Upper Extremity Regional Anesthesia

Illustrations for this review article are by Jennifer Gentry
Illustrations for this review article are by Jennifer Gentry

Pub Med has access available to this review of Upper Extremity Regional Anesthesia, authored by Joseph M. Neal, MD, J.C. Gerancher, MD, Quinn H. Hogan, MD et al.  It is wonderfully illustrated by Jennifer Gentry and provided on the web by US National Library of Medicine and the National Institutes of Health.


Regional Anesthesia “Advertorials” are still available on the web

Peripheral Nerve Block Patient Care
Peripheral Nerve Block Patient Care

I refound this series of informative editorials which I believe were commissioned by B. Braun from 2004 to 2009.  Contributors are quite a few experts in the field of regional anesthesia and acute pain management sharing their opinions on these topics. These are from a time when Regional Anesthesia benefited from strong advocacy and these editorials provided it!

You can get to all the articles by following the three articles which are highlighted. These are linked to all the topics below………..


  • TAP: A New Standard for Abdominal Surgery?
  • Is <0.2mA a reliable indicator of intraneural injection?
  • 5 Top Tips for Block Reimbursement
  • A Breakthrough in Nerve Stimulation
  • A Two-Pronged Approach to PONV Prevention
  • Get Total Knee Patients Moving With Continuous Nerve Blocks
  • Nerve Blocks: The Right Choice in a Down Economy
  • Nerve Blocks: A Hospital CEO’s Perspective
  • Paravertebral Blocks: Benefits Beyond Expectations
  • Blocks Help Hernia Patients Go Home Faster
  • Intra-Articular Infusions or Nerve Blocks?
  • Continuous Nerve Blocks Boost Patient Confidence
  • Yes You Can Get Reimbursed for Nerve Blocks
  • Peripheral Nerve Blocks: A Wise Investment
  • A Surgeon’s View: Dispelling Some Common PNB Myths
  • A Surgeon’s Perspective: The Power of PNBs
  • Acute Pain Nurse: Key to Continuous Infusion Success
  • A Breakthrough in Nerve Stimulation
  • No Pain, Big Gain
  • Our Insurers Pay for Peripheral Nerve Blocks
  • Fortifying Our Future With PNB Training
  • Stimulating Catheters for Outpatient Surgery
  • When Should We Use Stimulating Catheters?
  • What Is Ultrasound’s Role in Peripheral Nerve Blocks?
  • There’s No Better Advertisement than a Happy Patient!
  • Avoiding Post-Lithotripsy Pain
  • Regional Anesthesia Took My Pain From 10 to 0
  • How to Make Peripheral Nerve Blocks Even Safer
  • Helping Patients Understand Regional Blocks
  • Ultrasound and Nerve Stimulation: Perfect Together
  • The Post-Opioid Era
  • Practical Pain Control
  • In Our PACU, Blocks Made Miles of Difference
  • Filling the Analgesic Gap
  • Is Regional Anesthesia More Cost-Efficient?
  • Prime Patients Early for PNB Success
  • With Nerve Blocks, Time is Safety
  • Nerve Blocks Improve Patient Well-Being
  • The PNBs Have It
  • Continuous Peripheral Nerve Blocks: The Jury Is In
  • Is Regional Anesthesia More Cost-Efficient?
  • Block On!
  • Regional Anesthesia: Lessons from Iraq
  • Help is On the Way
  • The Promise of Pediatric Peripheral Nerve Blocks
  • Building a Better Regional Anesthesia Procedure Note
  • Perception is Everything
  • Peripheral Nerve Stimulators Improve Patient Comfort
  • Regional Anesthesia Helps Elderly Patients Stay Alert and On Track
  • 4 Ways to Make Continuous Infusions Run More Smoothly
  • Tips for Managing Orthopedic Regional Anesthesia Patients
  • How to Bill for Regional Anesthesia
  • How to Ease Into Regional Blocks
  • 3 Things to Know About Regional Anesthesia Programs

Two Common Misconceptions about Anesthesia

John Charles Gerancher previously served as professor in the department of anesthesiology at the Wake Forest University School of Medicine. In addition, JC Gerancher oversaw the construction and implementation of a regional anesthesia section at Wake Forest Baptist Health.

One commonly held misconception about anesthetic drugs is that they put the body into deep sleep. In reality, it would be impossible to perform a highly invasive procedure on a sleeping patient. Anesthetic actually sends the body into a highly controlled, comatose state that doctors can reverse.

Many individuals are also under the impression that anesthesia is a chemical or medicine, when it is actually the state the body enters after anesthetic has been administered. Propofol is an anesthetic that puts the brain into a state of excitement before enacting the more traditional comatose, pain-free state.

Patients should always consult with their physicians and discuss the type of anesthetic being administered and its possible side effects.

Wake Forest Is Home to Top-Ranked Anesthesiology Program

Physician John Charles Gerancher was instrumental in establishing the anesthesiology teaching program at Wake Forest Baptist Medical Center. Thanks in part to JC Gerancher’s contributions, the Wake Forest anesthesiology training program has attained many notable commendations, including being named one of the top five U.S. anesthesiology training programs.

The current faculty at Wake Forest Baptist Medical Center includes many distinguished members. Nineteen members of the faculty have attained ranking among America’s top doctors, and six are principal investigators on major National Institute of Health funded research projects. Reflecting the program’s quality of leadership, eleven faculty members have gone on to serve as the chairs of other universities’ departments of anesthesiology. Moreover, the current editor-in-chief of Anesthesiology, the premier medical journal covering the discipline, also serves as a faculty member at Wake Forest.

Since the inception of the Wake Forest anesthesiology program in 1967, over 300 physicians have sought training there. Under the guidance the school’s esteemed faculty, these medical students receive excellent foundational education in anesthesiology.

Study Examines Nerve Block Records Development

A paper co-written by John Charles Gerancher looks closely at the peripheral nerve block (PNB), its popularity, and PNB methods of documentation in circulation. The study attributes the growth of PNB to several developments, including the increasing technical sophistication of instruments and the varying number of anesthetics on the market. However, John Gerancher and his co-authors note that PNB procedures have become more difficult to document owing to limited space provided on anesthesia records. This is problematic because precise records are absolutely essential to proper billing and compliance with regulatory statutes.

Drawing on information collected from PNB practitioners and institutional providers throughout North America, the study’s authors designed a form that allows for the proper and complete documentation of PNB procedures. Of course, to fully utilize the form, hospitals and other establishments may have to change minor details like abbreviations.

JC Gerancher’s paper appeared in the journal Regional Anesthesia and Pain Medicine under the title “Development of a Standardized Peripheral Nerve Block Procedure Note Form.”