Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain Management1993-65082687-1394Eco-Vector4431410.17816/RA44314Research ArticlePeripheral nerve blocks and ultrasound navigationKoryachkinV. A.info@eco-vector.comSaint Petersburg State Pediatric Nedical University of MH RF17092020141451709202017092020Copyright © 2020, Eco-Vector2020<p>The use of ultrasound in anesthetic practice has contributed to the creation of new techniques for blocking peripheral nerves (PEC I, PEC II, TAP-block, QL-block, IPACK). At the same time, the creation of new blocks with ultrasound navigation deepens the gap between more experienced anesthesiologists and their younger colleagues who prefer to avoid the use of regional anesthesia. A way out of this situation seems to us to create and introduce into practice a list of basic methods of regional anesthesia, which can provide anesthesia during the most frequently performed surgical interventions. We believe that there is every reason to change the paradigm many blockades for the elite to several blockades for all.</p>regional anesthesianew peripheral nerve blocksultrasoundрегионарная анестезияновые блоки периферических нервовультразвуковая навигация[Battista C., Krishnan S. Pectoralis Nerve Block. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.][Buyanov A.S., Stadler V.V., Zabolotskiy D.V., Koryachkin V.A., Vozdvizhenskiy M.O., Borisov A.P., Tkachev M.V. Blockade of the thoracic nerves as a component of multimodal analgesia during surgery for breast cancer. Vestnik anesteziologii i reanimatologii. 2019;16(6):30-6. DOI: 10.21292/2078-5658-2019-16-6- 30-36.][El-Boghdadly K., Wiles M.D. Regional anaesthesia for rib fractures: too many choices, too little evidence. Anaesthesia. 2019; 74:564-8. DOI: 10.1111/anae.14634.][Makharin O.A., Zavarzin P.Zh., Zhenilo V.M., Skoblo M.L. QL-or TAP-block: what to prefer after a cesarean section? Vestnik akusherskoy anesteziologii. 2020;2(28):5-14. DOI: 10.24411/2686-8032-2020-00002.][Bessmertny A.E., Antipin E.E., Uvarov D.N., Sedyh S.V., Nedashkovskiy E.V. Comparison of the effectiveness of ileo-inguinal / ileo-submandibular block and transverse abdominal space block for analgesia after cesarean section. Anesteziologiya i reanimatologiya. 2015;60(2):51-4.][Kandarian B., Indelli P.F., Sinha S. et al. Implementation of the IPACK (Infiltration between the Popliteal Artery and Capsule of the Knee) block into a multimodal analgesic pathway for total knee replacement. Korean J. Anesthesiol. 2019;72(3):238-44. DOI: 10.4097/kja.d.18.00346.]