; Horn, Jean-Louis MD; Liu, Spencer S. MD; McCartney, Colin J.L. MBChB; Perlas, Anahi MD; Salinas, Francis V. MD; Tsui, Ban Chi-ho MD 

What's New In This Update

This evidence-based assessment of ultrasound-guided regional anesthesia reviews findings from our 2010 publication and focuses on new meta-analyses, randomized controlled trials, and large case series published since 2009. New to this exercise is an in-depth analysis of the accuracy and reliability of ultrasound guidance for identifying needle-to-nerve relationships. This version no longer addresses ultrasound for interventional pain medicine procedures, because the growth of that field demands separate consideration. Since our 2010 publication, new information has either supported or strengthened our original conclusions. There is no evidence that ultrasound is inferior to alternative nerve localization methods.

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