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Thoracoacromial Artery

Posterior Anterior External Oblique Muscle Internal Oblique Muscle Transverse Abdominis Muscle Pararenal Fat Peritoneum Quadratus Lumborum Muscle Transversalis Fascia

White Arrow: Needle Path Blue Area: Local Anesthetic Posterior Anterior Latissimus Dorsi External Oblique Quadratus Lumborum Internal Oblique Erector Spinae Transverse Process Psoas Peritoneum Pararenal Fat

White Arrow: Needle Path Blue Area: Local Anesthetic Posterior Anterior External Oblique Muscle Internal Oblique Muscle Transverse Abdominis Muscle Pararenal Fat Peritoneum Quadratus Lumborum Muscle Transversalis Fascia

Costal Margin Transducer Position – Slide Transducer Posterior Iliac Crest

White Arrow: Needle Path Blue Area: Local Anesthetic Posterior Anterior Latissimus Dorsi External Oblique Quadratus Lumborum Internal Oblique Erector Spinae Transverse Process Psoas Peritoneum Pararenal Fat

Saint Mary’s Hospital, an acute care community teaching hospital in Waterbury, Connecticut demonstrated the clinical and financial benefits of an ERAS program that includes ultrasound-guided regional anesthesia (USGRA). Since the October 2015 launch of the opioid-sparing ERAS program, Saint Mary’s has seen striking improvements in the safety and quality of care for patients undergoing colorectal surgery, along with substantial reductions in opioid usage. 

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