RT Book, Section
A1 Carrera, Anna
A1 Lopez, Ana M.
A1 Sala-Blanch, Xavier
A1 Kapur, Eldan
A1 Hasanbegovic, Ilvana
A1 Hadzic, Admir
A2 Hadzic, Admir
SR Print(0)
ID 1141730691
T1 Functional Regional Anesthesia Anatomy
T2 Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071717595
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1141730691
RD 2024/04/25
AB The  practice  of  regional  anesthesia  is  inconceivable  without  sound  knowledge  of  the  functional  regional  anesthesia  anatomy.  Just  as  surgical  technique  relies  on  surgical  anatomy  or  pathology  leans  on  pathologic  anatomy,  the  anatomic  information  necessary  for  the  practice  of  regional  anesthesia  must  be  specific  to  this  application.  In  the  past,  many  nerve  block  techniques  and  approaches  were  devised  by  academicians  merely  relying  on  idealized  anatomic  diagrams  and  schematics,  rather  than  on  functional  anatomy.  However,  once  the  anatomic  layers  and  tissue  sheets  are  dissected,  the  anatomy  of  nerve  structures  without  the  tissue  sheaths  around  them  is  of  little  relevance  to  the  clinical  practice  of  regional  anesthesia.  This  is  because  accurate  placement  of  the  needle  and  the  spread  of  the  local  anesthetic  after  an  injection  depend  on  the  interplay  between  neurologic  structures  and  the  neighboring  tissues  where  local  anesthetic  pools  and  accumulates,  rather  than  on  the  mere  anatomic  organization  of  the  nerves  and  plexuses.  Much  research  on  functional  regional  anesthesia,  a  term  introduced  by  Dr.  Jerry  Vloka  in  the  1990s,  has  contributed  to  better  understanding  of  the  anatomy  of  regional  nerve  blockade.  Moreover,  the  introduction  of  ultrasound  in  the  practice  of  regional  anesthesia  has  further  clarified  the  relationship  of  the  needle  and  the  nerve  and  the  dynamics  of  local  anesthetic  spread.