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British Journal of Anaesthesia 2005 94(1):1-3; doi:10.1093/bja/aei001
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005

Editorial I: Location, location, location! Ultrasound imaging in regional anaesthesia

N. M. Denny*

Department of Anaesthesia, Queen Elizabeth Hospital, King's Lynn, Norfolk PE30 4ET, UK

W. Harrop-Griffiths

Department of Anaesthesia St Mary's Hospital, Praed Street London W2 1NY UK

* Corresponding author. E-mail: nicholas.denny@btinternet.com

The first 10% of the full text of this article appears below.

Regional anaesthesia always works—provided you put the right dose of the right drug in the right place (M. Morgan, personal communication). When it does not work, it is usually because the local anaesthetic has not been put in the right place. The three primary keys to successful regional anaesthesia are therefore nerve location, nerve location and nerve location. This issue contains a review by Marhofer and colleagues1 that summarizes the first 10 yr of the use of ultrasound to identify nerves, to visualize the passage of a needle towards the nerve, and to monitor the distribution of local anaesthetic during injection. It is an interesting and thought-provoking article that unreservedly praises the technique and ascribes it an ‘almost 100%’ success rate. Unreserved praise and claims of 100% success rates always draw cynicism from anaesthetists—even more so from hard-bitten regional anaesthetists who live daily with the risk of . . . [Full Text of this Article]


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