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Hadzic's Regional Anesthesia
>
Part V. Ultrasound-Guided Regional Anesthesia
>
Chapter 50. Introduction to Ultrasound-Assisted Regional Anesthesia Techniques
Andrew T. Gray, MD, PhD
Ultrasound Imaging
Topics Discussed:
anesthesia, nerve block; artifacts, ultrasonography; regional anesthesia; ultrasonography; ultrasound-guided regional anesthesia techniques.
Excerpt:
"
Ultrasound imaging utilizes high-frequency sound waves (317 MHz). Because the speed of sound in soft tissue is fairly constant (1540 m/sec), the position of objects can be inferred from the time of flight of their received echoes. The product of wavelength and frequency is the speed of sound, so high-frequency sound waves have shorter wavelengths, and therefore provide better axial resolution. Attenuation of sound waves is frequency-dependent (approximately 0.75 dB/cm/MHz), so penetration of high-frequency sound waves into deep tissue is limited. For interventional guidance, one of the biggest advantages of ultrasound over other imaging modalities is the real-time acquisition of images. Frame rates of 30 Hz or higher are common in clinical practice...."
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