See the Nerve, Not the Artifact — From First Scan to Last Injection
Built for the fellow who has to find the nerve, judge the needle path, and defend the injection before the next case, this handbook connects sonoanatomic pattern recognition and local anesthetic pharmacology to the procedural decisions made in the block room and the interventional suite. It moves from foundational pharmacology and toxicity management through peripheral blockade of the face, trunk, and extremities into neuraxial intervention, chronic pain syndromes, and ambulatory catheter care. A recurring pattern-recognition system trains the discriminating features that separate a true needle tip from an artifact and a confirmed corridor from an assumed one.
Sonoanatomy walkthroughs, procedural decision pathways, and a cross-referenced pattern atlas turn image interpretation into a defensible clinical habit.
What This Handbook Puts in Your Hands
• Recognize the trap before it becomes an injury — hub-jiggle confirmation and nerve-versus-tendon discrimination drilled at every target from face to ankle.
• Manage local anesthetic systemic toxicity — early recognition, lipid emulsion dosing, and the resuscitation sequence that departs from standard ACLS.
• Perform brachial plexus blockade at every level — interscalene through axillary, with phrenic-sparing technique and corner-pocket targeting for complete coverage.
• Build a motor-sparing lower extremity strategy — adductor canal, PENG, and iPACK technique supporting early mobilization without sacrificing analgesia.
• Navigate spine intervention with confidence — transforaminal and medial branch contrast-pattern interpretation that catches intravascular placement before it causes harm.
• Sequence sympathetic and peripheral blockade for complex regional pain syndrome and neuropathic entrapment, tied to a real functional recovery plan.
• Time celiac plexus, superior hypogastric, and ganglion impar neurolysis to disease trajectory for the cancer pain patient's remaining quality of life.
• Discharge patients home on a continuous catheter safely — infusion selection, ambulatory education, and the confirmatory test injection every catheter requires.

Put the pattern-recognition discipline this specialty depends on into every case — order your copy today.