Ecoguided puncture in front of the blind puncture in the nervous lock of the foot: narrative bibliographical review
Rev. Esp. Pod. 2019; 30(2): 101-108 / DOI: 10.20986/revesppod.2019.1548/2019
Cristina Mora Castillo
ABSTRACTIntroduction: Guided puncture is a technique used for the nerve block of the foot allowing to visualize anatomical structures and the puncture needle, thus reducing the amount of local anesthetic without damaging the structures. The objective of this review is to evaluate the application of this technique in the foot by carrying out a comparative study to the blind puncture.Material and methods: A review of the literature has performed in the most relevant databases including twenty eight articles until Septembre 2019. The variables studied were the amount of local anesthetic as well as the postoperative pain of both techniques. Finally, ten articles are included for review.Results: Articles indicate a decrease in the amount of local anesthetic into the ankle lock and be more effect on the scale defined with this technique.Discussion: Guided puncture is a more effective, easy to use and we can avoid failed blockades.RESUMENIntroducción: La punción guiada es una técnica utilizada para el bloqueo nervioso del pie, permitiendo visualizar estructuras anatómicas y la aguja de punción, consiguiendo así disminuir la cantidad de anestésico local sin dañar las estructuras. El objetivo de esta revisión es valorar la aplicación de esta técnica en el pie, realizando una revisión bibliográfica comparativa frente la punción a ciegas valorando la efectividad de ambas técnicas.Material y métodos: Se ha realizado una revisión bibliográfica en las bases de datos más relevantes, incluyendo veintiocho artículos hasta septiembre de 2019. Las variables estudiadas fueron la cantidad de anestésico local, así como el dolor postoperatorio de ambas técnicas. Finalmente, se incluyen diez artículos para su revisión.Resultados: Los artículos indican una disminución de la cantidad de anestésico local en el bloqueo de tobillo y ser más efectivo en la escala definida con esta técnica.Discusión: La punción guiada es una técnica es más efectiva, sencilla de utilizar y podemos evitar bloqueos fallidos.
ABSTRACT
Introduction: Guided puncture is a technique used for the nerve block of the foot allowing to visualize anatomical structures and the puncture needle, thus reducing the amount of local anesthetic without damaging the structures. The objective of this review is to evaluate the application of this technique in the foot by carrying out a comparative study to the blind puncture.Material and methods: A review of the literature has performed in the most relevant databases including twenty eight articles until Septembre 2019. The variables studied were the amount of local anesthetic as well as the postoperative pain of both techniques. Finally, ten articles are included for review.Results: Articles indicate a decrease in the amount of local anesthetic into the ankle lock and be more effect on the scale defined with this technique.Discussion: Guided puncture is a more effective, easy to use and we can avoid failed blockades.
RESUMEN
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Received: 13/06/2019
Accepted: 07/10/2019
Online First: 26/11/2019
Published: 20/12/2019
Article revision time: 112 days
Article Online First time: 166 days
Article editing time: 190 days