|Orthopedic anesthesia involves several options for surgery anesthesia for patients undergoing finger, hand, wrist, forearm, elbow or shoulder surgery. Orthopedic anesthesia requires an extent variety of techniques to be possessed and offered to the patients. Advances in orthopedic anesthesia surgery have different anesthetic options such as spinal, epidural, and major nerve blocks or with combined regional/general anesthetic techniques. To anesthetize orthopedic trauma patients on an urgent or emergent basis that may have acute spinal fractures, acetabulum (hip) and pelvic fractures or multiple extremity fractures yet times. Scientific journal is a periodical publication intended to further progress of science, usually by reporting novel research. There are thousands of scientific journals in publication, and many more have been published at various points in the past. Most journals are highly specialized, although some of the oldest journals publish articles and scientific papers across a wide range of scientific fields. Scientific journals contain articles that are peer reviewed, to ensure that articles meet the journal's standards of quality, and scientific validity. The publication of the results of research is an essential part of the scientific method. If they are describing experiments or calculations, they must supply enough details that an independent researcher could repeat the experiment or calculation to verify the results. Each such journal article becomes part of the permanent scientific record.