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Review
. 2018 Feb;62(2):94-102.
doi: 10.4103/ija.IJA_433_17.

Advances in regional anaesthesia: A review of current practice, newer techniques and outcomes

Christopher Wahal  1 , Amanda Kumar  1 , Srinivas Pyati  1
Affiliations
Review

Advances in regional anaesthesia: A review of current practice, newer techniques and outcomes

Christopher Wahal et al. Indian J Anaesth. 2018 Feb.

Abstract

Advances in ultrasound guided regional anaesthesia and introduction of newer long acting local anaesthetics have given clinicians an opportunity to apply novel approaches to block peripheral nerves with ease. Consequently, improvements in outcomes such as quality of analgesia, early rehabilitation and patient satisfaction have been observed. In this article we will review some of the newer regional anaesthetic techniques, long acting local anaesthetics and adjuvants, and discuss evidence for key outcomes such as cancer recurrence and safety with ultrasound guidance.

Keywords: Adjuvants; erector spinae block; pectoral nerves block; quadratus lumborum block; regional anaesthesia; transversus abdominis block; ultrasound-guided.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Anatomic view of quadratus lumborum. The lateral (quadratus lumborum 1), posterior (quadratus lumborum 2) and anterior (quadratus lumborum 3) approaches. PM: Psoas major muscle and grey line is transversalis fascia. Adapted with permission from Ueshima et al. -BioMed Research International (open access) Vol 2017, doi 10.1155
Figure 2
Figure 2
Anatomic view of thoracolumbar fascia. The thoracolumbar fascia is divided into three layers, anterior (1), middle (2) and posterior (3). QL: Quadratus lumborum, ES: Erector spinae, LD: Latissimus dorsi. Adapted with permission from Ueshima et al. - BioMed Research International (open access) Vol 2017, doi 10.1155
See this image and copyright information in PMC

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