Ultrasound Guided Regional Anesthesia

Ultrasound technology is enabling anesthesiologists to perform regional anesthetic procedures with greater confidence in accuracy and precision. With improvements in visualizing neural anatomy and needle movement, ultrasound guidance improves patient safety and operating room efficiency. This book offers a detailed, stepwise approach to this technique, identifying pearls and pitfalls to ensure success. Topics are organized into four chapters. The first chapter provides the basic principles behind ultrasound guided regional anesthesia, setting a strong context for the rest of the book. The last three cover the nerve blocks: upper extremity, lower extremity, and chest, trunk and spine. Each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls. This new edition includes discussions of 6 new blocks: the suprascapular block, axillary nerve block for shoulder surgery, fascia iliaca block, lateral femoral cutaneous block, and the adductor canal block. This edition also contains over 40 new procedural and imaging figures, an appendix on what blocks to perform for specific surgeries, and new information on choice of local anesthetic agent, types of catheters and practical ultrasound physics to help improve scanning. Ultrasound Guided Regional Anesthesia provides authoritative, in-depth coverage of ultrasound guided regional anesthesia for the anesthesiologist beginning to use ultrasound and makes a great reference for the more seasoned physician.

Table of Contents

Chapter 1: Basic Principles of Ultrasound Guided Nerve Block
Basic Ultrasound Physics and Ultrasound Machine Settings
How to Visualize Nerves and Needles
Common Artifacts and Errors
Positioning the Patient
Equipment and Preparation
Keys to Ultrasound Success
Peripheral Nerve Catheter Placement Principles
Appendix: What Block for What Surgery?
Chapter 2: Upper Limb Ultrasound Guided Regional Anesthesia
Interscalene Nerve Block
Suprascapular Nerve Block
Cervical Plexus Nerve Block
Supraclavicular Nerve Block
Infraclavicular Nerve Block
Axillary Nerve Block
Intercostobrachial Nerve Block
Nerve Blocks of the Elbow and Forearm
Chapter 3: Lower Limb Ultrasound Guided Nerve Block
Femoral Nerve Block
Fascia Iliaca Block
Lateral Femoral Cutaneous Nerve Block
Adductor Canal (Selective Femoral Nerve) Block
Saphenous Nerve Block
Obturator Nerve Block
Posterior Lumbar Plexus Block (Psoas Compartment Block)
Sciatic Nerve Block
Anterior Sciatic Nerve Block
Popliteal Sciatic Nerve Block
Ankle Block
Chapter 4: Trunk and Spine Ultrasound Guided Regional Anesthesia
Transversus Abdominis Plane Block
Quadratus Lumborum Block
Ilioinguinal-Iliohypogastric Nerve Block
Rectus Sheath Nerve Block
PECS Block
Serratus Plane Block
Paravertebral Nerve Block
Neuraxial Anesthesia and Analgesia

Stuart A. Grant, Professor of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA, and Edited by David B. Auyong, Staff Anethesiologist, Virginia Mason Medical Center, Seattle, Washington, USA.