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News Updates

A Study on the Application of the Echo-Enhanced Needle in Ultrasound-Guided Posterior Rami Blockade of the Lumbar and Sacral Nerves

Visibility of the needle shaft and tip is critical for ultrasound‑guided peripheral nerve blocks. Currently, most puncture needles used in ultrasound‑guided nerve blocks only allow visualization of the moving needle trajectory as it displaces surrounding tissues. When the target site is deep or the insertion angle is steep, the entire needle—particularly its tip—is poorly depicted on ultrasound images, posing potential safety concerns. A novel puncture needle features numerous grooves at the distal end of the shaft, which enhance ultrasonic reflection toward the transducer, thereby improving needle visualization on ultrasound. This provides clinicians with an additional option for ultrasound‑guided nerve blockade, as the increased echogenicity of the needle facilitates more precise imaging, enhances puncture accuracy, and reduces procedural risks. In summary, ultrasound can accurately identify the lumbar transverse processes and facet joints, enabling guidance for lumbar medial branch nerve blocks. Compared with conventional puncture needles, echo‑enhanced needles yield higher success rates and greater overall pain relief in ultrasound‑guided lumbar medial branch nerve blocks. By improving image clarity and procedural accuracy, these enhanced needles contribute to improved clinical safety and hold promising prospects for widespread use in practice.

A Study on Anesthetic Drug Dosage in Ultrasound-Guided Nerve Blockade Combined with General Anesthesia

Single-Disease Charge Items Surgical Type Anesthesia Method Nerve Blockade Method Anesthetic Dosage Total Fentanyl Usage (μg) Fentanyl Bolus Dose After Intubation (μg) Total PCIA Medication Volume at 48 Hours Postoperatively (ml) General Anesthesia — 485 ± 45 135 ± 35 117.7 ± 6.5 General Anesthesia + Ultrasound-Guided Nerve Blockade Lumbar and Sacral Plexus Blocks 105 ± 42 46 ± 14 102.4 ± 4.2 Vasoactive Drugs Postoperative Pain Scores and Adverse Reaction Rates Hospital Operational Efficiency Data Source Dose of Peridural Infusion (μg) Dose of Ephedrine (ml) Pain VAS Scores at Various Time Points Postoperatively Incidence of PONV Shanghai Sixth People’s Hospital, “Evaluation of the Effects of Laryngeal Mask General Anesthesia Combined with Ultrasound-Guided Lumbar and Sacral Plexus Blocks on Anesthesia and Postoperative Analgesia in Total Hip Arthroplasty,” Author: Zhu Xiaolan Supervisors: Chief Physician Jiang Wei, Associate Professor Wang Xuemin 31.5 ± 5.5 6.3 ± 1.2 High 12/20 Comprehensive postoperative analgesia enables early initiation of passive rehabilitation exercises and earlier ambulation, thereby significantly reducing postoperative complications, shortening hospital stays, and accelerating bed turnover rates. 5.6 ± 1.0 1.2 ± 0.5 Low 3/20 ......Single-Disease Charge Items Surgical Type Anesthesia Method Nerve Blockade Method Anesthetic Dosage Total Fentanyl Usage (μg) Fentanyl Bolus Dose After Intubation (μg) Total PCIA Medication Volume at 48 Hours Postoperatively (ml) General Anesthesia — 485 ± 45 135 ± 35 117.7 ± 6.5 General Anesthesia + Ultrasound-Guided Nerve Blockade Lumbar and Sacral Plexus Blocks 105 ± 42 46 ± 14 102.4 ± 4.2 — Vasoactive Drugs Postoperative Pain Scores and Adverse Reaction Rates Hospital Operational Efficiency Data Source Dose of Peridural Infusion (μg) Dose of Ephedrine (ml) Pain VAS Scores at Various Time Points Postoperatively Incidence of PONV Shanghai Sixth People’s Hospital, “Evaluation of the Effects of Laryngeal Mask General Anesthesia Combined with Ultrasound-Guided Lumbar and Sacral Plexus Blocks on Anesthesia and Postoperative Analgesia in Total Hip Arthroplasty” Author: Zhu Xiaolan Supervisors: Chief Physician Jiang Wei, Associate Professor Wang Xuemin 31.5 ± 5.5 6.3 ± 1.2 High 12/20 Comprehensive postoperative analgesia enables early initiation of passive rehabilitation exercises and earlier ambulation, thereby significantly reducing postoperative complications, shortening hospital stays, and accelerating bed turnover rates. 5.6 ± 1.0 1.2 ± 0.5 Low 3/20 Single-Disease Charge Items Surgical Type Anesthesia Method Nerve Blockade Method Anesthetic Dosage Breast Cancer/Benign Breast Tumors, Rheumatic Heart Disease with Mitral Valve Disorders, Tuberculous Pleurisy/Spontaneous Pneumothorax, and Other Upper Abdominal Surgeries Laparoscopic Surgery for Intra-abdominal Organs — — Total Fentanyl Usage (μg) — Cumulative Morphine Usage at 48 Hours Postoperatively (ml) General Anesthesia — 1310 ± 240.39 — 7.25 ± 1.55 General Anesthesia + Combined Spinal-Epidural Anesthesia — 441.5 ± 204.77 — 3.50 ± 1.67 General Anesthesia + Ultrasound-Guided Nerve Blockade Paravertebral Nerve Blockade — 344.0 ± 191.46 — 1.00 ± 1.17 — Vasoactive Drugs Postoperative Pain Scores and Adverse Reaction Rates Hospital Operational Efficiency Data Source Dose of Atropine (mg) Dose of Ephedrine (ml) Pain VAS Scores at Various Time Points Postoperatively — — — — 0.9 18 High — The PACU stay duration and postoperative hospitalization time were significantly longer in the general anesthesia group compared to both the combined spinal-epidural group and the ultrasound-guided nerve blockade group. Southern Medical University Affiliated Southern Hospital, “Application of Ultrasound-Guided Paravertebral Nerve Blockade Combined with General Anesthesia in Laparoscopic Surgery for Intra-abdominal Organs” Author: Chen Yanjia Supervisors: Chief Physician Liu Kexuan, Professor Lin Chunshui 0.9 24 Moderate — 0.6 18 Low —

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