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Anatomical study for effects of ultrasound-guided nerve block

Research Project

Project/Area Number 24592350
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionTohoku University (2013-2014)
Sapporo Medical University (2012)

Principal Investigator

YAMAUCHI Masanori  東北大学, 医学(系)研究科(研究院), 教授 (00404723)

Co-Investigator(Kenkyū-buntansha) NARIMATSU Eichi  札幌医科大学, 医学部, 教授 (70295343)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords神経ブロック / 遺体 / ソナゾイド / 超音波画像 / 麻酔 / 超音波装置 / 造影剤 / Thiel法固定遺体 / 解剖 / 局所麻酔薬 / X線 / 大腿神経 / 坐骨神経 / 副横筋筋膜面ブロック
Outline of Final Research Achievements

In the three series studies, spread of solution by ultrasound-guided (US) nerve block were investigated using Thiel embedded cadavers.
(1) Segmental nerve involvement by US transversus abdominis plane block (TAP-B): Each subcostal and midaxillary TAP-B could sufficiently spread T8-9 and T10-T12 intercostal nerve branches by 15 ml, respectively. (2) Spread of solution through femoral nerve block catheter: Fluoroscopy, computed tomography and anatomical study showed that lateral femoral cutaneous nerve and femoral nerve block by sole injection, could be achieved when a femoral nerve catheter advanced around the iliopsoas muscle or major psoas muscle. (3) Contrast-enhanced US (CEUS): Effects of perfluorobutane with CEUS was demonstrated for better visualization of solution in sciatic nerve block than B mode. In rat study, safety and no neurodegeneration of perfluorobutane was proved.
In conclusion, these studies showed possibility of safer and more precise US nerve block.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (33 results)

All 2014 2013 2012

All Journal Article (13 results) (of which Peer Reviewed: 13 results,  Open Access: 7 results) Presentation (14 results) (of which Invited: 3 results) Book (6 results)

  • [Journal Article] 超音波画像を利用した硬膜外・脊髄くも膜下麻酔の最近の知見.2014

    • Author(s)
      大西詠子,山内正憲
    • Journal Title

      麻酔

      Volume: 63 Pages: 1011-1017

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 超音波画像を用いた繊細な神経ブロック.2014

    • Author(s)
      山内正憲
    • Journal Title

      東北医学会雑誌

      Volume: 126 Pages: 169-172

    • NAID

      120006878925

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Anesthetic management of pulmonary valve replacement for pulmonary regurgitation in six patients with surgically repaired tetralogy of Fallot.2014

    • Author(s)
      Adachi K, Ejima Y, Adachi O, Yamauchi M
    • Journal Title

      Journal of Anesthesia

      Volume: 28 Issue: 6 Pages: 928-931

    • DOI

      10.1007/s00540-014-1846-2

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Annual FEV1 changes and numbers of circulating endothelial microparticles in COPD patients.2014

    • Author(s)
      Takahashi T, Kobayashi S, Fujino N, Suzuki T, Ota C, Tando Y, Yamada M, Yanai M, Yamaya M, Kurosawa S, Yamauchi M, Kubo H
    • Journal Title

      BMJ Open

      Volume: 4 Issue: 3 Pages: e004571-e004571

    • DOI

      10.1136/bmjopen-2013-004571

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Olanzapine for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients Receiving Highly or Moderately Emetogenic Chemotherapy: A Randomized, Double-Blind, Placebo-Controlled Study.2014

    • Author(s)
      Mizukami N, Yamauchi M, Koike K, Watanabe A, Ichihara K, Masumori N, Yamakage M
    • Journal Title

      J Pain Symptom Manage

      Volume: 47 Issue: 3 Pages: 542-550

    • DOI

      10.1016/j.jpainsymman.2013.05.003

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Efficacy of axillary nerve block in elbow arthroscopic surgery:A randomized trial2014

    • Author(s)
      Wada T, Yamauchi M, Oki G, Sonoda T, Yamakage M, Yamashita T
    • Journal Title

      Journal of Shoulder Elbow Surgery

      Volume: 23 Issue: 3 Pages: 291-296

    • DOI

      10.1016/j.jse.2013.11.022

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of local infiltration analgesia for posterior knee pain after total knee arthroplasty: comparison with sciatic nerve block.2014

    • Author(s)
      Gi E, Yamauchi M, Yamakage M, Kikuchi C, Shimizu H, Okada Y, Kawamura S, Suzuki T.
    • Journal Title

      J Anesth

      Volume: Epub ahead of print Issue: 5 Pages: 696-701

    • DOI

      10.1007/s00540-014-1793-y

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Differential axillary nerve block for hand or forearm soft-tissue surgery.2014

    • Author(s)
      Kii N, Yamauchi M, Takahashi K, Yamakage M, Wada T
    • Journal Title

      Journal of Anesthesia

      Volume: 28 Issue: 4 Pages: 549-553

    • DOI

      10.1007/s00540-013-1773-7

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Kii N, Yamauchi M, Takahashi K, Yamakage M, Wada T. Differential axillary nerve block for hand or forearm soft-tissue surgery.2014

    • Author(s)
      Kii N, Yamauchi M, Takahashi K, Yamakage M, Wada T
    • Journal Title

      Journal of Anesthesia

      Volume: 28

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 超音波ガイド下神経ブロック⑥硬膜外ブロックと脊髄くも膜下ブロックの実際.2013

    • Author(s)
      山内正憲
    • Journal Title

      日本臨床麻酔学会誌

      Volume: 33 Pages: 629-633

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 胸腰椎硬膜外ブロック.2013

    • Author(s)
      大泉見知子,山内正憲
    • Journal Title

      ペインクリニック

      Volume: 34

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 超音波ガイド下中腋窩線および肋骨弓下腹横筋膜面ブロック:Thiel遺体を用いた薬液の広がりの検討.2013

    • Author(s)
      室内健志,山内正憲,魏 慧玲,高田幸昌,水口亜紀,山蔭道明,藤宮峯子
    • Journal Title

      麻酔

      Volume: 62 Pages: 60-63

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Ultrasound-guided epidural block2012

    • Author(s)
      Yamauchi M
    • Journal Title

      Trend in Anesthesia and critical care

      Volume: 2 Pages: 234-43

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 産科麻酔のためのハンズオン TAPブロック.2014

    • Author(s)
      山内正憲
    • Organizer
      第118回日本産科麻酔学会
    • Place of Presentation
      日経ホール(東京)
    • Year and Date
      2014-11-22 – 2014-11-23
    • Related Report
      2014 Annual Research Report
  • [Presentation] Impact of Pain on Disability in Elderly Japanese: The Ohsaki Cohort 2006 Study.2014

    • Author(s)
      Kaiho Y, Sugawara Y, Sugiyama K, Tomata Y, Kakizaki M, Endo Y, Yamauchi M, Tsuji I
    • Organizer
      The Anesthesiogogy 2014 Annual Meeting
    • Place of Presentation
      New Orleans (U.S.A.)
    • Year and Date
      2014-10-11 – 2014-11-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] Usefulness and Safety of Contrast-Enhanced Ultrasonography with Sonazoid for Peripheral Nerve Block.2014

    • Author(s)
      Sasaki H, Yamauchi M, Ninomiya T, Niiya T, Yamakage M
    • Organizer
      The Anesthesiogogy 2014 Annual Meeting
    • Place of Presentation
      New Orleans (U.S.A.)
    • Year and Date
      2014-10-11 – 2014-10-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] Needle Visualization機能を有する超音波診断装置の有用性.2014

    • Author(s)
      村木大志,大西詠子,千葉聡子,チェン・ピンピョウ,江島 豊,外山裕章,山内正憲
    • Organizer
      第20回日本小児麻酔学会
    • Place of Presentation
      ロイトン札幌(札幌)
    • Year and Date
      2014-09-22 – 2014-09-23
    • Related Report
      2014 Annual Research Report
  • [Presentation] 足病患者の疼痛管理2014

    • Author(s)
      山内正憲
    • Organizer
      第6回日本下肢救済・足病学会
    • Place of Presentation
      札幌プリンスホテル(札幌)
    • Year and Date
      2014-06-28 – 2014-06-29
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Usefulness of contrast-enhanced ultrasonography for peripheral nerve block.2014

    • Author(s)
      Sasaki H, Yamauchi M, Gi E, Niiya T, Yamakage M
    • Organizer
      The European Anaesthesiogogy Congress 2014
    • Place of Presentation
      Stockholm (Sweden)
    • Year and Date
      2014-05-31 – 2014-06-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] 坐骨神経ブロック後に総腓骨神経障害をきたした一例.2014

    • Author(s)
      大西詠子,石井 仁,灰谷あずさ,佐々木規喜,山内正憲
    • Organizer
      第1回日本区域麻酔学会
    • Place of Presentation
      岡山コンベンションセンター(岡山)
    • Year and Date
      2014-04-25 – 2014-04-26
    • Related Report
      2014 Annual Research Report
  • [Presentation] 呼吸数モニターの有用性2014

    • Author(s)
      山内正憲
    • Organizer
      第25回日本モニター学会総会
    • Place of Presentation
      天童ホテル(天童)
    • Year and Date
      2014-04-18 – 2014-04-19
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Usefulness of contrast-enhanced ultrasonography for peripheral nerve block.2014

    • Author(s)
      Sasaki H, Yamauchi M, Gi E, Niiya T, Yamakage M
    • Organizer
      The European Anaesthesiogogy Congress 2013
    • Place of Presentation
      Stockholm, Sweden
    • Related Report
      2013 Research-status Report
  • [Presentation] Movements of double-lumen endotracheal tube as a result of head rotation, tube fixation and lateral position: a Thiel- embalmed cadaver study2013

    • Author(s)
      Maruyama D, Chaki T, Hirata N, Yamauchi M, Yamakage M
    • Organizer
      American Society for Anesthesiologists 2013 Annual Meeting
    • Place of Presentation
      San Francisco, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Contrast-enhanced ultrasound with perflubutane microbubbles for femoral nerve block - a human cadaver study.2013

    • Author(s)
      Eri(Huiling) Gi(Wei), Sasaki H, Niiya T, Yamauchi M, Yamakage M
    • Organizer
      American Society for Anesthesiologists 2013 Annual Meeting
    • Place of Presentation
      San Francisco, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Minimum levobupivacaine concentration required to block axillary nerves while preserving motor function.2013

    • Author(s)
      Takahashi K, Yamauchi M, Niiya T, Yamakage M
    • Organizer
      American Society for Anesthesiologists 2013 Annual Meeting
    • Place of Presentation
      San Francisco, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Thiel法固定遺体による麻酔ワークショップ2013

    • Author(s)
      山内正憲
    • Organizer
      第47回日本ペインクリニック学会
    • Place of Presentation
      大宮
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Ultrasound-guided subcostal nd midaxillary transversus abdominis plane blocks2012

    • Author(s)
      Murouchi T, Yamauchi M, et al.
    • Organizer
      Annual Meeting 2013 of American society for Anesthesiologists
    • Place of Presentation
      America Washington DC
    • Related Report
      2012 Research-status Report
  • [Book] 神経ブロックに必要な画像解剖2014

    • Author(s)
      山内正憲
    • Total Pages
      6
    • Publisher
      文光堂
    • Related Report
      2014 Annual Research Report
  • [Book] 痛みのScience & Practice第6巻神経ブロックに必要な画像解剖2014

    • Author(s)
      山内正憲
    • Total Pages
      3
    • Publisher
      文光堂
    • Related Report
      2014 Annual Research Report
  • [Book] 痛みのScience & Practice第5巻痛み診療キーポイント2014

    • Author(s)
      大西詠子,山内正憲
    • Total Pages
      1
    • Publisher
      文光堂
    • Related Report
      2014 Annual Research Report
  • [Book] 痛みのScience & Practice第6巻痛み診療キーポイント.2014

    • Author(s)
      山内正憲,大西詠子
    • Publisher
      文光堂
    • Related Report
      2013 Research-status Report
  • [Book] For Professional Anesthesiologists周術期深部静脈血栓/肺血栓塞栓症2013

    • Author(s)
      山内正憲
    • Total Pages
      249
    • Publisher
      克誠堂出版(株)
    • Related Report
      2013 Research-status Report
  • [Book] 臨床麻酔実践シリーズ6「麻酔科医に必要な超音波ガイド下手技のポイントと教育」2013

    • Author(s)
      山内正憲
    • Total Pages
      186
    • Publisher
      (株)ライフメディコム
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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