التخدير الناحي تقنيته والتطبيق السريري / Regional Anesthesia Its Technic and Clinical Application

The object of this work is to afford the opportunity of acquiring a rapidly practical knowledge of “regional anesthesia” and to teach the reader how to use the method successfully.
Local infiltration, as practiced by many surgeons, is a procedure whose usefulness as a substitute for general narcosis for minor operations is universally admitted, but its possibilities in major surgery are so limited that it is necessary to have recourse to another method with broader horizons.
Regional anesthesia fulfills the best conditions hitherto offered for the accomplishment of the most delicate and elaborate surgical procedure.

The injection of an anesthetic solution at random in the structures to be cut through is very easy.
It requires neither skill nor experience and can be performed indiscriminately in all parts of the body with equal ease, but the use of adequate anesthetic procedures for the surgical treatment of diseases involving different regions of the body exhibits such characteristic features pertaining to a specialty that the surgeon who attempts to practice regional anesthesia without a fair knowledge of the principles of the method itself is most likely to court failure.
It is not sufficient to have watched a few operations performed without the aid of general anesthesia to believe that it is possible for any surgeon to use the method with equal advantage.
It is not sufficient to have been present at a few demonstrations in regional anesthesia to believe that it is possible for any man to give it successfully.
Experience is absolutely necessary.