Nerve Block Manual 2027 - NYSORA
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New Release

Second Edition

2027

The Gold Standard. Now Even Better.

NYSORA Nerve
Block Manual

The trusted guide to regional anesthesia — reimagined for today's practice.

The NYSORA Nerve Block Manual returns in a completely updated and expanded Second Edition. Featuring 44 nerve block techniques, enhanced ultrasound anatomy, updated terminology, and NYSORA's signature step-by-step teaching approach, this edition makes mastering nerve blocks clearer, faster, and more practical than ever.

Everything you need to learn, perform, and teach nerve blocks with confidence.

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Here is why you should get yours

A comprehensive visual and practical guide to ultrasound-guided regional anesthesia, reworked for 2027. The NYSORA Nerve Block Manual brings together functional anatomy, sonoanatomy, and step-by-step procedural guidance in a highly visual format, connecting anatomy and ultrasound imaging with transducer placement, needle trajectory, injection technique, and assessment of local anesthetic spread.

WHAT'S NEW AND KEY FEATURES

Used by anesthesiology departments worldwide, this edition brings updated anatomy, sonoanatomy, technique guidance, evidence, and practical clinical pathways.

Every chapter revised
01

Every chapter revised

Understand the anatomy
02

Understand the anatomy

Identify the target and plan the approach
03

Identify the target and plan the approach

Perform, assess, and apply clinical judgment
04

Perform, assess, and apply clinical judgment

Decision-making flowcharts
05

Decision-making flowcharts

QR video links
06

QR video links

Discover the Nerve Block Manual 2027

Everything you need to learn or teach veterinary regional anesthesia.

Quick facts

Step-by-step procedural guidance

Covering patient positioning, transducer placement, image acquisition, needle trajectory,
injection technique, and assessment of local anesthetic spread.

Quick facts

Integrated visual learning

NYSORA medical illustrations, ultrasound images, and Reverse Ultrasound Anatomy™ (RUA) connecting functional anatomy with sonoanatomy.

Quick facts

Technique flowcharts

A clear visual sequence for scanning, identifying the target, needle placement, and local anesthetic injection.

Quick facts

Practical clinical guidance

Including indications, local anesthetic selection and dosing, safety considerations, technical tips, and updated evidence and references.

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Gallery

Take a closer look at the illustrations inside the manual.

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Nerve Block Manual

Newest Updates

Peripheral nerve blocks reduce heart injury risk after hip fracture surgery in older adults

New study highlights protective cardiovascular effects of regional anesthesia A major new study published in Anesthesiology (2026) has revealed that peripheral nerve blocks (PNBs) may significantly reduce the risk of postoperative myocardial injury in older adults undergoing hip fracture surgery. This finding is particularly important because myocardial injury after noncardiac surgery (MINS) is a common and life-threatening complication, especially in elderly patients with pre-existing cardiovascular disease. The study analyzed 1,467 patients and provides strong evidence that optimizing perioperative analgesia may have cardioprotective effects beyond pain control. Understanding myocardial injury after hip fracture surgery What is myocardial injury? Myocardial injury refers to damage to cardiac muscle cells, typically identified by elevated cardiac troponin (cTn) levels above the 99th percentile upper reference limit. Indicates myocardial cell necrosis May occur with or without classic ischemic symptoms Strongly associated with increased mortality Why is it important? Occurs in 15–86% of hip fracture patients depending on population and monitoring Linked to: Increased 30-day mortality Higher 1-year mortality rates Prolonged hospitalization Hip fracture patients are especially vulnerable due to: Advanced age High prevalence of cardiovascular comorbidities Physiological stress from trauma and surgery Study overview: design and patient population Study design Two-center retrospective cohort study Conducted in Beijing, China Study period: 2012–2023 Participants 1,467 patients aged ≥ 65 years All underwent hip fracture surgery under: General anesthesia Neuraxial anesthesia Grouping Patients were divided into: PNB group (798 patients) Non-PNB group (669 patients) Nerve block techniques used Fascia iliaca compartment block (~70%) Femoral nerve block Lumbar plexus block Less common: Sciatic nerve block Pericapsular nerve group block Key findings: reduced risk of myocardial injury Primary outcome results Myocardial injury incidence: 12.0% with PNB 21.5% without PNB This represents a substantial reduction. Statistical analysis Adjusted odds ratio (OR): 0.60 95% confidence interval: 0.44–0.82 P = 0.002 (statistically significant) Interpretation […]

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Regional anesthesia with fascial plane blocks for pediatric cardiac surgery

Effective postoperative pain control is a critical component of perioperative care in children undergoing cardiac surgery. Many pediatric cardiac procedures require a median sternotomy, a surgical approach that can produce significant nociceptive and neuropathic pain due to tissue dissection, rib retraction, sternal splitting, and placement of chest drains. Inadequate analgesia in this setting is not simply uncomfortable for the patient—it can contribute to physiologic instability and prolonged recovery. Pain that is poorly controlled after pediatric cardiac surgery has been associated with increased sympathetic activation, systemic hypertension, pulmonary hypertension, arrhythmias, and ventilator dyssynchrony. These complications may prolong mechanical ventilation and increase the length of stay in the intensive care unit (ICU). Furthermore, persistent poststernotomy pain and negative intensive care experiences may lead to chronic pain syndromes or long-term psychological stress responses in children. Historically, postoperative analgesia for pediatric cardiac surgery relied heavily on systemic opioids. While opioids remain effective analgesics, they are associated with well-recognized dose-dependent adverse effects. Respiratory depression, nausea, vomiting, ileus, and delayed extubation can complicate postoperative recovery. Prolonged opioid exposure may also lead to tolerance, dependence, or withdrawal symptoms in pediatric patients receiving continuous infusions for several days. Over the past decade, the increased availability of ultrasound-guided regional anesthesia has transformed perioperative pain management strategies. Fascial plane blocks in particular have gained attention because they provide targeted analgesia while maintaining a favorable safety profile in anticoagulated patients undergoing cardiopulmonary bypass. These techniques avoid the neuraxial and paravertebral spaces, reducing the risk of catastrophic hematoma formation. This growing interest has led clinicians to explore the use of fascial plane blocks as part of multimodal analgesia protocols for pediatric cardiac surgery. Recent studies suggest that these blocks may significantly reduce opioid requirements, improve postoperative recovery, and support enhanced recovery pathways. The challenge of poststernotomy pain in children Median sternotomy involves extensive […]

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Nerve Block Manual in Numbers

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Reviewed by NYSORA’s International Edu Board

AMAZON BEST SELLER

Why NYSORA

Regional anesthesia continues to evolve, and clinicians face increasing demands to master nerve block techniques with precision, safety, and efficiency. Access to high-quality, practical, and evidence-based education is essential. NYSORA’s Nerve Block Manual is developed by international experts and reviewed by NYSORA’s educational board. It provides clear, step-by-step guidance, high-yield clinical tips, and detailed anatomical and ultrasound-based insights, empowering clinicians to perform nerve blocks with confidence, improve patient outcomes, and stay at the forefront of modern regional anesthesia.

NYSORA Nerve Block Manual Books
NYSORA Nerve Block Manual
Get Your Copy

Nerve Block Manual

Available in paperback — designed to refine technique, improve success, and patient safety.

What readers say

Reviews from clinicians and verified Amazon buyers.

“ Amazon

Great layout with clear instructions and easy to follow flow charts for each block.

P

passoni

Verified purchase · United Kingdom

“ Clinician

My go-to for everything related to nerve blocks!

MF

Dr. Max Feinstein

USA

“ Clinician

Exact and concrete useful information! Superior pictures and tips.

AB

Dr. Andy De Baerdemaeker

Belgium

“ Amazon

It's not only great for learning, but excellent reference material even for those with experience.

AC

Amazon customer

Verified purchase

“ Clinician

Exactly what I needed!

KW

Dr. Kay Warnott

USA

“ Clinician

Top aktuell, state of art!

HF

Dr. Helmut Farcher

Germany

“ Amazon

This book arrived at just the right time for me.

TB

Tiago B.

Verified purchase · Brazil

Frequently Asked Questions

Common questions about our book.

The Nerve Block Manual 2027 is a comprehensive, practical guide to ultrasound-guided peripheral nerve blocks and fascial plane injections. It provides step-by-step instructions, detailed anatomical insights, practical tips, and guidance on local anesthetic selection, dosing, and volume recommendations to support safe and effective clinical practice.

The Nerve Block Manual 2027 is designed for anesthesiologists, pain management specialists, and other healthcare professionals who perform or are learning ultrasound-guided nerve blocks. It is a valuable resource for both beginners developing their skills and experienced clinicians looking to refine their techniques.

The Nerve Block Manual 2027 provides clear, step-by-step instructions, practical clinical tips, detailed anatomical illustrations, and decision-making algorithms. These resources help clinicians understand nerve block techniques, improve procedural consistency, and support safe, effective patient care.

Absolutely. With its structured explanations, detailed illustrations, and practical guidance, the Nerve Block Manual 2027 is an excellent educational resource for teaching anesthesiology residents, fellows, and practicing clinicians. It can support both individual learning and structured teaching sessions.

The Nerve Block Manual 2027 can be purchased through the official NYSORA Amazon Books page (Amazon link to be added). Visit the page to explore the book and access the available purchase options.

Yes. NYSORA offers a range of complementary educational resources, including online learning materials, YouTube videos, and the Nerve Blocks App. Clinicians can use these resources alongside the Nerve Block Manual 2027 to reinforce their knowledge and further develop their ultrasound-guided regional anesthesia skills.