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Handbook of Small Animal Regional Anaesthesia and Analgesia Techniques
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Veterinary Anaesthesia and Analgesia 2017, xxx, 1
http://dx.doi.org/10.1016/j.vaa.2017.02.006
Book Review
Handbook of small animal regional anaesthesia and analgesia techniques P. Lerche, T. K. Arnes, G. Covey-Crump, F. Martinez Taboada. Wiley-Blackwell Publishing, 2016, 104 pp, £39.99 (spiral-bound paperback), ISBN: 978-118-74182-5 Q5
Q1
This is a compact A5 size book. It is printed on waterresistant paper, is spiral bound to facilitate its use as a guide in clinical practice, and contains many photos, graphs and tables. As would be expected for a handbook, the information provided is not very detailed, but it gives a good overview as a quick reference for daily clinical work. It is stated that the book is aimed at small animal practitioners with an interest in pain management, who want to develop their regional anaesthetic techniques and need a reference guide when actually performing a block in practice. The general appearance of the book is pleasing, and it is easily readable and fairly well structured. In the first chapter, general aspects are summarized. Briefly, it covers the reasons for using local anaesthesia, equipment, species differences, and principles of safe practice. Complications are partially discussed here as well as in a chapter at the end, called ‘emergency procedures’. An overview of dermal innervation, including tables describing when to use which block for regional anaesthesia of the limbs, can be found in the second chapter. This might be useful for practitioners starting to integrate local anaesthetic techniques into their daily practice. Chapters 3e5 cover infiltration blocks as well as regional anaesthetic blocks of the head and limbs. The structure of these chapters is very consistent and covers indications, target nerves, regions anaesthetized, landmarks, needle types needed, techniques, as well as cautions. This is valuable as a quick reference as the information is generally available on one page, with the photos and graphs placed on the opposite page. Details and pictures of a ring block of a limb or tail are not covered, which is a pity as it is an easy technique, which small animal practitioners can use without the need of additional equipment. Another technique not discussed is tibial and peroneal nerve block at the level of mid-femur, which again represents a procedure that can easily be performed without additional equipment in private practice. Chapter 6 covers neuraxial techniques. Unfortunately, this chapter contains no details on the
anatomy of the spine or no graph on anatomical landmarks. In my view, this is an area that small animal veterinarians, unlike large animal practitioners, seem much more reluctant about and knowledge of the anatomy would prove to be of great assistance. Photographs are generally of good quality; however, in some instances, the borders are cut excessively and anatomical orientation becomes difficult. Generally, figure legends are short and do not give details of the landmarks that are located in the text. The book contains a few errors and minor mistakes, which will hopefully be corrected in any future edition. Generally, even though the book is aimed at general practitioners with a view to develop their regional anaesthetic skills, a lot of the blocks require a nerve stimulator to be performed accurately. In addition, if one is intending to anaesthetize a particular area, it may be difficult to find the appropriate local anaesthetic technique quickly within the pages of the book. The book does not cover local anaesthetic techniques using ultrasonography, which fits well with the aim to provide a reference guide for general practitioners. The style of the book is very much that of a quick reference guide, which is useful for those requiring a reminder or help when performing a local anaesthetic technique for the first time clinically, after having undergone some earlier training. The strength of the book is that it gives a short overview with generally good visual aids for performing blocks in the clinical setting. It may also be very useful to students and nurses undergoing further training in anaesthesia.
Q2
Conflict of interest statement The author declares no conflict of interest. Isabelle Iff vet doc iff gmbh, Olten, Switzerland E-mail: [email protected]
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Veterinary Anaesthesia and Analgesia 2017, xxx, 1
http://dx.doi.org/10.1016/j.vaa.2017.02.006
Book Review
Handbook of small animal regional anaesthesia and analgesia techniques P. Lerche, T. K. Arnes, G. Covey-Crump, F. Martinez Taboada. Wiley-Blackwell Publishing, 2016, 104 pp, £39.99 (spiral-bound paperback), ISBN: 978-118-74182-5 Q5
Q1
This is a compact A5 size book. It is printed on waterresistant paper, is spiral bound to facilitate its use as a guide in clinical practice, and contains many photos, graphs and tables. As would be expected for a handbook, the information provided is not very detailed, but it gives a good overview as a quick reference for daily clinical work. It is stated that the book is aimed at small animal practitioners with an interest in pain management, who want to develop their regional anaesthetic techniques and need a reference guide when actually performing a block in practice. The general appearance of the book is pleasing, and it is easily readable and fairly well structured. In the first chapter, general aspects are summarized. Briefly, it covers the reasons for using local anaesthesia, equipment, species differences, and principles of safe practice. Complications are partially discussed here as well as in a chapter at the end, called ‘emergency procedures’. An overview of dermal innervation, including tables describing when to use which block for regional anaesthesia of the limbs, can be found in the second chapter. This might be useful for practitioners starting to integrate local anaesthetic techniques into their daily practice. Chapters 3e5 cover infiltration blocks as well as regional anaesthetic blocks of the head and limbs. The structure of these chapters is very consistent and covers indications, target nerves, regions anaesthetized, landmarks, needle types needed, techniques, as well as cautions. This is valuable as a quick reference as the information is generally available on one page, with the photos and graphs placed on the opposite page. Details and pictures of a ring block of a limb or tail are not covered, which is a pity as it is an easy technique, which small animal practitioners can use without the need of additional equipment. Another technique not discussed is tibial and peroneal nerve block at the level of mid-femur, which again represents a procedure that can easily be performed without additional equipment in private practice. Chapter 6 covers neuraxial techniques. Unfortunately, this chapter contains no details on the
anatomy of the spine or no graph on anatomical landmarks. In my view, this is an area that small animal veterinarians, unlike large animal practitioners, seem much more reluctant about and knowledge of the anatomy would prove to be of great assistance. Photographs are generally of good quality; however, in some instances, the borders are cut excessively and anatomical orientation becomes difficult. Generally, figure legends are short and do not give details of the landmarks that are located in the text. The book contains a few errors and minor mistakes, which will hopefully be corrected in any future edition. Generally, even though the book is aimed at general practitioners with a view to develop their regional anaesthetic skills, a lot of the blocks require a nerve stimulator to be performed accurately. In addition, if one is intending to anaesthetize a particular area, it may be difficult to find the appropriate local anaesthetic technique quickly within the pages of the book. The book does not cover local anaesthetic techniques using ultrasonography, which fits well with the aim to provide a reference guide for general practitioners. The style of the book is very much that of a quick reference guide, which is useful for those requiring a reminder or help when performing a local anaesthetic technique for the first time clinically, after having undergone some earlier training. The strength of the book is that it gives a short overview with generally good visual aids for performing blocks in the clinical setting. It may also be very useful to students and nurses undergoing further training in anaesthesia.
Q2
Conflict of interest statement The author declares no conflict of interest. Isabelle Iff vet doc iff gmbh, Olten, Switzerland E-mail: [email protected]
1
Q4 Q3
61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121