This groundbreaking volume explores the distinct challenges and opportunities of applying regional anesthesia in critically ill patients—an area often overlooked in traditional anesthesiology practice. By examining patient-specific complexities, iatrogenic influences, and both surgical and non-surgical applications, the book offers a nuanced understanding of how targeted analgesia can transform care in the ICU, reduce reliance on opioids and sedatives, and ultimately improve outcomes. 

Beginning with essential foundations, the text builds toward a detailed exploration of factors unique to the critically ill, including physiologic instability, coagulopathy, and infection risk. It contrasts current non-regional pain management strategies with evolving regional approaches, highlighting both their limitations and their untapped potential. A comprehensive section on regional anesthesia techniques is thoughtfully organized around ICU-specific challenges, offering practical, evidence-informed guidance for integrating these modalities into everyday critical care practice.

Rich with expert insights and real-world applications, this book also addresses specialized scenarios, from trauma and burns to pediatric and emergency department care. Coverage spans neuraxial, thoracic, abdominal, and peripheral block techniques, alongside considerations for complex conditions such as chronic opioid use and cardiothoracic surgery. Bridging the gap between anesthesiology and critical care, this first-of-its-kind resource equips clinicians with the knowledge and confidence to safely expand regional anesthesia into new clinical frontiers—advancing both patient care and the future of the field.

Graham Lubinsky, MD, FASA

Associate Professor of Anesthesiology

Rush University Medical Center

Chicago, IL