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Understanding Anesthesiology - The Global Regional Anesthesia ...

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SECTION 2<br />

<strong>Regional</strong> <strong>Anesthesia</strong><br />

In This Section<br />

1. Introduction<br />

2. Epidural <strong>Anesthesia</strong><br />

3. Spinal <strong>Anesthesia</strong><br />

4. Intravenous <strong>Regional</strong> Block<br />

(Bier Block)<br />

5. Brachial Plexus Block<br />

Many different types of surgical procedures can<br />

be performed while the nerves that supply the<br />

surgical site are rendered insensate. This method<br />

is called “neural blockade” or “nerve block”. Various<br />

techniques of neural blockade comprise what<br />

is known as regional anesthesia. During regional<br />

anesthesia, the anesthesiologist must not only<br />

monitor and manage the patient’s physiologic<br />

status but he or she must ensure that the patient<br />

remains calm and cooperative. <strong>The</strong> anesthesiologist<br />

must be alert to the development of complications<br />

and must also be prepared to convert to a<br />

general anesthetic at any point in the procedure.<br />

A complete description of the scope of regional<br />

anesthesia is beyond the scope of this textbook. A<br />

brief discussion of four commonly-used techniques<br />

is presented below.<br />

49

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