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Book and Media Reviews
April 18, 2012

Atlas of Ultrasound-Guided Procedures in Interventional Pain Management

Author Affiliations

Author Affiliation: Department of Anesthesiology, Pain Clinic, Hannover Medical School, Hannover, Germany (karst.matthias@mh-hannover.de).

JAMA. 2012;307(15):1646-1647. doi:10.1001/jama.2012.493

Humans are visual creatures. Nowhere else is this as obvious as in medicine. Over the last 40 years, imaging procedures have developed at an almost explosive speed. Although originally the goal was to refine diagnostic abilities—or obtain any diagnostic information at all—it soon became apparent that these procedures offer therapeutic uses as well.

This is precisely the approach taken by Samer Narouze and his team of writers. In 6 sections comprising 30 chapters and more than 350 pages, they point out what ultrasound technology can contribute to interventional pain medicine—and they do this in a systematic, detailed, clear, and refined manner, thereby opening up a viable and up-to-date avenue for pain physicians to go “back to the roots.” Before guidance using large medical imaging devices such as computed tomography and magnetic resonance imaging scanners came into play, pain physicians performed diagnostic, prognostic, and therapeutic nerve blocks using anatomical landmarks and, later, electrical stimulation.