Here's a highly illustrated practical guide with easy to follow descriptions of pain injection techniques. It will give special advice on how to achieve a successful block and how to avoid and manage potential problems. The techniques will be described in a systematic and easy to use way. Each description of the injection will be accompanied by figures demonstrating the surface anatomy, patient position, needle puncture site and movement of the needle in relation to anatomyh. Where necessary further figures will be used to show dye injections and successful blocks.
New to this edition
- Offer proven, reliable treatment options to patients with persistent, severe or chronic pain. This introductory atlas provides a description of many basic regional anesthetic tools as well as common joint and muscular injections for pain relief.
- See exactly how to proceed to achieve optimal results and avoid problems. Step-by-step instructions - with concise text accompanied by line drawings and color photographs - demonstrate correct needle placement and anatomical structure for 29 techniques and procedures.
- Apply ultrasound guided therapies for optimal needle placement in delivery of anesthetic agents.
- Access the full text online at Expert Consult.
Key Features
- Uses concise bulleted text with important factors highlighted throughout for ease of understanding and assimilation.
- Shows how to perform each injection technique step-by-step with comprehensive illustrations (photographs, line drawings, radiologic images)
- Techniques are grouped together in a logical and easy to follow manner with the same format being used for each block
- Offers solutions to actual clinical problems and highlights potential pitfalls in both diagnosis and treatment..
- Covers a broad scope of clinical practice for use by both beginners and experts.
Author Information
By Therese C. O'Connor, MB, FFARCSI, Consultant Anaesthetist, Pain Specialist, St. Joseph's Private Hospital, Longhanelton, Calry, Sligo, Ireland and Stephen E. Abram, MD, Professor of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI
1. Mechanisms of pain transmission—an overview of anatomy and physiology2. Joint injections2.1 Lumbar facet joint injection2.1 Cervical facet joint injection2.3 Sacro-iliac joint injection3. Epidural blockade3.1 Lumbar epidural block3.2 Thoracic epidural block3.3 Cervical epidural block3.4 Caudal epidural block3.5 Long-term epidural catheter insertion4. Somatic nerve blockade4.1 Intercostal nerve block4.2 Interpleural block4.3 Lumbar nerve root block4.4 Thoracic nerve root block4.5 Sacral nerve root block4.6 Occipital nerve block4.7 Trigeminal ganglion (Gasserian) block5. Autonomic blockade5.1 Stellate ganglion block—C6 (classic) approach5.2 Stellate ganglion block—C7 approach5.3 Lumbar sympathetic block5.4 Celiac plexus block—retrocrural approach5.5 Celiac plexus block—anterocrural approach5.6 Splanchnic nerve block5.7 Hypogastric plexus block5.8 Ganglion impar block5.9 Intravenous regional sympathetic block—upper limb5.10 Intravenous regional sympathetic block—lower limb6. Muscle injection6.1 Trigger-point injection—neck6.2 Trigger-point injection—back6.3 Gluteus medius injection6.4 Piri formis injection7. Transcutaneous electrical nerve stimulation (TENS)Appendix 1 Suggested local anestheticsAppendix 2 Suggested corticosteroidsAppendix 3 Suggested neurolytic agentsAppendix 4 Recommended resuscitation drugs and equipmentAppendix 5 Dermatomes
"This book should find a place in every Pain Clinic as a useful guide to the common procedures carried out there. It brings together all the techniques in one handy volume..useful to trainees wishing to learn about them and also to experienced practitioners who may wish to remind themselves about a technique that they perform only infrequently." (British Journal of Anaesthesia)
"The consistent, easy-to-follow, repetitive nature of each technique is accompanied by excellent photographs and illustrations that serve to highlight the anatomical structures and relationships that must be fully understood in order to achieve success." (Doody's Journals)
"This is a highly practical step-by-step guide to procedures for chronic pain. It is suitable for the practicing pain physician, teh anesthesiologist with an interest in chronic pain and to residents in training....a very helpful book to have in any pain clinic library." (Amazon customer review)