RT Book, Section A1 Iserson, Kenneth V. SR Print(0) ID 57373226 T1 Chapter 14. Anesthesia—Local and Regional T2 Improvised Medicine: Providing Care in Extreme Environments YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-175497-2 LK accessmedicine.mhmedical.com/content.aspx?aid=57373226 RD 2024/04/25 AB When the equipment and the experienced personnel to give deep sedation or general anesthesia are not available, local and regional anesthetic techniques should be used. As one experienced anesthesiologist wrote, "We must assume that supplies of compressed gases will soon run out and replacements will be unobtainable. This leaves us with local techniques, spinal and epidural analgesia, all of which can be given by the surgeon in the absence of a trained anesthetist."1