Injection Safety Monitoring MAKING RA SAFER

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What is Injection Safety Monitoring?

Injection Safety Monitoring (ISM) is the use of objective information from complementary monitoring modalities to guide more informed decisions for needle tip placement and local anesthetic injection to help prevent neurological complications. Ultrasound, objective injection pressure monitoring and nerve stimulation are synergistic and additive and offer the provider with complementary information to get the broadest picture possible.

Video: Jeff Gadsden, MD. Published by B. Braun Medical Inc

About the Author: Jeff Gadsen, MD

Jeff Gadsden is a staff anesthesiologist and Associate Professor of Anesthesiology at Duke University.  He graduated with an M.D. in 1999 from Queen’s University, Canada, and undertook training in anesthesiology at the University of Toronto and St. Luke’s-Roosevelt Hospital in New York City. 

Dr. Gadsden holds fellowships with the Royal College of Physicians and Surgeons of Canada (Anesthesia) and the Australian and New Zealand College of Anaesthetists, and is board certified by the American Board of Anesthesiology.  After working in both Canada and Australia, he decided to return to the U.S. to focus on his teaching and research interests, which include ultrasound-guided nerve blockade, the monitoring of regional anesthesia, trauma, and education.  Dr. Gadsden has authored two books and multiple peer-reviewed articles, and has lectured both nationally and abroad.