Peripheral Nerve Blocks and Peri-Operative Pain Relief E-Book

Dominic Harmon, Jack Barrett, Frank Loughnane, Brendan T. Finucane, George Shorten

Description

The new edition of this practical multimedia resource shows you exactly how to perform successfully a full range of peripheral nerve block techniques. Over four hundred illustrations, the majority of which are in colour, plus online video clips, portray the relevant surface anatomy, the internal anatomy, the ultrasonographic anatomy to vividly depict correct needle placement in real patients.

Peripheral Nerve Blocks and Peri-Operative Pain Relief has been extensively revised to reflect changes in contemporary practice.

Provides a detailed foundation upon which trainees and practitioners can develop their skills in peripheral nerve block.

Explains fundamental principles such as the mechanism of action of local anesthetic drugs, needle types, as well as toxicity and safety.

Uses a consistent, user-friendly format to present each nerve block’s indications, contraindications, relevant anatomy, technique, adverse effects, and complications.

Provides a complete, all-in-one resource in which each block is described in terms of its relevant anatomy, its ultrasonographic anatomy, and its clinical performance.

Shows you how to proceed using high quality clinical photographs, radiographic images and specially commissioned line drawings.

Offers "Clinical Pearls" in every chapter to help you obtain optimal results.

Each chapter in this new edition is supplemented with practical advice and examples of how to use ultrasound-guided peripheral nerve blocks to its greatest effect.

Includes a brand new chapter on Transversus abdominis plane block.

Features more than two hours of narrated video clips via the Expert Consult online platform to demonstrate a full range of nerve block procedures and enables the user to access full text and images from any computer.

Includes the latest ultrasound guided applications for regional anesthesia and pain relief procedures.Ultrasound guided blocks are increasingly being used in the administration of nerve blocks. Reflects the rapid development and acceptance of ultrasound guided techniques. The “hot area in regional anesthesia. Includes new techniques and neural blocks such as Transversus abdominis plane block. Keeps the user up-to-date with the most effective delivery of anesthesia and analgesia. Additional commonly used procedures for pain relief. Provides comprehensive coverage of the full range of regional anesthetic techniques.

Each chapter in this new edition is supplemented with practical advice and examples of how to use ultrasound-guided peripheral nerve blocks to its greatest effect.

Additional photographs and line drawings in the text accompanied with further online video procedures.The reader is provided with a unique visual guide to not only the approach to and anatomy of specific nerves, but also to the surrounding anatomy, its ultrasonographic anatomy and its clinical performance..  Illustrations and video loops can be used in lectures, presentations and easily downloaded into presentation software.

Sujets

• Médecine
• Surgical incision
• SAFETY
• Photocopier
• Guillain?Barré syndrome
• Neurostimulator
• Replacement
• Inguinal
• Scalene muscles
• Joint replacement
• Nerve block
• Pneumonectomy
• Transverse plane
• Herniorrhaphy
• Protein S
• Adhesive capsulitis of shoulder
• Decompression
• Endoscopic thoracic sympathectomy
• Trauma (medicine)
• Axilla
• Anesthetic
• Regional anaesthesia
• Cardiothoracic surgery
• Orbit (anatomy)
• Withdrawal
• Pain management
• Device
• Anesthesiologist
• Wound
• Ankle
• Shoulder problem
• Left-handedness
• Tetralogy of Fallot
• Wrist
• General practitioner
• Local anesthetic
• Paste
• Ireland
• Medical ultrasonography
• Anesthesia
• Surgery
• Peripheral nervous system
• Phospholipid
• Photography
• Magnetism
• Mechanics
• Magnetic resonance imaging
• Lipid
• General surgery
• Feedback
• Pneumothorax
• Forearm
• Dissection
• Electronic
• Clip
• Lecture
• Surface
• Copyright

Informations

• Publié par: Saunders Ltd.
• Date de parution: 13 octobre 2010
• Nombre de lectures: 1
• EAN13: 9780702045349
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Peripheral Nerve Blocks & Peri-Operative Pain Relief
Second Edition

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
Saunders
Front Matter

Peripheral Nerve Blocks & Peri-Operative Pain Relief
Second Edition
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

Commissioning Editor: Michael Houston
Development Editor: Sharon Nash
Project Manager: Srikumar Narayanan
Design: Stewart Larking
Illustration Manager: Gillian Richards
Marketing Manager(s) (UK/USA): Richard Jones/Cara Jespersen
Copyright

© 2011, Elsevier Limited. All rights reserved.
For new editions, list copyright history of previous editions below.
First edition 2004
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher


Notices
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.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
ISBN: 978-0-7020-3148-9
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Peripheral nerve blocks and peri-operative pain relief.—
2nd ed.
1.  Nerve block. 2.  Pain—Treatment.
I.  Harmon, Dominic.
617.9′6—dc22
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress


Printed in China
Last digit is the print number: 9  8  7  6  5  4  3  2  1
Foreword to first edition
Regional anesthesia has come to stay. Its development and progress have been slow, principally because the anesthetist must have an accurate knowledge of anatomy and a high degree of technical skill in order that the anesthesia may be safe and satisfactory, and that the operation not be delayed. These words by surgeon William J. Mayo opened the foreword to Gaston Labat’s Regional Anesthesia, its Technic and Application. 1 Published in 1922, Labat’s text focused on the peri-operative management of patients undergoing intra-abdominal, head and neck, and extremity procedures using infiltration, peripheral, plexus, and splanchnic blockade (using recently introduced procaine); neuraxial techniques were not widely applied at the time.
The art and science of regional anesthesia have progressed significantly over the last century, resulting in improved safety and increased success rates. The frequency of serious complications related to neural blockade continues to decrease and is similar, if not superior, to that of general anesthesia. Improved methods of neural localization and imaging such as fluoroscopy, high-resolution ultrasound and stimulating catheters have facilitated accurate needle/catheter placement. Most importantly, prospective randomized clinical investigations have demonstrated improved outcomes for patients undergoing major surgical procedures when regional anesthesia and analgesia is utilized. Thus, issues regarding safety, success rate, and efficacy have been addressed.
However, it is noteworthy that several of the early concerns have changed little. For example, an understanding of anatomic relationships, neural innervation, and physiology remain paramount in the application of regional anesthetic and analgesic techniques. Many clinicians do not have ready access to an anatomy laboratory, and classic anatomical atlases were constructed by anatomists, not regional anesthesiologists, resulting in illustrations that depict neural anatomy with the ‘wrong’ limb orientation and/or cross-sectional view. Finally, the majority of resident training programs do not provide formal training in peripheral blockade. Experienced clinicians and trainees must both have access to anatomic sections and simulators, allowing the proceduralist to explore the anatomical relationships between nerves and related structures prior to patient contact.
From this perspective, I have found the content, organization, and multimedia components of Peripheral Nerve Blocks and Perioperative Pain Reliefs both thorough and comprehensive. The authors present the superficial and deep anatomical relationships using text, line drawings, still photographs, MR images, and video clips. The block techniques themselves are depicted in still photographs and video demonstrations, often with associated MR images of local anesthetic distribution. Thus, the text and DVD-ROM complement each other and provide the reader with a knowledge base that builds on itself to describe safe, efficacious and efficient peripheral blockade.
Labat 1 concluded in his 1922 text, ‘Regional anesthesia is an art.’ Nearly a century later, Peripheral Nerve Blocks and Perioperative Pain Relief characterizes the current state of the art (and science) of regional anesthesia. I applaud the authors for their accomplishments.

Terese T, Horlocker, MD, Professor of Anesthesiology Mayo Clinic College of Medicine Rochester, MN, USA President American Society of Regional Anesthesia and Pain Medicine

Reference

1 Labat G. Regional Anesthesia: Its Technic and Clinical Application . Philadelphia: W. B. Saunders; 1922.
Foreword to second edition
In his classic text, Regional Anesthesia, Its Technic and Application 1 , 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