By James P. Rathmell MD

ISBN-10: 1608317048

ISBN-13: 9781608317042

The Atlas of Image-Guided Intervention in neighborhood Anesthesia and soreness Medicine is a pragmatic consultant for practitioners who perform interventional methods with radiographic tips to alleviate acute or continual ache. the writer offers an outline of every approach, with designated full-color illustrations of the proper anatomy, technical facets of every therapy, and an outline of potential issues. For this revised and increased moment variation, the writer additionally discusses symptoms for every approach, in addition to scientific proof at the technique's applicability. the hot edition features unique drawings via a famous clinical artist and for the 1st time comprises 3-dimensional CT photos that correlate with the radiographic photos and illustrations for a fuller realizing of the suitable anatomy.

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Extra info for Atlas of Image-Guided Intervention in Regional Anesthesia and Pain Medicine

Example text

In: Rathmell JP, Neal JM, Viscomi CV, eds. Requisites in Anesthesiology: Regional Anesthesia. Philadelphia, PA: Elsevier Health Sciences; 2004:13–24. indd 34 9/22/2011 2:37:32 PM Chapter 5 Superior articular process of facet Interlaminar Epidural Injection 35 Spinous process Lamina Transverse process Pedicle Vertebral body Transverse foramen Cervical Thoracic Lumbar Figure 5-1. Anatomy of the cervical, thoracic, and lumbar vertebrae. the epidural space and is easier to carry out than the midline approach.

5-5B). Loss-of-resistance Technique Anesthesiologists learn to identify the epidural space “blindly” without the help of fluoroscopic guidance. This is accomplished using the LOR technique. Even when radiographic guidance is available, the LOR technique is still needed to identify the epidural space. Image guidance can help direct the needle toward the midline, between laminae, but neither AP nor lateral images can identify the precise location of the epidural space. The LOR technique is identical in the cervical, thoracic, and lumbar regions.

Viscomi CM. Pharmacology of local anesthetics. In: Rathmell JP, Neal JM, Viscomi CV, eds. Requisites in Anesthesiology: Regional Anesthesia. Philadelphia, PA: Elsevier Health Sciences; 2004:13–24. indd 34 9/22/2011 2:37:32 PM Chapter 5 Superior articular process of facet Interlaminar Epidural Injection 35 Spinous process Lamina Transverse process Pedicle Vertebral body Transverse foramen Cervical Thoracic Lumbar Figure 5-1. Anatomy of the cervical, thoracic, and lumbar vertebrae. the epidural space and is easier to carry out than the midline approach.

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