Nabil Elkassabany, MD, MSCE, MBA, is Anesthesiology Vice Chair of Clinical Operations at the University of Virginia School of Medicine.Eman Nada, MD, PhD, is Associate Professor of Anesthesiology, Chief of Regional Anesthesia, and Medical Director of Acute Pain at the Renaissance School of Medicine at Stony Brook University.

• Contributors Chapter 1. Topographic Anatomy and Physiologic ConsiderationsN. Robert Harvey and Sylvia H. Wilson Chapter 2. Perioperative Considerations for Success of Regional AnesthesiaRicha Wardhan and Janet Jira Chapter 3. Regional Anesthesia EquipmentThomas Halaszynski Chapter 4. Setting Up a Modern Acute Pain Service (APS)Jeffrey J. Mojica, Sean Washek, and Eric S. Schwenk Chapter 5. Multimodal AnalgesiaArchana O'Neill and Philipp Lirk Chapter 6. Local Anesthetic Systemic ToxicityOsemeke Edobor, Veena Graff, and Taras Grosh Chapter 7. Prolonging Nerve BlocksBrenton Alexander and Rodney Gabriel Chapter 8. Awake Intubation and Airway BlocksChoopong Luansritisakul, Kamen Vlassakov, and Nantthasorn Zinboonyahgoon Chapter: 9. Scalp Blocks: An Overview of Indications, Anatomy, and TechniqueArthur Formanek Chapter 10. Cervical Plexus Block for Carotid EndarterectomyShimon Gabriel Farkas and Kamen Vlassakov Chapter 11. Eye BlocksGustavo A. Lozada and Alvaro Andres Macias Chapter 12. Regional Techniques for Cardiothoracic and Cardiac-Related ProceduresAli N. Shariat and Himani V. Bhatt Chapter 13. Video-Assisted Thoracoscopy and ThoracotomyDavies G. Agyekum and Taras Grosh Chapter 14. The Trauma Patient with Left-Sided Fractured RibsDennis J. Warfield Jr. and Sanjib Das Adhikary Chapter 15. Breast SurgeryFranklin Chiao, Simon Chin, and Eman Nada Chapter 16. Emergency Exploratory LaparotomyFrancis V. Salinas Chapter 17. Postoperative Pain Management for Living Liver DonorVictor Polshin and Engy T. Said Chapter 18: Postoperative Pain Management of Open NephrectomyStanislav Sidash and Yatish Ranganath Chapter: 19: Regional Anesthesia for AbdominoplastySanchit Ahuja and Sree Kolli Chapter 20. Inguinal Hernia RepairDerek Blankenship, Mitchell Cahan, and Gustavo Angaramo Chapter 21. Anesthesia for Anorectal SurgeryLuiz Eduardo Imbelloni, José Eduardo Nascimento Aguilar, Iris Chu, Engy T. Said, and Eman Nada Chapter 22. Shoulder ArthroscopyAlberto E. Ardon, Steven B. Porter, and Robert L. McClain Chapter 23. Shoulder Arthroplasty Analgesic StrategiesOlga "Kiki" Nin and Taras Grosh Chapter 24. Arteriovenous Fistula Creation for HemodialysisPeter Dienhart and Michael Kushelev Chapter 25. Hand Injury and Digit ReimplantationJennifer Matos and Sylvia H. Wilson Chapter 26. Hip Fracture and Regional AnesthesiaJason B. Ochroch and Mark D. Neuman Chapter 27. Regional Anesthesia and Pain Management for Total Hip ArthroplastyBradley H. Lee, Marko Mamic, and Jiabin Liu Chapter 28. Analgesia for Knee Arthroscopy and Anterior Cruciate Ligament ReconstructionMichael Feduska and Colin Feduska Chapter 29. Enhanced Recovery After Total Knee ReplacementJamie-Lee Metesky and Meg A. Rosenblatt Chapter 30. Regional Anesthesia for Ischemic Pain: Below Knee Amputation Followed by Above Knee AmputationShanthi Reddy, Cameron Sumner, and James Kim Chapter 31. Regional Anesthesia for Open Reduction and Internal Fixation of an Ankle FractureMaryam Nilforoshan, Stephanie Huang, and Nabil Elkassabany Chapter 32. Regional Anesthesia for BunionectomyDaniel Abraham Chapter 33. Epidural for Labor in a Morbidly Obese Patient and Neuraxial UltrasoundManuel C. Vallejo Chapter 34. Inadequate Labor Epidural AnalgesiaMohamed Ibrahim and Rakesh Vadhera Chapter 35. Regional Anesthesia and Analgesia for Cesarean DeliveryCaroline Martinello, Matthew Williams, and Jill M. Mhyre Chapter 36. Post-Dural Puncture HeadacheLauren Sayre and Robert Gaiser Chapter 37. Regional Anesthesia Techniques for Circumcision and Congenital Inguinal Hernia RepairLeah Margalit Winters Webb and Melissa Brooks Peterson Chapter 38. Epidural and Neuraxial Techniques in Newborns and ChildrenBalazs Horvath and Benjamin Kloesel Chapter 39. Regional Anesthesia for Major Abdominal Surgery in Pediatric PatientsAlina Lazar Chapter 40. Orthopedic Trauma in a Patient With Complex Regional Pain SyndromeReda Tolba and Mohamed Fayed Chapter 41. Surgery in the Presence of Active Addiction or Addiction Assisted Drug TreatmentNeil Batta, Nabil Elkassabany, and Ignacio Badiola Chapter 42. The Painful Vaso-Occlusive Sickle Cell EpisodeAmberly Orr, Dalia Elmofty, and Lynn Kohan Chapter 43. Epidural Placement and AnticoagulationMaryam Nilforoshan, Veena Graff, and Taras Grosh Chapter 44. Acute Coronary Syndrome in a Patient With a Thoracic Epidural CatheterYan Lai and Samiat Jinadu Chapter 45. Elective Abdominal Aortic Aneurysm With Epidural AnalgesiaMichael Akerman, Ariel Anderson, and Ryan Norman Chapter 46. Lower Extremity Weakness in a Patient With Epidural AnalgesiaErik Helander and Yury Zasimovich Chapter 47. Big Toe Amputation With Diabetic Peripheral NeuropathyEman Nada and Sandra L. Kopp Chapter 48. Cauda Equina Syndrome After Spinal AnesthesiaLauren Steffel and Joseph M. Neal Chapter 49. Nerve Blocks in a Patient With Multiple SclerosisLisa L. Klesius and Shelly B. Borden Chapter 50. Nerve Injury After Plexus and Peripheral Nerve Blocks for Regional Anesthesia and Medicolegal ImplicationsH. David Hardman Index

Nabil Elkassabany, MD, MSCE, MBA, is Anesthesiology Vice Chair of Clinical Operations at the University of Virginia School of Medicine.Eman Nada, MD, PhD, is Associate Professor of Anesthesiology, Chief of Regional Anesthesia, and Medical Director of Acute Pain at the Renaissance School of Medicine at Stony Brook University.

• Contributors Chapter 1. Topographic Anatomy and Physiologic ConsiderationsN. Robert Harvey and Sylvia H. Wilson Chapter 2. Perioperative Considerations for Success of Regional AnesthesiaRicha Wardhan and Janet Jira Chapter 3. Regional Anesthesia EquipmentThomas Halaszynski Chapter 4. Setting Up a Modern Acute Pain Service (APS)Jeffrey J. Mojica, Sean Washek, and Eric S. Schwenk Chapter 5. Multimodal AnalgesiaArchana O'Neill and Philipp Lirk Chapter 6. Local Anesthetic Systemic ToxicityOsemeke Edobor, Veena Graff, and Taras Grosh Chapter 7. Prolonging Nerve BlocksBrenton Alexander and Rodney Gabriel Chapter 8. Awake Intubation and Airway BlocksChoopong Luansritisakul, Kamen Vlassakov, and Nantthasorn Zinboonyahgoon Chapter: 9. Scalp Blocks: An Overview of Indications, Anatomy, and TechniqueArthur Formanek Chapter 10. Cervical Plexus Block for Carotid EndarterectomyShimon Gabriel Farkas and Kamen Vlassakov Chapter 11. Eye BlocksGustavo A. Lozada and Alvaro Andres Macias Chapter 12. Regional Techniques for Cardiothoracic and Cardiac-Related ProceduresAli N. Shariat and Himani V. Bhatt Chapter 13. Video-Assisted Thoracoscopy and ThoracotomyDavies G. Agyekum and Taras Grosh Chapter 14. The Trauma Patient with Left-Sided Fractured RibsDennis J. Warfield Jr. and Sanjib Das Adhikary Chapter 15. Breast SurgeryFranklin Chiao, Simon Chin, and Eman Nada Chapter 16. Emergency Exploratory LaparotomyFrancis V. Salinas Chapter 17. Postoperative Pain Management for Living Liver DonorVictor Polshin and Engy T. Said Chapter 18: Postoperative Pain Management of Open NephrectomyStanislav Sidash and Yatish Ranganath Chapter: 19: Regional Anesthesia for AbdominoplastySanchit Ahuja and Sree Kolli Chapter 20. Inguinal Hernia RepairDerek Blankenship, Mitchell Cahan, and Gustavo Angaramo Chapter 21. Anesthesia for Anorectal SurgeryLuiz Eduardo Imbelloni, José Eduardo Nascimento Aguilar, Iris Chu, Engy T. Said, and Eman Nada Chapter 22. Shoulder ArthroscopyAlberto E. Ardon, Steven B. Porter, and Robert L. McClain Chapter 23. Shoulder Arthroplasty Analgesic StrategiesOlga "Kiki" Nin and Taras Grosh Chapter 24. Arteriovenous Fistula Creation for HemodialysisPeter Dienhart and Michael Kushelev Chapter 25. Hand Injury and Digit ReimplantationJennifer Matos and Sylvia H. Wilson Chapter 26. Hip Fracture and Regional AnesthesiaJason B. Ochroch and Mark D. Neuman Chapter 27. Regional Anesthesia and Pain Management for Total Hip ArthroplastyBradley H. Lee, Marko Mamic, and Jiabin Liu Chapter 28. Analgesia for Knee Arthroscopy and Anterior Cruciate Ligament ReconstructionMichael Feduska and Colin Feduska Chapter 29. Enhanced Recovery After Total Knee ReplacementJamie-Lee Metesky and Meg A. Rosenblatt Chapter 30. Regional Anesthesia for Ischemic Pain: Below Knee Amputation Followed by Above Knee AmputationShanthi Reddy, Cameron Sumner, and James Kim Chapter 31. Regional Anesthesia for Open Reduction and Internal Fixation of an Ankle FractureMaryam Nilforoshan, Stephanie Huang, and Nabil Elkassabany Chapter 32. Regional Anesthesia for BunionectomyDaniel Abraham Chapter 33. Epidural for Labor in a Morbidly Obese Patient and Neuraxial UltrasoundManuel C. Vallejo Chapter 34. Inadequate Labor Epidural AnalgesiaMohamed Ibrahim and Rakesh Vadhera Chapter 35. Regional Anesthesia and Analgesia for Cesarean DeliveryCaroline Martinello, Matthew Williams, and Jill M. Mhyre Chapter 36. Post-Dural Puncture HeadacheLauren Sayre and Robert Gaiser Chapter 37. Regional Anesthesia Techniques for Circumcision and Congenital Inguinal Hernia RepairLeah Margalit Winters Webb and Melissa Brooks Peterson Chapter 38. Epidural and Neuraxial Techniques in Newborns and ChildrenBalazs Horvath and Benjamin Kloesel Chapter 39. Regional Anesthesia for Major Abdominal Surgery in Pediatric PatientsAlina Lazar Chapter 40. Orthopedic Trauma in a Patient With Complex Regional Pain SyndromeReda Tolba and Mohamed Fayed Chapter 41. Surgery in the Presence of Active Addiction or Addiction Assisted Drug TreatmentNeil Batta, Nabil Elkassabany, and Ignacio Badiola Chapter 42. The Painful Vaso-Occlusive Sickle Cell EpisodeAmberly Orr, Dalia Elmofty, and Lynn Kohan Chapter 43. Epidural Placement and AnticoagulationMaryam Nilforoshan, Veena Graff, and Taras Grosh Chapter 44. Acute Coronary Syndrome in a Patient With a Thoracic Epidural CatheterYan Lai and Samiat Jinadu Chapter 45. Elective Abdominal Aortic Aneurysm With Epidural AnalgesiaMichael Akerman, Ariel Anderson, and Ryan Norman Chapter 46. Lower Extremity Weakness in a Patient With Epidural AnalgesiaErik Helander and Yury Zasimovich Chapter 47. Big Toe Amputation With Diabetic Peripheral NeuropathyEman Nada and Sandra L. Kopp Chapter 48. Cauda Equina Syndrome After Spinal AnesthesiaLauren Steffel and Joseph M. Neal Chapter 49. Nerve Blocks in a Patient With Multiple SclerosisLisa L. Klesius and Shelly B. Borden Chapter 50. Nerve Injury After Plexus and Peripheral Nerve Blocks for Regional Anesthesia and Medicolegal ImplicationsH. David Hardman Index

Nabil Elkassabany, MD, MSCE, MBA, is Anesthesiology Vice Chair of Clinical Operations at the University of Virginia School of Medicine.Eman Nada, MD, PhD, is Associate Professor of Anesthesiology, Chief of Regional Anesthesia, and Medical Director of Acute Pain at the Renaissance School of Medicine at Stony Brook University.

• Contributors Chapter 1. Topographic Anatomy and Physiologic ConsiderationsN. Robert Harvey and Sylvia H. Wilson Chapter 2. Perioperative Considerations for Success of Regional AnesthesiaRicha Wardhan and Janet Jira Chapter 3. Regional Anesthesia EquipmentThomas Halaszynski Chapter 4. Setting Up a Modern Acute Pain Service (APS)Jeffrey J. Mojica, Sean Washek, and Eric S. Schwenk Chapter 5. Multimodal AnalgesiaArchana O'Neill and Philipp Lirk Chapter 6. Local Anesthetic Systemic ToxicityOsemeke Edobor, Veena Graff, and Taras Grosh Chapter 7. Prolonging Nerve BlocksBrenton Alexander and Rodney Gabriel Chapter 8. Awake Intubation and Airway BlocksChoopong Luansritisakul, Kamen Vlassakov, and Nantthasorn Zinboonyahgoon Chapter: 9. Scalp Blocks: An Overview of Indications, Anatomy, and TechniqueArthur Formanek Chapter 10. Cervical Plexus Block for Carotid EndarterectomyShimon Gabriel Farkas and Kamen Vlassakov Chapter 11. Eye BlocksGustavo A. Lozada and Alvaro Andres Macias Chapter 12. Regional Techniques for Cardiothoracic and Cardiac-Related ProceduresAli N. Shariat and Himani V. Bhatt Chapter 13. Video-Assisted Thoracoscopy and ThoracotomyDavies G. Agyekum and Taras Grosh Chapter 14. The Trauma Patient with Left-Sided Fractured RibsDennis J. Warfield Jr. and Sanjib Das Adhikary Chapter 15. Breast SurgeryFranklin Chiao, Simon Chin, and Eman Nada Chapter 16. Emergency Exploratory LaparotomyFrancis V. Salinas Chapter 17. Postoperative Pain Management for Living Liver DonorVictor Polshin and Engy T. Said Chapter 18: Postoperative Pain Management of Open NephrectomyStanislav Sidash and Yatish Ranganath Chapter: 19: Regional Anesthesia for AbdominoplastySanchit Ahuja and Sree Kolli Chapter 20. Inguinal Hernia RepairDerek Blankenship, Mitchell Cahan, and Gustavo Angaramo Chapter 21. Anesthesia for Anorectal SurgeryLuiz Eduardo Imbelloni, José Eduardo Nascimento Aguilar, Iris Chu, Engy T. Said, and Eman Nada Chapter 22. Shoulder ArthroscopyAlberto E. Ardon, Steven B. Porter, and Robert L. McClain Chapter 23. Shoulder Arthroplasty Analgesic StrategiesOlga "Kiki" Nin and Taras Grosh Chapter 24. Arteriovenous Fistula Creation for HemodialysisPeter Dienhart and Michael Kushelev Chapter 25. Hand Injury and Digit ReimplantationJennifer Matos and Sylvia H. Wilson Chapter 26. Hip Fracture and Regional AnesthesiaJason B. Ochroch and Mark D. Neuman Chapter 27. Regional Anesthesia and Pain Management for Total Hip ArthroplastyBradley H. Lee, Marko Mamic, and Jiabin Liu Chapter 28. Analgesia for Knee Arthroscopy and Anterior Cruciate Ligament ReconstructionMichael Feduska and Colin Feduska Chapter 29. Enhanced Recovery After Total Knee ReplacementJamie-Lee Metesky and Meg A. Rosenblatt Chapter 30. Regional Anesthesia for Ischemic Pain: Below Knee Amputation Followed by Above Knee AmputationShanthi Reddy, Cameron Sumner, and James Kim Chapter 31. Regional Anesthesia for Open Reduction and Internal Fixation of an Ankle FractureMaryam Nilforoshan, Stephanie Huang, and Nabil Elkassabany Chapter 32. Regional Anesthesia for BunionectomyDaniel Abraham Chapter 33. Epidural for Labor in a Morbidly Obese Patient and Neuraxial UltrasoundManuel C. Vallejo Chapter 34. Inadequate Labor Epidural AnalgesiaMohamed Ibrahim and Rakesh Vadhera Chapter 35. Regional Anesthesia and Analgesia for Cesarean DeliveryCaroline Martinello, Matthew Williams, and Jill M. Mhyre Chapter 36. Post-Dural Puncture HeadacheLauren Sayre and Robert Gaiser Chapter 37. Regional Anesthesia Techniques for Circumcision and Congenital Inguinal Hernia RepairLeah Margalit Winters Webb and Melissa Brooks Peterson Chapter 38. Epidural and Neuraxial Techniques in Newborns and ChildrenBalazs Horvath and Benjamin Kloesel Chapter 39. Regional Anesthesia for Major Abdominal Surgery in Pediatric PatientsAlina Lazar Chapter 40. Orthopedic Trauma in a Patient With Complex Regional Pain SyndromeReda Tolba and Mohamed Fayed Chapter 41. Surgery in the Presence of Active Addiction or Addiction Assisted Drug TreatmentNeil Batta, Nabil Elkassabany, and Ignacio Badiola Chapter 42. The Painful Vaso-Occlusive Sickle Cell EpisodeAmberly Orr, Dalia Elmofty, and Lynn Kohan Chapter 43. Epidural Placement and AnticoagulationMaryam Nilforoshan, Veena Graff, and Taras Grosh Chapter 44. Acute Coronary Syndrome in a Patient With a Thoracic Epidural CatheterYan Lai and Samiat Jinadu Chapter 45. Elective Abdominal Aortic Aneurysm With Epidural AnalgesiaMichael Akerman, Ariel Anderson, and Ryan Norman Chapter 46. Lower Extremity Weakness in a Patient With Epidural AnalgesiaErik Helander and Yury Zasimovich Chapter 47. Big Toe Amputation With Diabetic Peripheral NeuropathyEman Nada and Sandra L. Kopp Chapter 48. Cauda Equina Syndrome After Spinal AnesthesiaLauren Steffel and Joseph M. Neal Chapter 49. Nerve Blocks in a Patient With Multiple SclerosisLisa L. Klesius and Shelly B. Borden Chapter 50. Nerve Injury After Plexus and Peripheral Nerve Blocks for Regional Anesthesia and Medicolegal ImplicationsH. David Hardman Index