Worldwide Usage Of Ultrasound-Guided Peripheral Nerve Blocks
The advancements in ultrasound technology have proven to be of great benefit to the medical industry and its patients. One major innovation that has positively affected healthcare delivery is ultrasound-guided peripheral nerve blocks. This procedure is gaining more and more popularity across the world in developing and first world countries. We see that researchers from various countries are conducting studies for the purpose of determining different sets of information relating to ultrasound-guided peripheral nerve blocks. In this article, we have summarized the objectives and findings of a few studies with the aim of illustrating the worldwide usage of ultrasound-guided peripheral nerve blocks.
The first study we will examine is a feasibility study of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions. It was carried out in several developing countries in 2007. These countries included the Philippines and Ecuador. In the Philippines, two girls, ages eight (8) and ten (10), were subjects of the study, and for Ecuador, the participants were patients of pediatric orthopedic surgeries. At the end of the research, it was concluded that ultrasound-guided continuous peripheral nerve blocks are predominantly useful as the sole analgesic technique on pediatric medical missions in underserved countries.
The next research on our list takes us to Switzerland. Between June 8 and July 6, 2018, a survey was carried out in Switzerland to determine the preferred approach for peripheral nerve blocks within the country. A total of four-hundred- twenty-two (422) anesthesiologists took part in the survey. The lesser majority of the participants indicated that their preferred approach to nerve blocks is ultrasound-guided, the larger portion of participants decided on the dual guidance approach.
Ultrasound-guided peripheral nerve block has seen so much growth in its usage worldwide in even the treatment of leprosy patients living in developing countries. The third study we looked at was in relation to ultrasound-guided peripheral nerve blocks in the treatment of leprosy. This disease is still very prevalent in some countries within Africa, Asia, and Latin America. It is seen primarily in underprivileged areas where medical care is nearly non-existent. The study conducted in these regions showed that ultrasound guidance retains its value by making it possible to specify the actual current threshold. However, ultrasound use is limited by its cost and availability in leprosy endemic areas.”
Finally, we analyzed results of a research which showed that in several studies, it was identified that regional anesthesia via ultrasound-guided peripheral nerve block is used in a minority of orthopedic patients in the United States. However, its utilization is higher in European countries. A more international perspective is offered by the Global Orthopaedic Registry (GLORY). A study into the epidemiology, trends, and disparities in regional anesthesia for orthopedic surgery was carried out by the organization. It enrolled 15,020 patients from one hundred (100) hospitals in thirteen (13) countries. The countries included in the study were Australia, Brazil, Bulgaria, Canada, Columbia, Germany, Italy, Japan, Poland, Spain, Turkey, the United Kingdom, and the United States of America. The overall conclusion arrived at the end of the study was that it seems as though the international use of general anesthesia may be lower worldwide. However, the use of regional anesthesia, including ultrasound-guided peripheral nerve blocks, is higher worldwide when compared to data from the United States.
After reviewing these studies and researches, it is logical to expect that there will be continuous growth in the number of countries that utilize ultrasound-guided peripheral nerve blocks during medical procedures. This is because the use of ultrasound guidance has facilitated several opportunities to execute many peripheral nerve blocks that would otherwise have been difficult to perform. Additionally, ultrasound-guided peripheral nerve blocks has proved to be beneficial to both patients and medical facilities.
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- Luedi, M., Upadek, V., Vogt, A., Steinfeldt, T., Eichenberger, U., Sauter, A. (2019). A Swiss nationwide survey shows that dual guidance is the preferred approach for peripheral nerve blockS. Retrieved 16/09/2020, from https://www.nature.com/articles/s41598-019-45700-3.
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NCBI. (2020). Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries. Retrieved 16/09/2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745103/