Badami, Arpita D. MD ; Ilfeld, Brian M. MD, MS. Titles can be deceiving; in Epidural Anaesthesia: Images, Problems and Solutions , the author does not review epidural anesthesia generally, rather the book is focused on epidurography, an imaging technique relatively unknown to many anesthesiologists. Data are derived from a series of cases, collected over 30 years, and comprising mostly obstetric and gynecologic patients. The book includes the most significant findings from the series.
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It is well organized with an abundance of images. The book is divided into 10 chapters and the majority is written in an outline format making it easy to read. The first chapter serves as an introduction and provides a history of epidurography.
It also addresses the purpose of performing an epidurogram. Initially, epidurography was used to correlate the physical spread of solution in the epidural space and the extent of observed nerve block. The author goes on to describe various other current utilizations for epidurography in clinical practice.
The images are marked with arrows identifying important components of the epidurogram, greatly aiding interpretation of the images. However, following the exposition is sometimes challenging because figures are often located several pages after the relevant text.
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Subsequent chapters review complications associated with epidural blocks. For each specific complication, the author provides a case history and accompanying epidurogram. Complications reviewed include intravascular injection, high epidural block, accidental subarachnoid block, multicompartment block, and Horner syndrome. The author gives particular attention to describing the subdural and intradural space anatomy, clinical presentations, and epidurograms.
The author has targeted this book at both specialist and trainee anaesthetists; however, I believe it will mostly appeal to senior trainees and consultants, who will in turn glean the most from its insightful offerings.
I am not convinced epidurography should be a routine modality or that it makes mothers safer, or that this book provides solutions to circumvent future block problems, but I do agree that this is an informative and enlightening read for those anaesthetists who remain fascinated by the weird and wonderful outcomes sometimes achieved after epidural anaesthesia. Volume 67 , Issue The full text of this article hosted at iucr.
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Volume 67 , Issue 12 December Pages Epidural Anaesthesia: Images, Problems and Solutions will enable you to refine your technique and avoid adverse outcomes in practice. Add to Cart. Key features: Contains over 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.