DAVID L. BROWN
ATLAS OF REGIONAL ANESTHESIA FOURTH EDITION
(TẬP BẢN ĐỒ VỀ GÂY TÊ VÙNG - BẢN 4)
PUBLISHER: ELSEVIER SAUNDERS (PHILADELPHIA, US - 2010)
THÔNG TIN CHUNG:
Tiêu đề: Atlas of Regional Anesthesia Fourth Edition (tạm dịch: Tập bản đồ về Gây tê vùng - Bản 4).
Tác giả: David L. Brown.
NXB: Elsevier Saunders (2010).
Thông số: 371 trang - 51 chương chính.
Cuốn giáo trình này sẽ tập trung đề cập một cách khái quát những kiến thức và kỹ thuật trong việc gây tê vùng trong các ca phẫu thuật, phù hợp với các chuyên gia, bác sĩ và cả các đối tượng sinh viên, giảng viên trong ngành Y dược. Việc gây tê đúng phương pháp sẽ góp phần đem lại hiệu quả cao trong và sau các cuộc phẫu thuật cho bệnh nhân, giảm sự đau đớn và tạo tâm lý thoải mái. Hy vọng cuốn sách sẽ là cẩm nang kiến thức hữu ích quý báu cho mọi người!
INTRODUCTION (GIỚI THIỆU):
The necessary, but somewhat artificial, separation of anesthetic care into regional or general anesthetic tech-niques often gives rise to the concept that these two tech-niques should not or cannot be mixed. Nothing could be farther from the truth. To provide comprehensive regional anesthesia care, it is absolutely essential that the anesthesiologist be skilled in all aspects of anesthesia. This concept is not original: John Lundy promoted this idea in the 1920s when he outlined his concept of “balanced anesthesia.” Even before Lundy promoted this concept, George Crile had written extensively on the concept of anociassociation.
It is often tempting, and quite human, to trace the evolu-tion of a discipline back through the discipline’s develop-mental family tree. When such an investigation is carried out for regional anesthesia, Louis Gaston Labat, MD, often receives credit for being central in its development. Nevertheless, Labat’s interest and expertise in regional anesthesia had been nurtured by Dr. Victor Pauchet of Paris, France, to whom Dr. Labat was an assistant. The real trunk of the developmental tree of regional anesthesia con-sists of the physicians willing to incorporate regional tech-niques into their early surgical practices. In Labat’s original 1922 text Regional Anesthesia: Its Technique and Clinical Application, Dr. William Mayo in the foreword stated:
The young surgeon should perfect himself in the use of regional anesthesia, which increases in value with the increase in the skill with which it is administered. The well equipped surgeon must be prepared to use the proper anesthesia, or the proper combination of anes-thesias, in the individual case. I do not look forward to the day when regional anesthesia will wholly displace general anesthesia; but undoubtedly it will reach and hold a very high position in surgical practice.
Perhaps if the current generation of both surgeons and anesthesiologists keeps Mayo’s concept in mind, our patients will be the beneficiaries.
It appears that these early surgeons were better able to incorporate regional techniques into their practices because they did not see the regional block as the “end all.” Rather, they saw it as part of a comprehensive package that had benefit for their patients. Surgeons and anesthesiologists in that era were able to avoid the flawed logic that often seems to pervade application of regional anesthesia today. These individuals did not hesitate to supplement their blocks with sedatives or light general anesthetics; they did not expect each and every block to be “100%.” The concept that a block has failed unless it provides complete anesthe-sia without supplementation seems to have occurred when anesthesiology developed as an independent specialty. To be successful in carrying out regional anesthesia, we must be willing to get back to our roots and embrace the con-cepts of these early workers who did not hesitate to supple-ment their regional blocks. Ironically, today some consider a regional block a failure if the initial dose does not produce complete anesthesia; yet these same individuals comple-ment our “general anesthetists” who utilize the concept of anesthetic titration as a goal. Somehow, we need to meld these two views into one that allows comprehensive, titrated care to be provided for all our patients.
As Dr. Mayo emphasized in Labat’s text, it is doubtful that regional anesthesia will “ever wholly displace general anesthesia.” Likewise, it is equally clear that general anes-thesia will probably never be able to replace the appropriate use of regional anesthesia. One of the principal rationales for avoiding the use of regional anesthesia through the years has been that it was “expensive” in terms of operating room and physician time. As is often the case, when exam-ined in detail, some accepted truisms need rethinking. Thus, it is surprising that much of the renewed interest in regional anesthesia results from focusing on health care costs and the need to decrease the length and cost of hospitalization.
If regional anesthesia is to be incorporated successfully into a practice, there must be time for anesthesiologist and patient to discuss the upcoming operation and anesthetic prescription. Likewise, if regional anesthesia is to be effec-tively used, some area of an operating suite must be used to place the blocks prior to moving patients to the main operating room. Immediately at hand in this area must be both anesthetic and resuscitative equipment (such as regional trays), as well as a variety of local anesthetic drugs that span the timeline of anesthetic duration. Even after successful completion of the technical aspect of regional anesthesia, an anesthesiologist’s work is really just begin-ning: it is as important to use appropriate sedation intra-operatively as it was preoperatively while the block was being administered.
TABLE OF CONTENTS (MỤC LỤC):
Front Matter
Dedication
Contributors
Preface to the Fourth Edition
1. Local Anest hetics and Regional Anesthesia Equipment
2. Continuous Peripheral Nerve Blocks
3. Upper Extremity Block Anatomy
4. Interscalene Block
5. Supraclavicular Block
6. Infraclavicular Block
7. Axillary Block
8. Distal Upper Extremity Block
9. Intravenous Regional Block
10. Lower Extremity Block Anatomy
11. Lumbar Plexus Block
12. Sciatic Block
13. Femoral Block
14. Lateral Femoral Cutaneous Block
15. Obturator Block
16. Popliteal and Saphenous Block
17. Ankle Block
18. Head and Neck Block Anatomy
19. Occipital Block
20. Trigeminal (Gasserian) Ganglion Block
21. Maxillary Block
22. Mandibular Block
23. Distal Trigeminal Block
24. Retrobulbar (Peribulbar) Block
25. Cervical Plexus Block
26. Stellate Block
27. Airway Block Anatomy
28. Glossopharyngeal Block
29. Superior Laryngeal Block
30. Translaryngeal Block
31. Truncal Block Anatomy
32. Breast Block
33. Intercostal Block
34. Interpleural Anesthesia
35. Lumbar Somatic Block
36. Inguinal Block
37. Paravertebral Block
38. Transversus Abdominis Plane Block
39. Neuraxial Block Anatomy
40. Spinal Block
41. Epidural Block
42. Caudal Block
43. Chronic and Cancer Pain Care: An Introduction and Perspective
44. Facet Block
45. Sacroiliac Block
46. Lumbar Sympathetic Block
47. Celiac Plexus Block
48. Superior Hypogastric Plexus Block
49. Selective Nerve Root Block
50. Intrathecal Catheter Implantation
51. Spinal Cord Stimulation
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