Peripheral Regional Anesthesia - An Atlas of Anatomy and Techniques

This atlas demonstrates to the anesthetist how patients, especially those in risk groups, can profit from ntraoperative
peripheral blocks compared to general anesthesia and paraspinal block. This atlas describes the different techniques,
their advantages (and disadvantages) and how the author's have modified techniques to reflect their own extensive
experience in peri- and postoperative pain management. Anatomical sections and drawings complement the clear
photographs taken from the anesthesist's point of view, conveying clearly to the reader just how a regional block can e
performed in a way which will avoid unnecessary complications.
Descriptions of the materials and instruments, as well as the anesthetic medication and dosages, complement this very
instructive atlas of peripheral regional anesthesia techniques.


Table of Contents

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Upper limb

General overview:
Anatomy; important topographical anatomical relations in the region
of the brachial plexus; motor and sensory supply of the upper limb

Interscalene techniques of brachial plexus block:
Anatomy; historical overview; Meier technique; dorsal technique
(Pippa technique) ; sensory and motor effects; indications,
contraindications; supraclavicular nerve block (cervical plexus);
complications, side effects, method-specific problems

Infraclavicular techniques of brachial plexus block:
Anatomical basis; vertical infraclavicular block (VIB) according to
Kilka, Geiger and Mehrkens; Raj technique, modified by Borgeat;
sensory and motor effects; indications, contraindications;
complications, side effects, method-specific problems

Suprascapular nerve block:
Anatomical basis; Meier technique; sensory and motor effects;
indications, contraindications; complications, side effects, method-
specific problems

Axillary block:
Anatomical basis; perivascular 뱒ingle-injection?technique;
sensory and motor effects; indications and contraindications;
complications, side effects, method-specific problems;
multistimulation technique, 뱈id-humeral approach?according to Dupr
?

Selective block of individual nerves in the upper arm, at the elbow
and wrist:
Radial nerve block (middle of upper arm); blocks at the elbow; blocks
at the wrist (hand block)

Lower limb

General overview:
Lumbosacral plexus; sensory innervation of the leg

Psoas compartment block:
Anatomical overview; technique of psoas compartment block; sensory
and motor effects; indications, contraindications; complications,
side effects, method-specific problems; remarks; summary

Inguinal perivascular lumbar plexus anaesthesia
(?-in-1 technique?according to Winnie, femoral nerve block):
Anatomical overview; femoral nerve block (?-in-1 technique?;
sensory and motor effects; indications, contraindications;
complications, side effects, method-specific problems; remarks

Proximal sciatic nerve block:
Anatomical overview; anterior proximal sciatic nerve block (with
patient in supine position); dorso-dorsal (proximal) sciatic nerve
block (Raj technique), (in supine position); proximal lateral sciatic
nerve block (with patient in supine position); proximal sciatic nerve
block (with patient lying on his side); parasacral sciatic nerve
block (Mansour technique)

Blocks at the knee:
Anatomical overview; classical popliteal block, dorsal approach;
distal block of the sciatic nerve

Peripheral block (conduction block) of individual nerves of the lower
limb:
Lateral cutaneous nerve of the thigh block; infiltration of the iliac
crest; obturator nerve block; saphenous nerve block; peroneal nerve
block

Peripheral nerve blocks at the ankle:
Anatomical overview; saphenous nerve, sural nerve and superficial
peroneal nerve block; deep peroneal nerve block; (posterior) tibial
nerve block; foot block; indications, contraindications,
co