Atlas of Ultrasound-Guided Regional Anesthesia, 3rd Edition
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Harald Breivik
Reviewed Publication:
Gray Andrew T. Atlas of Ultrasound-Guided Regional Anesthesia 3rd Elsevier 2018 978-0-323-50951-0 412 pages
This third edition of Andrew Gray’s multi-author text and digital video book on ultrasound-guided regional anesthesia techniques is a beautiful and extremely useful learning device for novices and trainees as well as experienced practitioners. The physics of ultrasound devices are well described and explained with illustrations, including Doppler-shift analysis of ultrasound reflected from moving objects, mostly erythrocytes in blood vessels. How different anatomical structures and tissues appear in the ultrasound scope is well described and illustrated. Most nerve blocks of the upper and lower extremities, as well as blocks of the trunk, head and neck are well described in the text with excellent illustrations, and in accompanying videos.
This textbook is indeed a well written and well illustrated resource for anaesthetists/anaesthesiologists doing nerve blocks in the operating room. The book is equally valuable for those using invasive techniques for relieving acute and chronic pain in the peri-surgical care facilities as well as in the pain clinic.
A prerequisite for successful nerve blocks is still thorough anatomical knowledge. However, with such knowledge as a basis, the ultrasound-assisted or ultrasound-guided techniques can be more precise and may increase safety by avoiding intra-vascular injections of toxic doses of local anaesthetic or neurolytic solutions. I agree that when the ultrasound equipment is used well, it can be a tremendous help in visualizing important anatomical details and improve the learning curve for novices.
A clear drawback, as seen from a long-time “regional anaesthetist” practicing with anatomical landmarks and solid anatomical knowledge, is that often an extra hand is needed when using ultra-sound equipment; I especially wonder how epidural blocks with or without catheter-insertions, can be much improved by ultrasound devices, whether caudal or thoracic epidural techniques. I am grateful for the clear emphasise in the chapter on thoracic paravertebral block by Professor Karmakar that the paravertebral space communicates with the epidural space.
For anaesthetists/anesthesiologists active in a multi-disciplinary pain clinic the ultrasound equipment is becoming a sine qua non for effective and safe pain clinic practice [1]. The precision of diagnostic nerve blocks may be improved. For therapeutic injection of Botox-toxin close to a nerve damaged by trauma or surgery, ultrasound localization of the nerve, ultrasound-guidance is valuable. Placement of peripheral nerve stimulator electrodes are also greatly aided by ultrasound techniques [2].
Thus, this beautiful book edited by Andrew T. Gray is now a valuable aid also for pain clinic practice.
References
[1] Sauter A, Breivik H. Ultrasound-guided high concentration tetracaine peripheral nerve block: effective and safe relief while awaiting more permanent intervention for tic douloureux. Scand J Pain 2015;6:50.10.1016/j.sjpain.2014.10.005Search in Google Scholar PubMed
[2] Herschkowitz D, Kubias J. Wireless peripheral nerve stimulation for complex regional pain syndrome type 1 of the upper extremity: a case illustration introducing a novel technology. Scand J Pain 2018;18:555–60.10.1515/sjpain-2018-0014Search in Google Scholar PubMed
©2018 Scandinavian Association for the Study of Pain. Published by Walter de Gruyter GmbH, Berlin/Boston. All rights reserved.
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- Pediatric chronic pain and caregiver burden in a national survey
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Articles in the same Issue
- Frontmatter
- Editorial comment
- The Fear Avoidance Beliefs Questionnaire – the FABQ – for the benefit of another 70 million potential pain patients
- The Yaksh-model of intrathecal opioid-studies: still exciting four decades later
- Pain is common in chronic fatigue syndrome – current knowledge and future perspectives
- Systematic review
- Use of multidomain management strategies by community dwelling adults with chronic pain: evidence from a systematic review
- Clinical pain research
- Topographic mapping of pain sensitivity of the lower back – a comparison of healthy controls and patients with chronic non-specific low back pain
- A prospective study of patients’ pain intensity after cardiac surgery and a qualitative review: effects of examiners’ gender on patient reporting
- Correlations between the active straight leg raise, sleep and somatosensory sensitivity during pregnancy with post-partum lumbopelvic pain: an initial exploration
- Pain is associated with reduced quality of life and functional status in patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
- Does validation and alliance during the multimodal investigation affect patients’ acceptance of chronic pain? An experimental single case study
- Translation, cross-cultural adaptation, and psychometric properties of the Hausa version of the Fear-Avoidance Beliefs Questionnaire in patients with low back pain
- Observational study
- Cause-specific mortality of patients with severe chronic pain referred to a multidisciplinary pain clinic: a cohort register-linkage study
- Pain self-efficacy moderates the association between pain and somatization in a community sample
- Pediatric chronic pain and caregiver burden in a national survey
- Psychometric evaluation of the Danish version of a modified Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-D) for patients hospitalized with acute abdominal pain
- Musculoskeletal pain in multiple body sites and work ability in the general working population: cross-sectional study among 10,000 wage earners
- Prediction of running-induced Achilles tendinopathy with pain sensitivity – a 1-year prospective study
- Original experimental
- Body image is more negative in patients with chronic low back pain than in patients with subacute low back pain and healthy controls
- Identifying pain in children with CHARGE syndrome
- Patients’ perspective of the effectiveness and acceptability of pharmacological and non-pharmacological treatments of fibromyalgia
- Exercise-induce hyperalgesia, complement system and elastase activation in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome – a secondary analysis of experimental comparative studies
- Characterization of the antinociceptive effects of intrathecal DALDA peptides following bolus intrathecal delivery
- The effects of auditory background noise and virtual reality technology on video game distraction analgesia
- Book review
- Atlas of Common Pain Syndromes, 4th Edition
- Atlas of Ultrasound-Guided Regional Anesthesia, 3rd Edition
- Anaesthesia, Intensive Care and Perioperative Medicine A-Z, 6th Edition
