1st Edition

Epidural Anaesthesia: Images, Problems and Solutions

By Clive Collier Copyright 2012
    148 Pages 197 Color Illustrations
    by CRC Press

    Epidural Anaesthesia: Images, Problems and Solutions brings together the most comprehensive collection of post-block epidurograms in the world into a single volume. With accompanying X-rays and contrast injection images, it clearly explains why an epidural block has failed and provides practical advice on how to avoid complications in the future.

    Key features:



    • Contains over 180 clearly labelled X-rays and contrast injection images to help you learn using these examples
    • Uses X-rays and contrast injection images rather than more complex imaging technologies, to allow quick assessment of blocks in the most basic radiology department
    • Written by a world-renowned expert, providing consistency of style and approach throughout
    • Companion website contains downloadable images as well as moving X-rays of contrast injection, 3D reconstructions and explanatory cartoons

    This unique book for specialist and trainee anaesthetists demonstrates, with simple X-rays and contrast injection, why epidurals are occasionally imperfect. Epidural Anaesthesia: Images, Problems and Solutions will enable you to refine your technique and avoid adverse outcomes in practice.

    Acknowledgements
    Introduction: Why investigate atypical epidural blocks?
    The technique of epidurography
    The typical epidurogram
    Complicated epidural blocks
    The subdural and intradural spaces
    Failed epidural blocks and misplaced catheters
    Failed epidural blocks due to an obstructive septum
    Spinal deformity and epidural block
    An assessment of epidural catheters: the role of epidurograms
    Conclusions

    Biography

    Clive Bourn Collier MD, MRCP, FRCA, FANZCA, Visiting Obstetric Anaesthetist, Prince of Wales Private Hospital, Barker Street, Randwick NSW 2031, Australia

    Clive Collier is senior specialist anaesthetist at The Prince of Wales Private Hospital in Sydney, having previously been the Director of Anaesthetics at The Women's Hospital (Crown Street). He is one of the most highly qualified and experienced obstetric anaesthetists worldwide, with more than 36 years in the speciality, and personal experience of more than 20,000 epidural and spinal blocks. He has lectured widely and published almost 80 articles in the medical literature, as well as authoring two books.

    “I personally gained a much better understanding of the factors which influence the spread of local anaesthetics within the epidural space after having read his book.”
     —LAH Critchley, Anaesthesia and Intensive Care

    “… an informative and fascinating book … I would certainly recommend it for any department, and for anyone with a major interest in epidural anaesthesia.”
    —I.F. Russell, Hull, UK in British Journal of Anaesthesia

    "I personally gained a much better understanding of the factors which influence the spread of local anaesthetics within the epidural space after having read his book."
    —LAH Critchley, Anaesthesia and Intensive Care

    “… adds a new dimension of understanding through the visual medium as there are few tomes available to practitioners and researchers alike.”
    —Arpita D. Badami, MD and Brian M. Ilfeld, MD, MS in www.anesthesia-analgesia.org