martedì 22 gennaio 2013


Anche se nella realtà italiana l'infermiere di anestesia non c'è o se è stato creato non ha le competenze, legali,  di quelli d'oltreoceano ecco un articolo sul posizionamento di un catetere epidurale attraverso l'uso dell'ecografo in quelle pazienti "difficili".

 2012 Jun;80(3):223-30.

Update for nurse anesthetists evidence-based anesthesia: The use of preprocedural ultrasonography during labor to facilitate placement of an epidural catheter.


Uniformed Services University of the Health Sciences, Nurse Anesthesia Program, Naval Medical Center San Diego, California, USA.


Placement of an epidural catheter in parturients can be challenging because the anatomic changes of pregnancy may make it difficult to palpate an ideal insertion point or detect loss of resistance. Preprocedural ultrasonography (U/S-P) is reported to facilitate placement of epidural catheters in parturients. U/S-P provides information on the ideal insertion point, angle of needle insertion, and estimated depth to the epidural space. The purposes of this course are to describe the technique, systematically review the literature, and discuss techniques for integrating U/S-P into practice. It provides evidence demonstrating that U/S-P is a useful adjunct for placement of epidural catheters in obstetrical patients, especially patients with presumed "difficult backs" or obesity.
[PubMed - indexed for MEDLINE]