Illustrated Manual of Regional Anesthesia : Conception, Realization, Consultation, Organization: Bureaux Bassler, Karlsruhe, FRG Artist: Wolfgang Rost, Graphic-Design

Professor Philip Bromage From the earliest stirrings of modern surgical anesthesia, novice surgeons struggling to learn from the living what there was a strong intuitive feeling that anesthesia of part they were denied an opportunity to learn from the dead_ of the body would be better for the patient than complete But that is largely nostalgia for a past era_ Today, the visual anesthesia of the whole organism. In 1848, James Young arts and the plastics industry have united to give us superb Simpson spent some time and effort seeking this elusive teaching models and techniques that did not exist a few goal, but after a few ingenious though unsuccessful experi­ decades ago, and they have developed two- and three­ ments, he gave up the search and turned back to general dimensional surrogate cadavers that are imbued with a anesthesia as the only practical solution to surgical pain more vivid artistry than ever existed on the marble slabs relief at that time_ amid the formalin reek of our old dissecting rooms_ earl Koller's simple but brilliant application of cocaine to This book is a fresh and highly successful attempt to repair some of the bridges that were burnt with the passing of the the eye in 1884 opened the door to a whole new universe of neural anatomy and pharmacology_ Within a decade or old anatomy days_ Together, the authors have contributed

I: Principles of Management.- A. Preparation of the Surgical Patient for Regional Anesthesia.- 1. Preoperative Phase.- 2. Quality and Duration of Block.- 3. Planning for the Recovery Period.- 4. Performance of Block.- 5. Management of Patient During Surgery.- 6. Postoperative Management.- B. Physiologic Changes Due to Regional Anesthesia: Comparison with General Anesthesia.- 1. Intraoperative Period.- 2. Immediate Postoperative Period.- 3. Extended Postoperative Period.- C. Local Anesthetics.- 1. Classification of Local Anesthetic Agents.- 2. Mechanism of Action.- 3. Active Form.- 4. Site of Action.- 5. Pharmacokinetics.- 6. Systemic Toxicity Due to Local Anesthetic Agents.- 7. Management of Toxicity.- D. Aids to Nerve Block.- 1. Fluoroscopy.- 2. Peripheral Nerve Stimulation.- Suggestions for Further Reading.- II: Central Nerve Blocks.- A. General Considerations (Transparency 1).- 1. Anatomy.- 2. Preliminary Remarks on Subarachnoid and Epidural Block.- B. Subarachnoid (Spinal) Block.- 1. General Aspects.- 2. Types and Methods of Subarachnoid Block (Transparency 2).- C. Epidural Block.- 1. General Aspects.- 2. Cervical Approach (Transparency 3).- 3. Thoracic Approach (Transparency 4).- 4. Lumbar Approach (Transparency 5).- 5. Caudal Approach (Transparency 6).- III: Upper-Extremity Blocks.- A. Block of the Brachial Plexus and Its Branches.- 1. General Description.- 2. lnterscalene Approach (Transparency 7 a).- 3. Supraclavicular Approach (Transparency 7 b).- 4. Infraclavicular Approach (Transparency 8).- 5. Axillary Approach (Transparency 9).- 6. Suprascapular Nerve Block (Transparency 10).- B. Elbow Block (Transparencies 11, 12).- C. Wrist Block (Transparencies 13, 14).- D. Hand and Digital Block (Transparency 15).- IV: Lower-Extremity Blocks.- A. Lumbosacral Plexus and Its Branches.- 1. General Considerations.- 2. Lumbar Plexus Block (Transparency 16).- 3. Psoas Compartment Block (Transparency 17).- B. Hip and Gluteal Region.- 1. Sciatic Nerve Block (Transparencies 18–21).- 2. Femoral Nerve Block (Transparency 22).- 3. Obturator Nerve Block (Transparency 23).- 4. Lateral Femoral Cutaneous Nerve Block (Transparency 24).- C. Blocks of the Knee Region.- 1. Common Peroneal and Tibial Nerve Block (Transparency 25).- 2. Saphenous Nerve Block at the Knee (Transparency 26).- D. Ankle Block.- 1. Anterior Ankle and Metatarsal Block (Transparency 27).- 2. Posterior Ankle Block (Transparency 28).- V: Intravenous Regional Anesthesia.- A. General Considerations (Transparency 29).- B. Standard Technique.- C. Pharmacokinetics of Local Anesthetics with Intravenous Regional Anesthesia.- D. Complications.- VI: Head and Neck Blocks.- A. Trigeminal Nerve and Its Branches.- 1. Trigeminal Ganglion Block (Transparency 30).- 2. Ophthalmic Nerve Block (Retrobulbar) (Transparency 31).- 3. Supraorbital and Supratrochlear Nerve Block (Transparency 32).- 4. Maxillary Nerve Block (Transparency 33).- 5. Infraorbital Nerve Block (Transparency 34).- 6. Mandibular Nerve Block (Transparency 35).- 7. Mental Nerve Block (Transparency 36).- B. Sphenopalatine Ganglion Block (Transparency 37).- C. Glossopharyngeal Nerve Block (Transparency 38).- D. Laryngeal Nerve Block (Transparency 39).- E. Block of the Cervical Plexus and its Branches.- 1. General Aspects.- 2. Superficial Cervical Plexus Block (Transparency 40).- 3. Deep Cervical Plexus Block (Transparency 40).- 4. Greater Occipital Nerve Block.- 5. Spinal Accessory Nerve Block (Transparency 41).- 6. Phrenic Nerve Block (Transparency 42).- VII: Blocks of the Trunk and Perineum.- A. Intercostal Nerve Block (Transparencies 43, 44).- B. Thoracic Paravertebral Nerve Block (Transparency 45).- C. Lumbar Paravertebral Nerve Block (Transparency 46).- D. Trans-sacral Nerve Block (Transparency 47).- E. Pudendal Nerve Block.- 1. Transperineal Approach (Transparency 48).- 2. Transvaginal Approach (Transparency 49).- F. Paracervical Nerve Block (Transparency 50).- G. Sacrococcygeal Plexus Block (Transparency 51).- VIII: Autonomic Nerve Blocks.- A. Stellate Ganglion Block.- 1. Anterior Approach (Transparency 52).- 2. Lateral Approach (Transparency 53).- B. Thoracic Sympathetic Block (Transparency 54).- C. Splanchnic Nerve and Celiac Plexus Block (Transparency 55).- D. Lumbar Sympathetic Block.- 1. General Considerations.- 2. Paramedian (Classic, or Mandl) Approach (Transparency 56).- 3. Lateral (Reid’s) Approach (Transparency 57).- IX: Field Blocks.- A. Mammoplasty (Transparency 58).- B. Upper and Lower Abdomen (Transparency 59).- C. Inguinal Region (Transparency 60).- D. Penile Block (Transparency 61).- E. Anal Block (Transparency 62).