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The Virtual Anaesthesia Textbook

Regional and Local Anaesthesia

Last modified 23/09/08. Comments to: Chris Thompson

Contents


General Information

The American Society of Regional Anaesthesia provides it's newsletters online (large PDF files), many of which provide excellent descriptions of basic and advanced techniques.

The European Society for Regional Anaesthesia has a Learning Zone with a massive amount of great information - requires registration (free).

The excellent New York Society of Regional Anesthesia site includes details of most techniques, hints on success with blocks, information on complications etc. etc. .

Local Anaesthetics and Nerve Conduction and Postoperative Pain are related chapters in this textbook.

Local Analgesia from the University of Queensland.

An overview of regional anaesthesia from the CAS annual meeting.

Regional Analgesia and Anaesthesia for Obstetrics on the Swiss Anaesthesia Server.


Patient Information

John Oyston has written a Patients' Guide to Local and Regional Anaesthesia. This includes a section on epidural analgesia in labour. For patient information about analgesia for labour, see the chapter on obstetrics.


Blocks by Region

Most of my links are to the New York Society of Regional Anaesthesia site.

Orofacial blocks
Excellent information from NYSORA

Upper Limb Blocks
Axillary Brachial Plexus Block
, in "Update in Anaesthesia" is a good description of this useful technique. Also axillary brachial plexus block, infraclavicular and interscalene approaches to the brachial plexus, Bier's (intravenous) block NYSORA WFSA, wrist block, digital nerve blocks.

Cervical Plexus Block
Superficial cervical and deep cervical blocks from NYSORA.

Lower Limb blocks
NYSORA discusses lower limb blocks in detail and provides technical information on Femoral, sciatic, popliteal, ankle, blocks for ambulatory surgery, short saphenous and long saphenous vein stripping, etc.

Hernia Repair
Local Anaesthesia for Inguinal and Femoral Hernia Repair is a good article from Update in Anaesthesia.

Spinal anaesthesia
WFSA information

Epidural anaesthesia
WFSA information. Management of an epidural "Dural Tap". Epidural Misadventures - risks etc.

Combined Spinal Epidural Anesthesia
Dr. Eldor's Web site has a great deal of information.

Obstetrics
Please go to the obstetric anaesthesia chapter.

Ophthalmic Surgery
Anaesthesia for Ophthalmic Surgery Part 1: Regional Techniques in Update in Anaesthesia is an excellent introduction, with clear illustrations.

Paediatric Surgery
A site about Pain of Circumcision and Pain Control includes some full text references to paediatric pain issues and a warning about the use of EMLA for circumcision.


This Chapter originally by John Oyston.

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visitors to this chapter since April 29th 2000.

Original concept for the Virtual Anaesthesia Textbook by:
Dr. Chris Thompson
Senior Staff Specialist Anaesthetist
Royal Prince Alfred Hospital
Sydney Australia