Research Topics
| B D SitesSummaryAffiliation: Dartmouth-Hitchcock Medical Center Country: USA Publications
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Publications
Characterizing novice behavior associated with learning ultrasound-guided peripheral regional anesthesiaBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 32:107-15. 2007..In addition to assessing for both committed errors and accuracy, we aimed to identify previously unrecognized quality-compromising behaviors that could help structure effective training interventions...- Artifacts and pitfall errors associated with ultrasound-guided regional anesthesia. Part I: understanding the basic principles of ultrasound physics and machine operationsBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 32:412-8. 2007 - Single-dose caudal anaesthesia for two infants undergoing diagnostic brain magnetic resonance imaging: high risk and nonhigh riskBrian D Sites
Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA
Paediatr Anaesth 13:171-4. 2003.... - Artifacts and pitfall errors associated with ultrasound-guided regional anesthesia. Part II: a pictorial approach to understanding and avoidanceBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 32:419-33. 2007 - The use of intraoperative ultrasound by anesthesiologists to facilitate the surgical management of peripheral nerve tumors of the upper extremityBrian D Sites
Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
Anesth Analg 105:1845-7, table of contents. 2007..Traditional uses of ultrasound by anesthesiologists include transesophageal echocardiography, facilitation of vascular access, and guidance of peripheral nerve blocks... - Regional anesthesia meets ultrasound: a specialty in transitionB D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Acta Anaesthesiol Scand 52:456-66. 2008..In the process, we will also highlight several possible limitations of ultrasound techniques including learning curve issues, costs, and artifact generation... - Ultrasound improves the success rate of a sural nerve block at the ankleKirsten E Redborg
Departments of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 34:24-8. 2009..We hypothesized that an ultrasound-guided perivascular approach, utilizing the lesser saphenous vein as a reference, would prove more successful than a conventional approach based on surface landmarks... - The American Society of Regional Anesthesia and Pain Medicine and the European Society Of Regional Anaesthesia and Pain Therapy Joint Committee recommendations for education and training in ultrasound-guided regional anesthesiaBrian D Sites
Department of Anesthesiology, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
Reg Anesth Pain Med 34:40-6. 2009..The Joint Committee recommends that the decision to grant UGRA privileges be based at the individual institution level. Each institution that conducts UGRA is encouraged to support a productive quality improvement process... - A comparison of sensory and motor loss after a femoral nerve block conducted with ultrasound versus ultrasound and nerve stimulationBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
Reg Anesth Pain Med 34:508-13. 2009..We tested the hypothesis that the quality of a femoral nerve block (FNB) performed with US is equivalent to an FNB performed with US and nerve stimulation... - The American Society of Regional Anesthesia and Pain Medicine and the European Society of Regional Anaesthesia and Pain Therapy joint committee recommendations for education and training in ultrasound-guided regional anesthesiaBrian D Sites
Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 35:S74-80. 2010..The Joint Committee recommends that the decision to grant UGRA privileges be based at the individual institution level. Each institution that conducts UGRA is encouraged to support a productive quality improvement process... - On the edge of the ultrasound screen: Regional anesthesiologists diagnosing nonneural pathologyBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 31:555-62. 2006 - A single injection ultrasound-assisted femoral nerve block provides side effect-sparing analgesia when compared with intrathecal morphine in patients undergoing total knee arthroplastyBrian D Sites
Department of Anesthesiology and Orthopedic Surgery, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
Anesth Analg 99:1539-43; table of contents. 2004..05). We conclude that, in comparison with IT morphine, a single injection femoral nerve block provides equivalent analgesia but with a significant reduction in side effects for patients having TKA under bupivacaine intrathecal anesthesia... - The use of magnetic resonance imaging to evaluate the accuracy of a handheld ultrasound machine in localizing the sciatic nerve in the popliteal fossaBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 29:413-6. 2004..By using magnetic resonance imaging (MRI) as a gold standard, the objective of this study was to describe the ability of a handheld ultrasound machine to accurately locate the sciatic nerve... - Ultrasound-guided popliteal block demonstrates an atypical motor response to nerve stimulation in 2 patients with diabetes mellitusBrian D Sites
Department of Anasthesiology, Dartmouth Medical School, Lebanon, NH 03756, USA
Reg Anesth Pain Med 28:479-82. 2003..We also introduce a novel approach to performing a popliteal fossa block using ultrasound guidance... - Intrathecal clonidine added to a bupivacaine-morphine spinal anesthetic improves postoperative analgesia for total knee arthroplastyBrian D Sites
Departments of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA
Anesth Analg 96:1083-8, table of contents. 2003..Intrathecal morphine (250 microg) combined with clonidine (25 or 75 microg) provided superior analgesia compared with intrathecal morphine alone... - An abnormal clinical course of an ultrasound-guided supraclavicular brachial plexus block using 0.375% bupivacaineBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
J Clin Anesth 18:449-51. 2006..In addition to documenting an abnormal course of a supraclavicular block, this case report questions the appropriateness of placing long-acting nerve blocks in outpatients... - Ultrasound guidance improves the success rate of a perivascular axillary plexus blockB D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
Acta Anaesthesiol Scand 50:678-84. 2006..The main objective of this study was to evaluate if a specific technique of ultrasound guidance could improve the success of axillary blocks in comparison to a two injection transarterial technique... - Ultrasound guidance in peripheral regional anesthesia: philosophy, evidence-based medicine, and techniquesBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
Curr Opin Anaesthesiol 19:630-9. 2006..This article introduces the use of ultrasound to facilitate peripheral regional anesthesia... - Ultrasound improves the success rate of a tibial nerve block at the ankleKirsten E Redborg
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Reg Anesth Pain Med 34:256-60. 2009..We hypothesized that an ultrasound (US)-guided tibial nerve block at the ankle would prove more successful than a conventional approach based on surface landmarks... - Ultrasound-guided posterior approach for the placement of a continuous interscalene catheterJohn G Antonakakis
Department of Anesthesiology and Orthopedic Surgery, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
Reg Anesth Pain Med 34:64-8. 2009..In addition, we provide the clinical characteristics of the first 16 catheters placed at our institution utilizing this approach... - Ultrasound-guided interscalene blocks: understanding where to inject the local anaestheticB C Spence
Anaesthesiology and Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, USA
Anaesthesia 66:509-14. 2011..After adjusting for sex, age and volume injected, intra-plexus blocks lasted a mean of 2.6 h (16%) longer (95% CI 0.25-5.01, p=0.03) than peri-plexus blocks... - Use of a nerve stimulator does not improve the efficacy of ultrasound-guided supraclavicular nerve blocksMichael L Beach
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 0001, USA
J Clin Anesth 18:580-4. 2006..To evaluate the efficacy of nerve stimulation as an adjunct to ultrasound-guided supraclavicular nerve blocks... - The learning curve associated with a simulated ultrasound-guided interventional task by inexperienced anesthesia residentsBrian D Sites
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
Reg Anesth Pain Med 29:544-8. 2004..In doing so, we hoped to identify reproducible patterns of human errors, which could potentially aid in the prevention of real-life iatrogenic injuries... - Severe brachial plexopathy after an ultrasound-guided single-injection nerve block for total shoulder arthroplasty in a patient with multiple sclerosisMatthew D Koff
Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756 0001, USA
Anesthesiology 108:325-8. 2008..This case report describes a patient with MS who sustained a severe brachial plexopathy after a total shoulder arthroplasty during combined general anesthesia and interscalene nerve block... - Ultrasound-guided musculocutaneous nerve block: a description of a novel techniqueBrian C Spence
Department of Anesthesiology, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
Reg Anesth Pain Med 30:198-201. 2005..Localizing the musculocutaneous nerve for neural blockade is crucial to providing surgical anesthesia for the distal forearm. We present a novel approach for localizing and anesthetizing the musculocutaneous nerve... - Orthopaedic anesthesia - part 2. Common techniques of regional anesthesia in orthopaedicsKhushal Latifzai
Department of Orthopaedics, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, New Hampshire03766, USA
Bull NYU Hosp Jt Dis 66:306-16. 2008.... - Electron microscopy evaluation of block needle-related trauma to the tibial nerveK S MacDonald
Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
Acta Anaesthesiol Scand 54:426-9. 2010..Direct puncture by a needle is a risk factor for nerve damage. This investigation used scanning electron microscopy (SEM) to attempt to visualize the damage caused by different needles... - Orthopaedic anesthesia - part 1. Commonly used anesthetic agents in orthopaedicsKhushal Latifzai
Department of Orthopaedics, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, New Hampshire03766, USA
Bull NYU Hosp Jt Dis 66:297-305. 2008..Part 1 describes anesthetic agents, whereas Part 2 encompasses techniques of administering regional anesthesia...