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Conduction anesthesia --- Nerve block --- Analgesia --- Anesthesia, Conduction --- Pain
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"Hadzic's Peripheral Nerve Blocks delivers practical, state-of-the-art guidance for all major nerve block procedures, including ultrasound-guided nerve blocks. A standardized,user-friendly presentation provides meticulous, step-by-step instructions for each procedure. The second edition has been completely updated to include new developments, the latest equipment, and hundreds of new photographs"--Provided by publisher.
Nerve Block --- Nerve block. --- Peripheral Nerves --- Peripheral Nerves --- Ultrasonography --- methods. --- anatomy & histology. --- ultrasonography. --- methods.
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"The definitive guide to ultrasound-guided nerve blocks by renowned experts at the New York School of Regional Anesthesia"--
Nerve Block --- Peripheral Nerves --- Ultrasonography --- Anesthésie locorégionale --- Bloc nerveux --- Nerfs périphériques --- Anesthésie --- methods --- anatomy & histology --- diagnostic imaging --- methods. --- Diagnostic. --- Échographie. --- Anesthésie locorégionale --- Nerfs périphériques --- Anesthésie --- Échographie.
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Quatrième de couverture :"Lors de sa parution en 2007, Echographie en anesthésie régionale périphérique fut le premier ouvrage francophone à proposer une indispensable synthèse sur l'utilisation de l'échographie en anesthésie locorégionale. Accompagnant littéralement l'essor de cette technique révolutionnaire, son succès fut immédiat, et l'ensemble des praticiens le considèrent aujourd'hui comme l'ouvrage de référence incontournable. Cette nouvelle édition légèrement corrigée et enrichie d'un chapitre sur les blocs de la face n'a rien perdu de l'esprit didactique et exigeant qui sous-tendait sa conception initiale. Bloc après bloc, l'exposé précis de près de 50 techniques, illustrées par une iconographie très rigoureusement sélectionnée, est étayé par les descriptions anatomiques de chacune des régions abordées, ainsi que par la synthèse exhaustive des données récentes de la littérature. L'iconographie abondante offre au lecteur plus de 700 figures dont 50 dissections anatomiques d'une qualité remarquable, et autant de dessins et schémas d'anatomie extrêmement soignés. Enfin, c'est par son originalité que l'ouvrage se singularise, au-delà de son apport scientifique évident, il est le fruit d'une expérience " en marche " qui permet de porter un point de vue pertinent sur le présent et le futur de la pratique."
Nerve Block --- Ultrasonography --- Anesthesia, Local --- Anesthesia, Conduction
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Outside back cover : "Regional anesthesia and acute pain management protocols are rapidly changing. The introduction of ultrasound in international pain management and regional anesthesia has resulted in significant changes in the practice, management, protocols, techniques applications, and their effects on patient safety and efficacy. This evolution of the practice and expansion of new knowledge demands a reliable, up-to-date resource designed to assess understanding of this ever-changing subspecialty. Hadzic's Textbook of Regional Anesthesia and Acute Pain Management Self-Assessment and Review is designed to do just that."
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This is the first atlas to depict in high-resolution images the fine structure of the spinal canal, the nervous plexuses, and the peripheral nerves in relation to clinical practice. The Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine contains more than 1500 images of unsurpassed quality, most of which have never been published, including scanning electron microscopy images of neuronal ultrastructures, macroscopic sectional anatomy, and three-dimensional images reconstructed from patient imaging studies. Each chapter begins with a short introduction on the covered subject but then allows the images to embody the rest of the work; detailed text accompanies figures to guide readers through anatomy, providing evidence-based, clinically relevant information. Beyond clinically relevant anatomy, the book features regional anesthesia equipment (needles, catheters, surgical gloves) and overview of some cutting edge research instruments (e.g. scanning electron microscopy and transmission electron microscopy). Of interest to regional anesthesiologists, interventional pain physicians, and surgeons, this compendium is meant to complement texts that do not have this type of graphic material in the subjects of regional anesthesia, interventional pain management, and surgical techniques of the spine or peripheral nerves.
Medicine & Public Health. --- Anesthesiology. --- Pain Medicine. --- Anatomy. --- Biological Microscopy. --- Medicine. --- Human anatomy. --- Microscopy. --- Médecine --- Anatomie humaine --- Anesthésiologie --- Microscopie --- Surgery & Anesthesiology --- Health & Biological Sciences --- Anesthesiology --- Human anatomy --- Human physiology --- Conduction anesthesia --- Anesthesia --- Pain --- Diagnostic imaging --- Three-dimensional imaging --- Treatment --- Aches --- 3-D imaging --- 3D imaging --- Three-dimensional imaging systems --- Three-dimensional imaging techniques --- Three-dimensional visualization --- Visualization, Three-dimensional --- Anaesthesia --- Block anesthesia --- Perineural anesthesia --- Regional anesthesia --- Pain medicine. --- Imaging systems --- Emotions --- Pleasure --- Senses and sensation --- Symptoms --- Analgesia --- Suffering --- Human biology --- Medical sciences --- Physiology --- Human body --- Analysis, Microscopic --- Light microscopy --- Micrographic analysis --- Microscope and microscopy --- Microscopic analysis --- Optical microscopy --- Optics --- Anatomy, Human --- Anatomy --- Medicine --- Anaesthesiology --- Surgery --- Algiatry
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There are two types of anesthesia, general anesthesia and regional anesthesia. General anesthesia provides an immobile and unconscious patient. Regional anesthesia aims to only anesthetize those parts of the body that are to be operated on. The type pertinent to this thesis is regional anesthesia, specifically peripheral nerve blocks. Electrical nerve stimulation has been used for a long time to localize nerves before injecting the anesthetic. However, due to the emergence of portable and convenient ultrasound machines, nerve localization is primarily done with ultrasound guidance. Thus, electrical nerve stimulation is used more as a safety feature or not at all. Additionally, a lot of clinicians are reluctant towards modern nerve stimulator units because of their tedious and cumbersome use. This poses extra dangers to the patient because ultrasound guidance alone cannot predict correct injection with reasonable certainty in every case. Occasionally, obtaining a satisfactory visual image of the nerve to be located is not possible. If nerve stimulators were smaller and more user-friendly, this could change the situation. The goal of this thesis is to design an electrical nerve stimulator unit embedded into the surgical drape, with a built-in grounding lead into the drape itself. Such a device could improve the reliability and effectiveness of peripheral nerve blocks. A human-centered design was employed by documenting user needs. This data was obtained directly from an anesthesiologist. Subsequently, these requirements were implemented in the design. The design output features an electrical nerve stimulator unit with an output square wave current signal. The characteristics of the waveform include a frequency of 2 Hz, a pulse width of 0.1 ms, a current intensity of 0.5 mA and a rise/decay time of 3 ms. Measurements taken with a Tektronix TDS 1002 two channel digital storage oscilloscope and a Rohde Schwarz HMO1002 series two channel digital oscilloscope confirm accuracy in frequency, pulse width, current intensity and rise/decay time in some cases. But the ideal waveform could not be reproduced each time. Other design criteria such as sterilizability, portability and ease of use are met. Subsequently, initial research shows the concept is viable. However, further investigation is necessary concerning the impedance measurements. Keywords: Regional anesthesia, Electrical nerve stimulation, proof of concept, surgical drape
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There are two types of anesthesia, general anesthesia and regional anesthesia. General anesthesia provides an immobile and unconscious patient. Regional anesthesia aims to only anesthetize those parts of the body that are to be operated on. The type pertinent to this thesis is regional anesthesia, specifically peripheral nerve blocks. Electrical nerve stimulation has been used for a long time to localize nerves before injecting the anesthetic. However, due to the emergence of portable and convenient ultrasound machines, nerve localization is primarily done with ultrasound guidance. Thus, electrical nerve stimulation is used more as a safety feature or not at all. Additionally, a lot of clinicians are reluctant towards modern nerve stimulator units because of their tedious and cumbersome use. This poses extra dangers to the patient because ultrasound guidance alone cannot predict correct injection with reasonable certainty in every case. Occasionally, obtaining a satisfactory visual image of the nerve to be located is not possible. If nerve stimulators were smaller and more user-friendly, this could change the situation. The goal of this thesis is to design an electrical nerve stimulator unit embedded into the surgical drape, with a built-in grounding lead into the drape itself. Such a device could improve the reliability and effectiveness of peripheral nerve blocks. A human-centered design was employed by documenting user needs. This data was obtained directly from an anesthesiologist. Subsequently, these requirements were implemented in the design. The design output features an electrical nerve stimulator unit with an output square wave current signal. The characteristics of the waveform include a frequency of 2 Hz, a pulse width of 0.1 ms, a current intensity of 0.5 mA and a rise/decay time of 3 µs. Measurements taken with a Tektronix TDS 1002 two channel digital storage oscilloscope and a Rohde Schwarz HMO1002 series two channel digital oscilloscope confirm accuracy in frequency, pulse width, current intensity and rise/decay time in some cases. But the ideal waveform could not be reproduced each time. Other design criteria such as sterilizability, portability and ease of use are met. Subsequently, initial research shows the concept is viable. However, further investigation is necessary concerning the impedance measurements. Keywords: Regional anesthesia, Electrical nerve stimulation, proof of concept, surgical drape
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Purpose of review: Enhanced Recovery After Surgery (ERAS) protocols and interventional locoregional anesthesia (LRA) techniques continuously evolve. This review outlines the latest recommendations for the use of regional anesthesia in ERAS protocols and emerging interventional analgesia techniques. Recent findings: Research in ultrasound-guided regional anesthesia has led to a refinement of the traditional techniques and the introduction of a number of new approaches to complement ERAS strategies. The efficacy and versatility of LRA enable its use in an increasing number of ERAS indications. Summary: The implementation of ERAS protocols in different surgical procedures reduces overall complications and recovery time. Multimodal analgesia strategies with regional anesthesia techniques are some of the key interventions contributing to the improvement in postoperative outcomes.
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