Atlas of Ultrasound-Guided Regional Anesthesia E-Book
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Safely and effectively perform regional nerve blocks with Atlas of Ultrasound-Guided Regional Anesthesia, 2nd Edition. Using a wealth of step-by-step videos and images, Dr. Andrew T. Gray shows you how to use the latest methods to improve the success rate of these techniques.

  • Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device youre using or where you're located.
  • Master essential techniques through step-by-step videos demonstrating paravertebral block, transversus abdominis block, psoas nerve block, subgluteal nerve block, and more.
  • Test your knowledge and prepare for the ABA exam with board-style review questions.
  • Ensure correct needle placement with numerous 3-D and long-axis views that clearly depict surrounding structures.
  • Update your skills with completely rewritten chapters on Infraclavicular, Neuraxial, and Cervical Plexus Blocks as well as entirely new chapters on Fascia Iliaca, Anterior Sciatic, Transversus Abdominis Plane (TAP), and Stellate Ganglion Blocks.
  • Review a full range of nerve block techniques in an easy-to-follow, step-by-step manner using new quick-reference summary tables.
  • View author-narrated videos and access the complete contents online at; assess your knowledge with the aid of a new "turn labels off" feature for each image.



Publié par
Date de parution 24 septembre 2012
Nombre de lectures 1
EAN13 9781455728190
Langue English
Poids de l'ouvrage 3 Mo

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Atlas of Ultrasound-Guided Regional Anesthesia
Second Edition

Andrew T. Gray, MD, PhD
Professor of Clinical Anesthesia, Department of Anesthesia and Perioperative Care, University of California, San Francisco, School of Medicine; Staff Anesthesiologist, San Francisco General Hospital, San Francisco, California

Table of Contents
Instructions for online access
Cover image
Title page
Video Contents
Section 1: Introduction to Ultrasound Imaging
Chapter 1: Ultrasound
Chapter 2: Speed of Sound
Chapter 3: Attenuation
Chapter 4: Reflection
Chapter 5: Beam Width (Slice Thickness)
Chapter 6: Anisotropy
Chapter 7: Spatial Compound Imaging
Chapter 8: Doppler Imaging
Chapter 9: Ultrasound Transducers
Chapter 10: Transducer Manipulation
Chapter 11: Needle Imaging
Insertion Angle (Angle of Insonation)
Needle Gauge
Bevel Orientation
Receiver Gain
Needle Motion and Test Injections
Echogenic Modifications
Spatial Compound Imaging
Chapter 12: Approach and Techniques
Out-of-Plane Approach
In-Plane Approach
Offline Markings
Chapter 13: Sonographic Signs of Successful Injections
Chapter 14: Ultrasound-Guided Catheter Placement for Peripheral Nerve Blocks
Chapter 15: Three-Dimensional Ultrasound
Section 2: Structures
Chapter 16: Anatomic Structures
Chapter 17: Skin and Subcutaneous Tissue
Chapter 18: Peripheral Nerves
Chapter 19: Tendons
Chapter 20: Arteries
Chapter 21: Veins
Chapter 22: Bone
Chapter 23: Pleura
Chapter 24: Peritoneum
Chapter 25: Lymph Nodes
Section 3: Upper Extremity Blocks
Chapter 26: Supraclavicular Nerve Block
Suggested Technique
Chapter 27: Interscalene and Supraclavicular Blocks
Suggested Technique
Chapter 28: Phrenic Nerve Imaging
Chapter 29: Dorsal Scapular Nerve Imaging
Chapter 30: Suprascapular Nerve Block
Chapter 31: Infraclavicular Block
Suggested Technique
Chapter 32: Axillary Block
Suggested Technique
Chapter 33: Musculocutaneous Nerve Block
Suggested Technique
Chapter 34: Forearm Blocks
Chapter 35: Radial Nerve Block
Suggested Technique
Neurologic Assessment
Chapter 36: Median Nerve Block
Suggested Technique
Neurologic Assessment
Chapter 37: Ulnar Nerve Block
Suggested Technique
Neurologic Assessment
Section 4: Lower Extremity Blocks
Chapter 38: Lateral Femoral Cutaneous Nerve Block
Suggested Technique
Chapter 39: Fascia Iliaca Block
Suggested Technique
Chapter 40: Femoral Nerve Block
Suggested Technique
Chapter 41: Saphenous Nerve Block
Suggested Technique
Chapter 42: Obturator Nerve Block
Suggested Technique
Chapter 43: Sciatic Nerve Block
Suggested Technique
Chapter 44: Anterior Sciatic Nerve Block
Suggested Technique
Chapter 45: Popliteal Block
Suggested Technique
Chapter 46: Ankle Block
Chapter 47: Deep Peroneal Nerve Block
Suggested Technique
Chapter 48: Superficial Peroneal Nerve Block
Suggested Technique
Chapter 49: Sural Nerve Block
Suggested Technique
Chapter 50: Tibial Nerve Block
Suggested Technique
Section 5: Trunk Blocks
Chapter 51: Intercostal Nerve Block
Suggested Technique
Chapter 52: Rectus Sheath Block
Suggested Technique
Chapter 53: Ilioinguinal Nerve Block
Suggested Technique
Chapter 54: Transversus Abdominis Plane Block
Sonographic Landmarks
Suggested Technique
Chapter 55: Neuraxial Block
Suggested Technique for Offline Lumbar Epidural Catheter Placement
Chapter 56: Caudal Epidural Block
Suggested Technique
Section 6: Head and Neck Blocks
Chapter 57: Mental Nerve Block
Suggested Technique
Chapter 58: Superior Laryngeal Nerve Block
Suggested Technique
Chapter 59: Great Auricular Nerve Block
Suggested Technique
Chapter 60: Cervical Plexus Block
Suggested Technique
Chapter 61: Stellate Ganglion Block (Cervicothoracic Sympathetic Ganglion Block)
Anatomic Structures to Be Identified for Stellate Ganglion Block
Approach and Suggested Technique
Section 7: Safety Issues
Chapter 62: Adverse Events
Chapter 63: Intravascular Injections
Chapter 64: Intraneural Injections
Chapter 65: Pneumothorax and Other Chest Pathology
Chapter 66: Self-Assessment Questions: Text
Chapter 67: Self-Assessment Questions: Images
Chapter 68: Advanced Self-Assessment Questions: Text
Chapter 69: Advanced Self-Assessment Questions: Images

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Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods, they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
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Library of Congress Cataloging-in-Publication Data
Gray, Andrew T.
 Atlas of ultrasound-guided regional anesthesia / Andrew T. Gray. – 2nd ed.
  p. ; cm.
 Includes bibliographical references and index.
 ISBN 978-1-4557-2818-3 (hardcover : alk. paper)
 I. Title.
 [DNLM: 1. Anesthesia, Conduction–Atlases. 2. Ultrasonography, Interventional–Atlases. WO 517]
Executive Content Strategist: William Schmitt
Senior Content Development Specialist: Anne Snyder
Publishing Services Manager: Anne Altepeter
Senior Project Manager: Cheryl A. Abbott
Design Direction: Ellen Zanolle
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To my family, who love to write
This new edition highlights developments within the rapidly changing field of ultrasound-guided regional anesthesia. We hope to provide concise review of techniques that will improve our clinical practice along with the background that forms the foundation for these approaches. Now included are summary tables of the more common regional blocks, with step-by-step instruction for quick reference. Admittedly, approaches to regional anesthesia with ultrasound are somewhat arbitrary, but it is good education to have a starting point and some reasons why such an approach is successful and safe. The figure labeling has been revised to be less intrusive so as not to obscure underlying details. One of the biggest challenges when learning ultrasound-guided regional anesthesia is to understand the structures that lie near but outside the plane of imaging. Long-axis views and 3-D imaging are used to give the big picture of the surrounding anatomy.
Chapters from the first edition have been extensively revised. Several have been rewritten (infraclavicular, neuraxial, and cervical plexus blocks) to reflect advances from the most important articles in the past 3 years. There are four new chapters of blocking techniques (fascia iliaca, anterior sciatic nerve, transversus abdominis plane, and stellate ganglion) that are increasingly popular and guided

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