Learning Zone: Ultrasound for Neuraxial Block. Dr Kara Bruce-Hickman

Topic of the month Date
Ultrasound for Neuraxial Block
March 2021
Relevant recent publications
  • Essential notes on the physics of Doppler ultrasound
    Magee, P. 2020
    BJA Education, Volume 20, Issue 4, 112 - 113
    OAA webcasts (in last 4 years) 2019
    The Role of Ultrasound in the Provision of Labour Analgesia, Dr Conan McCaul. 3 Day Course 2019, Monday 4th November
    Webcast (password: firework)

    Managing the Obese Parturient, Dr Conan McCaul. 3 Day Course 2019, Wednesday 6th November
    Webcast (password: firework)

    Initiation of Labour Epidural Analgesia, Dr Nicky Weale. Obstetric Anaesthesia Update, 3rd October 2019
    Webcast (password: news)

    Ultrasound in obstetric anaesthesia, Dr David Pappin. Obstetric Anaesthesia Update, 3rd October 2019
    Webcast (password: news)

    Labour analgesia: an update, Dr Chiraag Talati. Obstetric Anaesthesia 2019, Newcastle
    Webcast (password: bridge)

    2018
    Ultrasound for neuraxial anaesthesia, Dr John Loughrey. 3 Day Course 2018, Monday 5th November.
    Webcast (password: London)

    Update on labour analgesia, Dr Neil Muchatuta. Obstetric Anaesthesia 2018, Thursday 24th May.
    Webcast (password: Titanic)

    Anaesthetic management of the Obese Parturient, Dr Terry Tan. Obstetric Anaesthesia 2018, Friday 25th May.
    Webcast (password: Titanic)
       OAA posters (in last 4 years) 2020 (Birmingham – cancelled):
      Developing an ultrasound lumbar spine teaching program. P Surgey et al.

      Evaluation of the Accuro ultrasound device for spinal and epidural insertion in obstetric patients, B Wooldridge et al.
      Link awaited.

      2019 (Newcastle Gateshead):
      Impact of spinal ultrasound training on landmark identification of the L3-4 interspace. P Shinde et al.

      2018 (Belfast):
      Ultrasound-assisted combined spinal-epidural anesthesia for cesarean delivery in a parturient with Currarino Syndrome. H Smith et al.

      Accuracy of the landmark technique in spinal anaesthesia for caesarean section in obese parturients. Should ultrasound be used routinely? T Orr et al.

      2017 (Brussels):
      Ultrasound-guided spinal anaesthesia for caesarean section in a parturient with lumbar bony fusion. NJ McLoughlin et al.

      Does pre-procedural spinal sonography interfere with skin asepsis in obstetrics? D Helme et al.

      2016 (Manchester):
      Development of a labour ward teaching programme for the use of ultrasound for central neuraxial blockade. B Bellew et al.

      Pre-puncture ultrasound imaging of lumbar region in elective caesarean section cases. K Suri Mohanram et al.

      Use of ultrasound guidance for epidural blood patch following unintentional dural puncture. Z Hajat et al.

      MBRRACE-UK
       National Guidelines
      Intrapartum care for women with existing medical conditions or obstetric complications and their babies.
      NICE guideline
      [NG121] Published date: 06 March 2019 Last updated: 25 April 2019
      p56, 77
      Overview | Intrapartum care for women with existing medical conditions or obstetric complications and their babies | Guidance

      RCOA:
      Chapter 9: Guidelines for the Provision of Anaesthesia Services for an Obstetric Population 2020. RCOA.
      Point 2.15, 2.16.
      Chapter 9: Guidelines for the Provision of Anaesthesia Services for an Obstetric Population 2020

      AAGBI:
      Perioperative management of the obese surgical patient 2015. AAGBI. March 2015.
      p15
      Peri-operative management of the obese surgical patient

         Clinical Guidelines
        Local Trust Guidelines from OAA: High BMI
        High BMI
        Audit / Qu suggestions
        7Obstetric practice
        Page 248 Regional analgesia during labour (but no specific USS for neuroaxial block information)

          FRCA questions Obesity in Pregnancy
          Final FRCA Written Obstetric Past Questions

          Simulation suggestion
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