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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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PEARLS

Effective intercostal nerve block requires adequate sedation. Patients are sedated so they are able to lie comfortably on the table during the block. Combinations of sedatives seem to be the most effective. With a combination of a benzodiazepine, a short-acting narcotic, and/or ketamine, patients readily accept the procedure. Each anesthesiologist should develop a “recipe” for sedation because it is so important. Likewise, each anesthesiologist should develop a consistent method of maintaining hand and needle control for the block.

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