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Book and Media Reviews
December 5, 2007

Complications of Regional Anesthesia Peripheral Nerve Blocks on DVD: Upper Limbs and Lower Limbs

Author Affiliations

Book and Media Reviews Section Editor: John L. Zeller, MD, PhD, Contributing Editor.

JAMA. 2007;298(21):2546-2552. doi:10.1001/jama.298.21.2546

The release of Complications of Regional Anesthesia—a 506-page paperback (with 35 expert contributors, of which 17 are based outside the United States)—is particularly timely. This is because of the accumulating data indicating that, for many surgeries, regional anesthesia improves a variety of outcomes. A growing appreciation and concern exists in community anesthesia practice that many patients continue to have unacceptably high pain scores after surgery. This degree of pain persists despite increased awareness and everyone's best efforts, as well as technical improvements in the anesthesiologist's ability to perform peripheral nerve blocks due to better needles that allow simultaneous continuous electrical stimulation of the nerve and injection of the local anesthetic. The more current development is the availability of ultrasound for direct visualization of the nerve and for the preferred site of injection with local anesthetic, which may altogether revolutionize peripheral nerve block practice.

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