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ANALGESIA

The Use of Intraoperative Ultrasound by Anesthesiologists to Facilitate the Surgical Management of Peripheral Nerve Tumors of the Upper Extremity

Brian D. Sites, MD^*, Susan Durham, MD, John D. Gallagher, MD^*, and Marc L. Bertrand, MD^*

From the Departments of *Anesthesiology, Orthopedic Surgery, and Neurosurgery, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Address correspondence and reprint requests to Brian D. Sites, MD, Director of Regional Anesthesia, Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756. Address e-mail to brian.sites{at}hitchcock.org.

Abstract

BACKGROUND: Traditional uses of ultrasound by anesthesiologists include transesophageal echocardiography, facilitation of vascular access, and guidance of peripheral nerve blocks.

METHODS: In this case series, we report a novel application of ultrasound by anesthesiologists to facilitate the operative dissection of upper extremity peripheral nerve tumors.

RESULTS: In four cases, ultrasound was used to intraoperatively locate the tumor, plan the safest surgical approach, and exclude tumor vascularity.

CONCLUSIONS: Ultrasound can be used by anesthesiologists to facilitate the surgical management of peripheral nerve tumors.

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