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Anesth Analg 2007; 105:1845-1847
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000286168.09970.07
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ANALGESIA

The Use of Intraoperative Ultrasound by Anesthesiologists to Facilitate the Surgical Management of Peripheral Nerve Tumors of the Upper Extremity

Brian D. Sites, MD*{dagger}, Susan Durham, MD{ddagger}, John D. Gallagher, MD*, and Marc L. Bertrand, MD*

From the Departments of *Anesthesiology, {dagger}Orthopedic Surgery, and {ddagger}Neurosurgery, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Address correspondence and reprint requests to Brian D. Sites, MD, Director of Regional Anesthesia, Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756. Address e-mail to brian.sites{at}hitchcock.org.

Abstract

BACKGROUND: Traditional uses of ultrasound by anesthesiologists include transesophageal echocardiography, facilitation of vascular access, and guidance of peripheral nerve blocks.

METHODS: In this case series, we report a novel application of ultrasound by anesthesiologists to facilitate the operative dissection of upper extremity peripheral nerve tumors.

RESULTS: In four cases, ultrasound was used to intraoperatively locate the tumor, plan the safest surgical approach, and exclude tumor vascularity.

CONCLUSIONS: Ultrasound can be used by anesthesiologists to facilitate the surgical management of peripheral nerve tumors.




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R. S. Adler
The Use of Compact Ultrasound in Anesthesia: Friend or Foe
Anesth. Analg., December 1, 2007; 105(6): 1530 - 1532.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.