The first edition of this textbook (2004) was born out of a cadaver-based workshop on peripheral nerve blockade (PNB) offered each year since 2000 at Cork University Hospital in Ireland. The intent was to provide a detailed foundation upon which clinicians might develop their expertise in PNB. The feedback which the editors have received suggests that the textbook with accompanying multimedia elements was effective for that purpose. We have received many letters and communications explaining that it has become a well thumbed textbook, regularly on personal and departmental library shelves.
During the past six years, the practice of PNB has changed greatly both in magnitude and nature. However, we believe that certain fundamental principles still apply: a thorough understanding of surface and internal anatomy is essential for its safe and effective practice. Magnetic resonance images are useful in acquiring this prerequisite anatomical knowledge. Studied in conjunction with high resolution images of cadaver dissection, and of human volunteers, a learner can visualize structures, their relations and the relevant surface anatomy. Crucially, this permits the learner to map ‘real’ or ‘visualized’ anatomy to the 2D renderings acquired using an ultrasound probe.
The lead editor for this edition, Professor Dominic Harmon, has produced a widely acclaimed textbook on the peri-operatiove applications of ultrasound. Using this experience, he has gathered the expertise of internationally recognized experts in the field of ultrasound-guided PNB and supplemented each chapter in this new edition with practical advice and examples on how to use this modality to greatest effect. The intent is to provide an all-in-one resource for the learner of PNB. That is not to say that by using this book one will become a competent practitioner of PNB; rather, we hope that it will maximize any learner's benefit from the clinical learning opportunities afforded him or her. Specifically, each block is described in terms of its relevant anatomy, its ultrasonographic anatomy and its clinical performance. We have tried to ensure that the content is practical and evidence based.
We will be very grateful for your comments, suggestions or corrections, in particular those that point out how we could have done better! We believe that this textbook and its accompanying Web site will be a useful companion to you whether you intend to acquire or maintain competence in PNB.
- Shorten George
Key Features
- This practical multimedia resource shows you exactly how to successfully perform successfully a full range of peripheral nerve block techniques.
- Over four hundred illustrations, the majority of which are in color, plus online video clips, portray the relevant surface anatomy, the internal anatomy, and the ultrasonographic anatomy to vividly depict correct needle placement in real patients.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Videos: View video clips illustrating a variety of conditions.
- Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
Contents
Part I - Principles
Part II - Peripheral Nerve Blocks
- CHAPTER 1 - Introduction
- CHAPTER 2 - Regional anesthesia in perspective: history, current role, and the future
- CHAPTER 3 - Local anesthetics
- The peripheral nerve
- Structure and function of local anesthetics
- Pharmacodynamics
- Pharmacokinetics
- Nerve block in clinical practice
- CHAPTER 4 - General indications and contraindications
- CHAPTER 5 - Complications, toxicity, and safety
- CHAPTER 6 - Peripheral nerve block materials
- Nerve stimulators
- Electrophysiology
- Characteristics Needles used in peripheral nerve block
- Peripheral nerve catheters
- CHAPTER 7 - Principles of ultrasound-guided regional anesthesia
- CHAPTER 8 - Peripheral nerve blockade for ambulatory surgery
- Introduction Scope of the chapter and definition of the terms
- Setting up and running a peripheral nerve blockade service in an ambulatory setting
- Which upper limb blocks to use for which surgical procedure
- Which lower limb blocks to use for which surgical procedure
- Catheters and continuous local anesthesia infusions
- CHAPTER 9 - Which block for which surgery?
- CHAPTER 10 - Training in peripheral nerve blockade
Part II - Peripheral Nerve Blocks
- CHAPTER 11 - Cervical plexus block
- CHAPTER 12 - Orbital blocks
- CHAPTER 13 - Wound local anesthetic infusions
- CHAPTER 14 - Brachial plexus anatomy
- CHAPTER 15 - Interscalene block
- CHAPTER 16 - Supraclavicular block
- CHAPTER 17 - Suprascapular block
- CHAPTER 18 - Vertical infraclavicular block
- CHAPTER 19 - Axillary block
- CHAPTER 20 - Midhumeral block
- CHAPTER 21 - Elbow blocks
- CHAPTER 22 - Wrist blocks
- CHAPTER 23 - Lumbar and sacral plexus anatomy
- CHAPTER 24 - Posterior sciatic block
- CHAPTER 25 - Anterior sciatic block
- CHAPTER 26 - Femoral nerve block
- CHAPTER 27 - Psoas block
- CHAPTER 28 - Iliacus block
- CHAPTER 29 - Lateral cutaneous nerve of thigh block
- CHAPTER 30 - Popliteal block
- CHAPTER 31 - Ankle block
- CHAPTER 32 - Paravertebral block
- CHAPTER 33 - Intercostal block
- CHAPTER 34 - Transversus abdominis plane block
- CHAPTER 35 - Inguinal field block
- Clinical anatomy Ilioinguinal/iliohypogastric nerve block
- Sonoanatomy Technique
- Genitofemoral nerve block
- Technique
- Adverse effects
About the Authors
- Dominic Harmon, FFARCS(I) FRCA, Consultant in Anaesthesia/Pain Medicine, Department of Anaesthesia and Pain Medicine, Mid-Western Regional Hospital and University of Limerick, Limerick, Ireland.
- Jack Barrett, FFARCS(I) Dip. Pain Medicine, Consultant Anaesthetist, Department of Anaesthesia and Intensive Care Medicine, University College Cork, Cork University Hospital, Cork, Ireland.
- Frank Loughnane, FCA(RCSI), Consultant Anaesthetist, Department of Anaesthesia and Intensive Care Medicine, University College Cork, Cork University Hospital, Cork, Ireland.
- Brendan Finucane, FRCA FRCP(C), Professor and Residency Program Director, Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada.
- George Shorten, FFARCS(I) FRCA MD PhD, Professor of Anaesthesia and Intensive Care Medicine, Department of Anaesthesia and Intensive Care Medicine, University College Cork, Cork University Hospital, Cork, Ireland.
Book Review
In his classic text, Regional Anesthesia, Its Technic and Application, Gaston Labat noted, “The practice of regional anesthesia is an art. It requires special knowledge of anatomy, skill in the performance of its various procedures, experience in the method of handling patients, and gentleness in the execution of surgical procedures.” Six years ago, Barrett et al defined the contemporary “art” of peripheral regional techniques in Peripheral Nerve Blocks and Perioperative Pain Relief. The field of regional anesthesia has made major advances in the intervening period. The editors of this up-to-date second edition once again present a practical guide in the current application, performance, and management of peripheral nerve blocks. As with the first edition, the textbook is in two parts. Part I covers the history, pharmacologic principles, and clinical applications of peripheral nerve blockade as well as the materials and equipment. New chapters on block selection, principles of ultrasound-guided regional anesthesia and training in peripheral nerve blockade have been added.
Each chapter in Part II addresses a single block and includes original images depicting the surface (cadaveric and volunteers) and internal (magnetic resonance and ultrasound) anatomy, figures depicting the positions of the patient and the proceduralist, as well as injectate spread during peripheral blockade. The techniques are described in detail, including needle redirection cues based on the associated bony, vascular, and neural structures. On the accompanying website the anatomy and block technique are demonstrated “live” using video clips. The chapters in Part II conclude with “clinical pearls”, the editors’ expert advice in improving neural visualization and success rates or avoiding complications.
A major reason for the renewed interest in regional anesthesia in the last decade is the use of ultrasound. In response, the lead editor for this edition, Professor Dominic Harmon, himself an editor of a textbook on the perioperative applications of ultrasound, supplements each chapter in this new edition with practical and evidence-based advice on how to incorporate ultrasound into the practice of peripheral blockade. The additional images and subject matter allow for second edition nearly 50% longer than the original. As the practice of peripheral nerve block has expanded, so has the editors’ skill in providing a thorough and comprehensive foundation for safe, effective and efficient peripheral blockade.
- Terese T Horlocker, MD, Professor of Anesthesiology, Professor of Orthopedics, Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
Product Details
- Hardcover: 272 pages
- Publisher: Saunders Ltd.; 2 edition (January 19, 2011)
- Language: English
- ISBN-10: 0702031488
- ISBN-13: 978-0702031489
- Product Dimensions: 11.1 x 8.8 x 0.7 inches
List Price: $169.00