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Historical Considerations
  1. John Adriani, MD
  1. Dr. Adriani is a member of the department of anesthesia, Charity Hospital, and the department of pharmacology, Louisiana State University Medical Center, New Orleans.


Regional anesthesia of the upper extremities was developed largely by surgeons in the early 1900s after the discovery of cocaine. Although anatomy has not changed and the fundamentals remain the same, the introduction of safer and better local anesthetics and safeguards to avoid complications is resulting in more extensive use of regional anesthesia than there has been in the past several decades.

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  • The papers included in this symposium were presented at the 1979 Annual Meeting of the American Society of Anesthesiologists, by the ASRA.