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In recent years, sonography of the peripheral nervous system has gained widespread acceptance. New diagnostic applications have emerged, and the field of ultrasound-guided interventions has expanded significantly: regional anesthesia, peripheral nerve blocks, and similar techniques are now frequently performed under ultrasound guidance by anesthesiologists and pain physicians alike. This atlas of peripheral nerve ultrasound is designed to meet the daily needs of both radiologists and clinicians by allowing rapid review of typical features, knowledge of which is important for successful diagnosis and intervention. The side by side presentation of ultrasound images with anatomical cryosections and photographs of transducer positions allows for reliable sonographic identification of even tiny nerves in regions of complex topography. The practical value of the atlas is further enhanced by correlations with high-resolution MRI scans.
This book illustrates ultrasound and guided nerve stimulation techniques to achieve consistently good anesthesia results. Also included are demonstrations of peripheral nerve block techniques for the trunk, and upper and lower extremities. Images are correlated with MRIs for better anatomic identification.
Honorable Mention, 2015 PROSE Award in Clinical Medicine Practice With a ìhow-toî approach, the author meticulously describes the clinical evaluation of the peripheral nerves throughout the body using high-frequency ultrasound. Evaluations include both normal and pathologic findings, as well as discussions of relevant non-neurologic tissue. The book opens with an introduction to ultrasound physics, instrumentation, and image optimization. The remainder of the text is a highly visual tour through the multiple nerves of the shoulder, neck, and upper and lower limbs, focusing on sonographic technique and correct interpretation of findings. Clinical cases that integrate anatomic localization with clinical and electrodiagnostic assessment are incorporated throughout. Also includes a bound-in DVD with live motion video loops of the examinations to correspond with stills in the book to demonstrate the important dynamic information ultrasound provides. Ultrasound Evaluation of Focal Neuropathies features: Comprehensive yet practical text and atlas with detailed discussion of the strengths and weaknesses of clinical and electrodiagnostic assessments Thorough guide to ultrasound techniques and appearance of normal and abnormal peripheral nerves Clinical cases that pair the imaging information with clinical and electrodiagnostic findings are interwoven throughout with analysis of anatomy relevant to the peripheral nerves being studied Hundreds of high-quality images and line drawings to correlate anatomy and reflect probe placement Companion DVD with motion loops is provided to facilitate understanding of the dynamic image
This is the first comprehensive text-atlas that shows how to use ultrasound technology and nerve stimulation techniques to guide regional blockade in children. Clinical chapters follow a sequential, highly illustrated format that provides step-by-step guidance and include cases, clinical pearls, and troubleshooting tips. Nearly 400 figures, consisting of ultrasound images, MRI images, and schematics, have been assembled to maximize understanding of pediatric neuroanatomy and its relationship to surrounding anatomical structures. To help the novice user, the book features side-by-side presentation of unlabeled and labeled ultrasound images. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia focuses on common approaches, supplemented in clinical pearls and notes by alternative approaches, and emphasizes dynamic and systematic scanning techniques. It is intended for pediatric anesthesiologists who wish to incorporate regional blockade into their repertoire and designed as a refresher and resource for all regional anesthesiologists seeking to refine their skills. Unique Selling Points: Internationally renowned experts Presents two technologies proven to improve block success when used together Superb coverage of pediatric anatomy in relation to regional anesthesia Equipment, set-up, pain assessment, local anesthetic pharmacology, and patient safety considerations f or child patients
The Atlas of Ultrasound and Nerve Stimulation-Guided Regional Anesthesia shows how to use ultrasound technology and how to master guided nerve stimulation techniques to achieve consistently good results. Throughout the book, ultrasound images are correlated with MRIs to enhance anatomic identification. In addition, peripheral nerve block techniques for upper and lower extremities and the trunk are demonstrated step by step. With visualized needle placement and the ability to see the nerves, ultrasound and nerve stimulation-guided techniques instill confidence in the anesthesiologist, offer safety to patients, and enhance the efficient use of time in the operating room.
Now updated, this full-color atlas is a step-by-step guide to performing more than 60 peripheral nerve blocks, including those used in children. For each nerve block, the book provides detailed information about indications, patient positioning, drug selection, and much more.
Safely and effectively perform regional nerve blocks with Atlas of Ultrasound-Guided Regional Anesthesia, 2nd Edition. Using a wealth of step-by-step videos and images, Dr. Andrew T. Gray shows you how to use the latest methods to improve the success rate of these techniques. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device youre using or where you're located. Master essential techniques through step-by-step videos demonstrating paravertebral block, transversus abdominis block, psoas nerve block, subgluteal nerve block, and more. Test your knowledge and prepare for the ABA exam with board-style review questions. Ensure correct needle placement with numerous 3-D and long-axis views that clearly depict surrounding structures. Update your skills with completely rewritten chapters on Infraclavicular, Neuraxial, and Cervical Plexus Blocks as well as entirely new chapters on Fascia Iliaca, Anterior Sciatic, Transversus Abdominis Plane (TAP), and Stellate Ganglion Blocks. Review a full range of nerve block techniques in an easy-to-follow, step-by-step manner using new quick-reference summary tables. View author-narrated videos and access the complete contents online at www.expertconsult.com; assess your knowledge with the aid of a new "turn labels off" feature for each image.
This book focuses on the anatomy of the peripheral nervous system. Using the latest 3D-computer graphic modeling techniques, the author developed the innovative NEURO 3D LOCATORTM concept, which provides 3D in-vivo ultrasound images of peripheral nerve architectures, allowing readers to develop a mental real-time 3D GPS of the peripheral nervous system. This new edition is an extended version of the “Student edition” dedicated to Experts and is divided into three main parts: The first part describes fundamental concepts, from immunohistochemistry to limb innervation, and includes a detailed evaluation of the morphofunctional anatomy of the peripheral nerves. It also presents relevant data on neuromuscular transmission, from both classic and recent literature, to enable readers to gain an understanding the physiology and pathology of peripheral nerves as well as the prospects of repair. The second section addresses the upper limb, the brachial plexus and related peripheral nerves, while the third section focuses on the lower limb, the lumbosacral plexus and related peripheral nerves. By providing MRI sections related to the drawings and the descriptions of main nerve injuries, it facilitates radiological interpretation and clinical learning. The book also features detailed descriptions of surgical approaches and the ultrasound anatomy of the limbs, and includes supplementary material on applications to peripheral nerve stimulation, surgical procedures and interventional pain medicine techniques. Presenting high-quality 3D videos showing the progression of the ultrasound probe in real-time, synchronized with live ultrasound views and enhanced with anatomical computerized graphic layers, as well as over 500 outstanding full-color 2D and 3D illustrations, and access to than 100 practical videos, this unique book is a valuable resource for anesthesiologists, radiologists, orthopedic surgeons, neurosurgeons, neuromodulators, physiatrists, pain physicians and rheumatologists. It will also appeal to the medical community in general.
This first of its kind richly illustrated book provides a tabular and schematic representation of all the peripheral nerves in the human body using a standardized landmark-based algorithm for the definition of the nerve’s “Point of optimal visibility (POV)”. In this atlas the nerves of the human body are depicted with high-frequent ultrasound probes with frequencies up to 24 MHz: it presents not only the “known” large nerves (N. ischiadicus, N. femoralis, N. medianus etc.), but also the tiny nerves you have learned in your anatomy sessions but forgotten in the course of time! Based on clear illustrations using palpaple/visible external and easily accessible internal landmarks, it offers “nerve sonographers” a clear sonoanatomic guidance on how to easily find the nerve. Additionally, it describes the exact positioning of the probe so that each nerve can be found at its point of optimal visibility. These mental maps for nerve sonographeurs are intended not only for beginners but also for “advanced” specialists requiring instructions on how to easily find even tiny peripheral nerves: especially for neurologists, anaesthesiologists, radiologists, pain practionioners, rheumatologists and surgeons who seek a clear standardized step by step manual on “Where do I find a nerve the easiest?”
With a focus on anatomy and sonoantomy, this beautifully illustrated updated edition captures the latest advances in the rapidly growing field of ultrasound-guided pain medicine and MSK procedures. This atlas is divided into seven sections that provide an overview and focus on interventional approaches and advancements. Authored by international experts, each clinical chapter features a maximal number of instructive illustrations and sonograms and provides a description of sonoanatomy, instructions on performing the procedure and how to confirm appropriate needle placement. This book will help encourage and stimulate physicians to master approaches in interventional MSK and pain management.