RIVANNA

31/07/2025

The evidence is clear: regional anesthesia is a game-changer for this vulnerable population. It's shown to decrease opioid consumption, pain, delirium, and pneumonia frequency, while also improving time to mobilization post-surgery.

These findings align with the latest American Academy of Orthopedic Surgeons guidelines, which now recommend incorporating regional anesthesia for hip fractures. A crucial step forward in enhancing patient care and outcomes.
Read the full article here:

This review of analgesia for acute hip fractures provides an excellent synopsis of the evidence and techniques for ultrasound-guided regional anesthesia.

31/07/2025

As obesity rates rise globally, traditional neuraxial techniques increasingly fall short in patients whose anatomical landmarks are difficult to palpate. Accuro addresses physiological complexities by enabling ultrasound-guided precision as the primary approach rather than a backup plan, dramatically improving success rates while reducing complications.

How has rising obesity affected your approach to neuraxial procedures? What strategies have you found most effective for challenging anatomies? Share your insights. 👇



https://rivannamedical.com/a-40-obesity-rate-demands-precision-neuraxial-anesthesia/

With obesity rates affecting over 40% of adults in North America, anesthesiologists are increasingly encountering situations where traditional palpation-based neuraxial techniques fall short. What was once considered a challenging subset of cases has become a significant portion of daily practice.

30/07/2025

BARDA awards nearly $10 million in federal funding to RIVANNA to support CADe/x, our AI module for Accuro XV. This milestone marks a key step in the development of AI-driven diagnostic imaging.

Learn more:
https://tinyurl.com/bd6zveuz

29/07/2025

Scoliosis presents unique challenges for neuraxial anesthesia, but it doesn't have to lead to general anesthesia conversion. Physicians may conclude it's impractical following a thorough evaluation, but with proper planning and technique adaptation, successful neuraxial blocks remain achievable in many patients with spinal curvature.

𝗧𝗵𝗲 𝗸𝗲𝘆 𝗹𝗶𝗲𝘀 𝗶𝗻 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗶𝗻𝗴 𝗵𝗼𝘄 𝗮𝗻𝗮𝘁𝗼𝗺𝗶𝗰𝗮𝗹 𝗱𝗶𝘀𝘁𝗼𝗿𝘁𝗶𝗼𝗻 𝗮𝗳𝗳𝗲𝗰𝘁𝘀 𝗽𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗮𝗹 𝗮𝗽𝗽𝗿𝗼𝗮𝗰𝗵:

🔶 Rotated anatomy shifts traditional landmarks, making palpation-based techniques unreliable and increasing the risk of multiple attempts.

🔶 Asymmetric interlaminar spaces require precise needle trajectory adjustments that can't be determined through surface landmarks alone.

🔶 Variable depth measurements due to uneven soft tissue distribution and altered bone positioning complicate traditional depth estimation.

🔶 Increased procedure complexity often leads to provider anxiety and longer procedure times, potentially compromising patient comfort and safety.

Ultrasound guidance transforms these challenges into manageable variables. Pre-procedural scanning identifies the optimal insertion site, measures actual depth to epidural space, and reveals the true midline rather than the apparent surface midline.

Case studies have demonstrated improvements in first-attempt success rates and reduced complications in scoliosis patients, making neuraxial anesthesia a viable option where it might otherwise be considered impractical. (https://rivannamedical.com/reducing-neuraxial-epidural-placement-failure-rates-with-guided-ultrasound/)

Learn more about precision techniques for complex anatomy: https://rivannamedical.com/news/

🔁 Share to support better outcomes for patients with spinal abnormalities.
🔔 Follow for more insights on adaptive neuraxial techniques.

23/07/2025

Prior spinal surgery doesn't have to mean general anesthesia is the only option. However, many providers may choose this approach when neuraxial techniques present increased complexity in post-surgical patients. This situation can limit opportunities for patient-centered care.

Patients with previous spinal surgeries often benefit most from neuraxial anesthesia. They may have chronic pain, opioid tolerance, or respiratory comorbidities that make general anesthesia higher risk. Careful evaluation of neuraxial options can help identify optimal care pathways.

Traditional palpation-based approaches often prove challenging in post-surgical anatomy, but ultrasound guidance significantly changes the clinical assessment. Pre-procedural imaging reveals:

🔍 𝗣𝗮𝘁i𝗲𝗻𝘁 𝗶𝗻𝘁𝗲𝗿𝘃𝗲𝗿𝘁𝗲𝗯𝗿𝗮𝗹 𝘀𝗽𝗮𝗰𝗲𝘀 𝗶𝗻 𝘁𝗵𝗲 𝗽𝗿𝗲𝘀𝗲𝗻𝗰𝗲 𝗼𝗳 𝗵𝗮𝗿𝗱𝘄𝗮𝗿𝗲
🔍 𝗦𝗰𝗮𝗿 𝘁𝗶𝘀𝘀𝘂𝗲 𝗱𝗶𝘀𝘁𝗿𝗶𝗯𝘂𝘁𝗶𝗼𝗻 𝗮𝗻𝗱 𝘁𝗵𝗶𝗰𝗸𝗻𝗲𝘀𝘀
🔍 𝗩𝗶𝗮𝗯𝗹𝗲 𝗻𝗲𝗲𝗱𝗹𝗲 𝗶𝗻𝘀𝗲𝗿𝘁𝗶𝗼𝗻 𝗮𝗻𝗴𝗹𝗲𝘀
🔍 𝗗𝗲𝗽𝘁𝗵 𝗲𝘀𝘁𝗶𝗺𝗮𝘁𝗶𝗼𝗻𝘀 𝘁𝗼 𝗻𝗲𝘂𝗿𝗮𝘅𝗶𝗮𝗹 𝘀𝘁𝗿𝘂𝗰𝘁𝘂𝗿𝗲𝘀

Case studies demonstrate that successful neuraxial anesthesia can be achieved in patients with previous spinal surgery when ultrasound guidance is employed to match patient anatomy and optimize procedural approach.

🔁 Repost to challenge assumptions about neuraxial contraindications.
🔔 Follow for evidence-based approaches to complex case management.

22/07/2025

Thank you to everyone who attended our webinar, Inside the Numbers: The State of Neuraxial Anesthesia — Key Trends That Matter. We hope you enjoyed the presentation, and we look forward to seeing you at future webinars. Missed it? Click the link below to watch the full webinar.

🔗 https://tinyurl.com/37za7w3j

21/07/2025

Neuraxial access procedures are routine but can be challenging. Ultrasound-based techniques offer a promising alternative, yet standardized assessment tools for evaluating competence are lacking. This study aims to develop and gather validity evidence for a simulation-based assessment tool in ultrasound-assisted and ultrasound-guided neuraxial access and to establish a credible pass/fail standard.

Read more here:

Background Neuraxial access procedures, such as spinal blocks, are routine but can be challenging in for example, obese, pregnant, and elderly patients. Ultrasound-based techniques offer a promising...

16/07/2025

We're excited to announce the clearance of our next-generation platform, purpose-built to overcome longstanding challenges in spinal and epidural guidance. This milestone marks a significant leap forward in image-guided anesthesia innovation and underscores the strength of our engineering and clinical partnerships.

Click here to read the full Press Release: https://tinyurl.com/32bav3nr

15/07/2025

Join us tomorrow for the RIVANNA Live Webinar—an opportunity to ask your questions directly to our panel of medical, product, and engineering experts.

Register here: tinyurl.com/ys9y3w5b

14/07/2025

Access to care is a major hurdle for many seniors. From transportation challenges for those with mobility issues to the digital divide making telehealth inaccessible, millions miss crucial appointments. We need solutions that bridge these gaps and ensure equitable access for our elders.

Read here for potential solutions: tinyurl.com/yy7kt8am

14/07/2025

There is a significant shift occurring in the demographic composition of many developed countries: the aging of their populations. For the healthcare sector in the U.S., this presents a major challenge as a larger number of elderly people will need medical care. However, this challenge also brings opportunity.

Read more: https://tinyurl.com/yy7kt8am

11/07/2025

America is aging rapidly: By 2030, one in five Americans will be 65 or older.
80% of seniors live with at least one chronic condition.
The challenge? A surge in demand for healthcare.
The opportunity? Proactive care, like regular screenings and preventive programs, can keep seniors healthier and reduce costly hospital visits.

Let’s invest in better aging, for all of us. Read more here: https://tinyurl.com/yy7kt8am