Authors: Fernando L. Arbona, Babak Khabri, and John A. Norton
Illustrators: Charles Hamilton and Kelly Warniment
Publisher:  Cambridge University Press – 194 pages
Book Review by: Nano Khilnani

The use of ultrasound in regional anesthesia procedures (limited to a region of the body) to block the pain felt by patients has been growing over the years, the authors of this book – Fernando l. Arbona, Babak Khabri and John A. Norton –  point out in the Preface.

This book provides step-by-step instructions – in the form of text accompanied by full-color photographs, drawings, radiographs, sketches, tables, x-rays and other visual aids – on how to use ultrasound devices and machines in anesthetizing patients in regional anesthesia procedures.

What are the benefits of ultrasound in regional anesthesia? These two short paragraphs in italics written by the authors puts them in a nutshell:

Ultrasound guidance in regional anesthesia provides real-time imaging during the placement of nerve blocks and perineural catheters, improving patient comfort, decreasing many procedure times, and revealing valuable anatomic information, which may enhance patient safety.

It therefore comes as no surprise that the use of ultrasound in regional anesthesia continues to grow in popularity, opening new doors to physicians in their practice where barriers may have once existed. As regional anesthesiologists, we have written this text for residents, fellows and staff physicians desiring to learn and begin incorporating the use of ultrasound into the scope of their busy practices.

This is a handy guide of less than 200 pages that would fit in coat pockets of physicians, fellows, residents, and nurse anesthetists. To provide you an overview of the contents of this handbook on ultrasound-guided regional anesthesia, we list its four Sections and 20 chapters below:

  1. Section I – Introduction
    1. Pharmacology: local anesthetics and additives
    2. Introduction to ultrasound
    3. Application of ultrasound in regional anesthesia
  2. Section II – Upper extremity peripheral nerve blocks
    1. Upper extremity anatomy for regional anesthesia
    2. Interscalene brachial plexus block
    3. Supraclavicular brachial plexus block
    4. Infraclavicular  brachial plexus block
    5. Axillary peripheral nerve blocks
    6. Additional upper extremity peripheral nerve blocks
  3. Section III – Lower extremity peripheral nerve blocks
    1. Lower extremity anatomy for regional anesthesia
    2. Sciatic nerve block: proximal approaches
    3. Sciatic nerve block: lateral popliteal fossa / distal thigh approach
    4. Femoral peripheral nerve block
    5. Ultrasound-assisted ankle block
  4. Section IV – Peripheral perineural catheters
    1. Introduction to continuous perineural catheter
    2. Interscalene continuous perineural catheter
    3. Supraclavicular continuous perineural catheter
    4. Intraclavicular continuous perineural catheter
    5. Sciatic continuous perineural catheters: proximal and lateral popliteal fossa
    6. Femoral continuous perineural catheter

Go to www.cambridge.org/arbona containing numerous ultrasound loops and video clips showing nerve block and perineural catheter techniques being performed.

Also, at the end of most chapters, read the section entitled Authors’ clinical practice to get action tips on do’s and don’ts  based on insight gained from experience.

In sum, this is an excellent specialist guide on performing regional anesthesia procedures with the aid of ultrasound

 

Authors:

Fernando L. Arbona is Clinical Director of Anesthesiology and Assistant Professor in the Department of Anesthesiology at Ohio State University Medical Center in Columbus, Ohio.

Babak Khabri is Director of Regional Anesthesia and Assistant Professor in the Department of Anesthesia at Ohio State University Medical Center in Columbus, Ohio

John A. Norton is Regional Anesthesia Fellowship Director and Assistant Professor in the Department of Anesthesia at Ohio State University Medical Center in Columbus, Ohio