Peripheral Regional Anesthesia: An Atlas of Anatomy and Techniques

The use of peripheral anesthesia and regional nerve blocks is rapidly increasing as physicians and patients gain firsthand experience of the benefits these techniques offer. Practitioners have an ever-increasing choice of options, as the range of techniques expands and becomes more sophisticated. The techniques described in this unique atlas and DVD, in word, pictures, and on film, provide the ideal guide to peripheral regional anesthesia. Standard techniques are complemented by the latest developments and alternative techniques which can significantly broaden the clinical spectrum. Full-color line drawings, schematics, and clearly labeled, detailed photographs of cadaver dissections provide accessible, visual explanations of the required anatomical knowledge. Organized by anatomical region, the atlas features: * Clear, step-by-step instructions on how to perform the techniques, including the best approaches and insertion points * Illustrations of nerve blocks, sensory and motor effects; indications, contraindications; complications, side effects, and method-specific problems * Strategies for patient and procedure selection, and on patient communication * Full coverage of peripheral nerve blocks, including hygiene requirements, informed consent, patient positioning and monitoring, and more * Tips on handling needles and catheters * Detailed description of catheter techniques in long-term pain management Designed for clinicians wishing to improve their skills in this rapidly evolving specialty, this atlas is indispensable to any anesthesia library. The authors are recognized experts in the field of regional anesthesia. New in the second edition: * DVD with over 200 video clips helps put theory into practice * New techniques of peripheral blocks in the elbow

Table of Contents:
Upper limb General overview: Anatomy; important topographical anatomical relations in the region of the brachial plexus; motor and sensory supply of the upper limb Interscalene techniques of brachial plexus block: Anatomy; historical overview; Meier technique; dorsal technique (Pippa technique); sensory and motor effects; indications, contraindications; supraclavicular nerve block (cervical plexus); complications, side effects, method-specific problems Infraclavicular techniques of brachial plexus block: Anatomical basis; vertical infraclavicular block (VIB) according to Kilka, Geiger and Mehrkens; Raj technique, modified by Borgeat; sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems Suprascapular nerve block: Anatomical basis; Meier technique; sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems Axillary block: Anatomical basis; perivascular single-injection technique; sensory and motor effects; indications and contraindications; complications, side effects, method-specific problems; multistimulation technique, mid-humeral approach according to Dupre Selective block of individual nerves in the upper arm, at the elbow and wrist: Radial nerve block (middle of upper arm); blocks at the elbow; blocks at the wrist (hand block) Lower limb General overview: Lumbosacral plexus; sensory innervation of the leg Psoas compartment block: Anatomical overview; technique of psoas compartment block; sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems; remarks; summary Inguinal perivascular lumbar plexus anaesthesia ( 3-in-1 technique according to Winnie, femoral nerve block): Anatomical overview; femoral nerve block ( 3-in-1 technique ); sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems; remarks Proximal sciatic nerve block: Anatomical overview; anterior proximal sciatic nerve block (with patient in supine position); dorso-dorsal (proximal) sciatic nerve block (Raj technique), (in supine position); proximal lateral sciatic nerve block (with patient in supine position); proximal sciatic nerve block (with patient lying on his side); parasacral sciatic nerve block (Mansour technique) Blocks at the knee: Anatomical overview; classical popliteal block, dorsal approach; distal block of the sciatic nerve Peripheral block (conduction block) of individual nerves of the lower limb: Lateral cutaneous nerve of the thigh block; infiltration of the iliac crest; obturator nerve block; saphenous nerve block; peroneal nerve block Peripheral nerve blocks at the ankle: Anatomical overview; saphenous nerve, sural nerve and superficial peroneal nerve block; deep peroneal nerve block; (posterior) tibial nerve block; foot block; indications, contraindications, complications, side effects; remarks on combined block (foot block); summary; blocks at the toes Aspects of peripheral nerve blocks of the limbs Special features of peripheral regional blocks: Advantages of peripheral nerve blocks; problems of peripheral regional blocks Complications and general contraindications of peripheral blocks: General principles for performing peripheral blocks: Hygiene requirements for performing peripheral nerve blocks; general principles of informed consent, positioning and monitoring; technical aids for performing peripheral nerve blocks; general principles for placement of regional anaesthesia; analgosedation; general principles for administration of local anaesthetics in peripheral nerve blocks Continuous peripheral nerve blocks