Written by one of the pioneers of the use of ultrasound to guide needle placement, Dr. Andrew T. Gray’s Atlas of Ultrasound-Guided Regional Anesthesia, 4th Edition, remains the reference of choice for clinicians who use ultrasound-guided technology to administer regional blocks. Step-by-step videos and images, board-style review questions, and discussions of new blocks make this highly respected title a must-have reference for anesthesiologists, pain medicine specialists, nurse anesthetists, and emergency physicians-anyone who requires expert guidance on the latest methods to ensure safe and effective needle placement.
1. SECTION 1 Introduction to Ultrasound Imaging - p. 1 2. Chapter 1 Ultrasound - p. 2 3. Chapter 2 Speed of Sound - p. 4 4. Chapter 3 Attenuation - p. 6 5. Chapter 4 Reflection - p. 8 6. Chapter 5 Beam Width (Slice Thickness) - p. 11 7. Chapter 6 Anisotropy - p. 13 8. Chapter 7 Spatial Compound Imaging - p. 15 9. Chapter 8 Doppler Imaging - p. 18 10. Chapter 9 Ultrasound Transducers - p. 21 11. Chapter 10 Transducer Manipulation - p. 22 12. Chapter 11 Needle Imaging - p. 24 13. Chapter 12 Approach and Techniques - p. 31 14. Chapter 13 Sonographic Signs of Successful Injections - p. 37 15. Chapter 14 Continuous Peripheral Nerve Blocks - p. 39 16. Chapter 15 Three-Dimensional Ultrasound - p. 48 17. Chapter 16 Ultra-High Frequency Ultrasound - p. 51 18. SECTION 2 Structures - p. 55 19. Chapter 17 Anatomic Structures - p. 56 20. Chapter 18 Skin and Subcutaneous Tissue - p. 57 21. Chapter 19 Peripheral Nerves - p. 59 22. Chapter 20 Muscle - p. 64 23. Chapter 21 Tendons and Ligaments - p. 67 24. Chapter 22 Arteries - p. 71 25. Chapter 23 Veins - p. 74 26. Chapter 24 Bone - p. 76 27. Chapter 25 Pleura - p. 78 28. Chapter 26 Peritoneum - p. 79 29. SECTION 3 Upper Extremity Blocks - p. 80 30. Chapter 27 Interscalene and Superior Trunk Blocks - p. 81 31. Chapter 28 Supraclavicular Block - p. 91 32. Chapter 29 Suprascapular Nerve Block (Anterior Approach, above the Clavicle) - p. 96 33. Chapter 30 Infraclavicular Block - p. 100 34. Chapter 31 Axillary Block - p. 110 35. Chapter 32 Musculocutaneous Nerve Block - p. 121 36. Chapter 33 Forearm Blocks - p. 129 37. Chapter 34 Radial Nerve Block - p. 130 38. Chapter 35 Median Nerve Block - p. 135 39. Chapter 36 Ulnar Nerve Block - p. 140 40. SECTION 4 Lower Extremity Blocks - p. 144 41. Chapter 37 Lateral Femoral Cutaneous Nerve Block - p. 145 42. Chapter 38 Fascia Iliaca Block - p. 150 43. Chapter 39 Femoral Nerve Block - p. 153 44. Chapter 40 Adductor Canal Block - p. 162 45. Chapter 41 Obturator Nerve Block - p. 169 46. Chapter 42 Sciatic Nerve Block - p. 176 47. Chapter 43 Popliteal Block - p. 189 48. Chapter 44 Posterior Femoral Cutaneous Nerve Block - p. 196 49. Chapter 45 Pericapsular Nerve Group (PENG) Block for Hip Analgesia - p. 201 50. Chapter 46 Infiltration of Local Anesthetic Between the Popliteal Artery and Capsule of Knee (iPACK) Block - p. 206 51. Chapter 47 Ankle Blocks - p. 211 52. Chapter 48 Saphenous Nerve Block in the Leg - p. 213 53. Chapter 49 Deep Peroneal Nerve Block - p. 216 54. Chapter 50 Superficial Peroneal Nerve Block - p. 222 55. Chapter 51 Sural Nerve Block - p. 227 56. Chapter 52 Tibial Nerve Block - p. 233 57. SECTION 5 Trunk Blocks - p. 240 58. Chapter 53 Intercostal Nerve Block - p. 241 59. Chapter 54 External Oblique Intercostal Plane Block - p. 249 60. Chapter 55 Serratus Anterior Plane Block - p. 254 61. Chapter 56 Pectoral Nerve Block (The PECS Block) - p. 259 62. Chapter 57 Transversus Thoracis Muscular Plane Block (Parasternal Block) - p. 265 63. Chapter 58 Rectus Sheath Block - p. 271 64. Chapter 59 Ilioinguinal and Iliohypogastric Nerve Blocks - p. 279 65. CHAPTER 60 Transversus Abdominis Plane Blocks - p. 287 66. Chapter 61 Erector Spinae Plane Block - p. 296 67. Chapter 62 Thoracic Paravertebral Block - p. 302 68. Chapter 63 Neuraxial Block - p. 330 69. Chapter 64 Caudal Epidural Block - p. 340 70. SECTION 6 Head and Neck Blocks - p. 347 71. Chapter 65 Supraorbital Nerve Block - p. 348 72. Chapter 66 Mental Nerve Block - p. 352 73. Chapter 67 Suprazygomatic Maxillary Nerve Block - p. 357 74. Chapter 68 Superior Laryngeal Nerve Block - p. 362 75. Chapter 69 Transtracheal Block - p. 367 76. Chapter 70 Greater Occipital Nerve Block - p. 371 77. Chapter 71 Cervical Plexus Block - p. 377 78. Chapter 72 Stellate Ganglion Block (Cervicothoracic Sympathetic Ganglion Block) - p. 388 79. SECTION 7 Safety Issues and New Technology - p. 397 80. Chapter 73 Safety: Practical Techniques to Prevent Complications During Ultrasound-Guided Nerve Blocks - p. 398 81. Chapter 74 Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain - p. 409 82. Chapter 75 Artificial Intelligence in Ultrasound-Guided Regional Anesthesia - p. 421 83. Appendix 1 - p. 433 84. Appendix 2 - p. 438 85. Appendix 3 - p. 452 86. Appendix 4 - p. 456 87. Index - p. 477
Written by one of the pioneers of the use of ultrasound to guide needle placement, Dr. Andrew T. Gray’s Atlas of Ultrasound-Guided Regional Anesthesia, 4th Edition, remains the reference of choice for clinicians who use ultrasound-guided technology to administer regional blocks. Step-by-step videos and images, board-style review questions, and discussions of new blocks make this highly respected title a must-have reference for anesthesiologists, pain medicine specialists, nurse anesthetists, and emergency physicians-anyone who requires expert guidance on the latest methods to ensure safe and effective needle placement.
1. SECTION 1 Introduction to Ultrasound Imaging - p. 1 2. Chapter 1 Ultrasound - p. 2 3. Chapter 2 Speed of Sound - p. 4 4. Chapter 3 Attenuation - p. 6 5. Chapter 4 Reflection - p. 8 6. Chapter 5 Beam Width (Slice Thickness) - p. 11 7. Chapter 6 Anisotropy - p. 13 8. Chapter 7 Spatial Compound Imaging - p. 15 9. Chapter 8 Doppler Imaging - p. 18 10. Chapter 9 Ultrasound Transducers - p. 21 11. Chapter 10 Transducer Manipulation - p. 22 12. Chapter 11 Needle Imaging - p. 24 13. Chapter 12 Approach and Techniques - p. 31 14. Chapter 13 Sonographic Signs of Successful Injections - p. 37 15. Chapter 14 Continuous Peripheral Nerve Blocks - p. 39 16. Chapter 15 Three-Dimensional Ultrasound - p. 48 17. Chapter 16 Ultra-High Frequency Ultrasound - p. 51 18. SECTION 2 Structures - p. 55 19. Chapter 17 Anatomic Structures - p. 56 20. Chapter 18 Skin and Subcutaneous Tissue - p. 57 21. Chapter 19 Peripheral Nerves - p. 59 22. Chapter 20 Muscle - p. 64 23. Chapter 21 Tendons and Ligaments - p. 67 24. Chapter 22 Arteries - p. 71 25. Chapter 23 Veins - p. 74 26. Chapter 24 Bone - p. 76 27. Chapter 25 Pleura - p. 78 28. Chapter 26 Peritoneum - p. 79 29. SECTION 3 Upper Extremity Blocks - p. 80 30. Chapter 27 Interscalene and Superior Trunk Blocks - p. 81 31. Chapter 28 Supraclavicular Block - p. 91 32. Chapter 29 Suprascapular Nerve Block (Anterior Approach, above the Clavicle) - p. 96 33. Chapter 30 Infraclavicular Block - p. 100 34. Chapter 31 Axillary Block - p. 110 35. Chapter 32 Musculocutaneous Nerve Block - p. 121 36. Chapter 33 Forearm Blocks - p. 129 37. Chapter 34 Radial Nerve Block - p. 130 38. Chapter 35 Median Nerve Block - p. 135 39. Chapter 36 Ulnar Nerve Block - p. 140 40. SECTION 4 Lower Extremity Blocks - p. 144 41. Chapter 37 Lateral Femoral Cutaneous Nerve Block - p. 145 42. Chapter 38 Fascia Iliaca Block - p. 150 43. Chapter 39 Femoral Nerve Block - p. 153 44. Chapter 40 Adductor Canal Block - p. 162 45. Chapter 41 Obturator Nerve Block - p. 169 46. Chapter 42 Sciatic Nerve Block - p. 176 47. Chapter 43 Popliteal Block - p. 189 48. Chapter 44 Posterior Femoral Cutaneous Nerve Block - p. 196 49. Chapter 45 Pericapsular Nerve Group (PENG) Block for Hip Analgesia - p. 201 50. Chapter 46 Infiltration of Local Anesthetic Between the Popliteal Artery and Capsule of Knee (iPACK) Block - p. 206 51. Chapter 47 Ankle Blocks - p. 211 52. Chapter 48 Saphenous Nerve Block in the Leg - p. 213 53. Chapter 49 Deep Peroneal Nerve Block - p. 216 54. Chapter 50 Superficial Peroneal Nerve Block - p. 222 55. Chapter 51 Sural Nerve Block - p. 227 56. Chapter 52 Tibial Nerve Block - p. 233 57. SECTION 5 Trunk Blocks - p. 240 58. Chapter 53 Intercostal Nerve Block - p. 241 59. Chapter 54 External Oblique Intercostal Plane Block - p. 249 60. Chapter 55 Serratus Anterior Plane Block - p. 254 61. Chapter 56 Pectoral Nerve Block (The PECS Block) - p. 259 62. Chapter 57 Transversus Thoracis Muscular Plane Block (Parasternal Block) - p. 265 63. Chapter 58 Rectus Sheath Block - p. 271 64. Chapter 59 Ilioinguinal and Iliohypogastric Nerve Blocks - p. 279 65. CHAPTER 60 Transversus Abdominis Plane Blocks - p. 287 66. Chapter 61 Erector Spinae Plane Block - p. 296 67. Chapter 62 Thoracic Paravertebral Block - p. 302 68. Chapter 63 Neuraxial Block - p. 330 69. Chapter 64 Caudal Epidural Block - p. 340 70. SECTION 6 Head and Neck Blocks - p. 347 71. Chapter 65 Supraorbital Nerve Block - p. 348 72. Chapter 66 Mental Nerve Block - p. 352 73. Chapter 67 Suprazygomatic Maxillary Nerve Block - p. 357 74. Chapter 68 Superior Laryngeal Nerve Block - p. 362 75. Chapter 69 Transtracheal Block - p. 367 76. Chapter 70 Greater Occipital Nerve Block - p. 371 77. Chapter 71 Cervical Plexus Block - p. 377 78. Chapter 72 Stellate Ganglion Block (Cervicothoracic Sympathetic Ganglion Block) - p. 388 79. SECTION 7 Safety Issues and New Technology - p. 397 80. Chapter 73 Safety: Practical Techniques to Prevent Complications During Ultrasound-Guided Nerve Blocks - p. 398 81. Chapter 74 Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain - p. 409 82. Chapter 75 Artificial Intelligence in Ultrasound-Guided Regional Anesthesia - p. 421 83. Appendix 1 - p. 433 84. Appendix 2 - p. 438 85. Appendix 3 - p. 452 86. Appendix 4 - p. 456 87. Index - p. 477
