Discover and read the best of Twitter Threads about #esraasra2020

Most recents (7)

My last #ECONGRESS2020 #ESRAASRA2020 session for the day! Image
Shoulder surgery hurts!

Interscalene block is currently the gold standard

#ECONGRESS2020 #ESRAASRA2020 Image
Read 20 tweets
#ECONGRESS2020 #ESRAASRA2020
Next we are listening to the use of Ampres 2% (Chloroprocaine) from @SinteticaUK

I have never used it, but suspect there are some situations where this has a useful role.

sintetica.com/global/page/pr…

What do Peeps think?
The question I have is what operations are short enough for the use of Block with Chloroprocaine?

#ECONGRESS2020 #ESRAASRA2020
The key must clearly be the provision of pain medicine to work past the duration of the short acting block.
Is that Oral Analgesia or Local infiltration by the Surgeon?

Key must be identifying appropriate procedures & having a plan for post-op pain
#ECONGRESS2020 #ESRAASRA2020
Read 4 tweets
Finishing my #ECONGRESS2020 #ESRAASRA2020 attendance “in the hands” of my dear friend @DrEAlbrecht

A really interesting session on innovations in #RegionalAnaesthesia Image
And here they are!

@DrEAlbrecht ‘s accent has become more British though!

#ECONGRESS2020 #ESRAASRA2020 Image
First we are going to hear about Onvision from @BBraunUK .

Initially was a skeptic, but after an intial trial with it, I have had my eyes opened!
Read 8 tweets
Now Seb Bloc discussing walking or pain free at day 0 after TKR...

This slide shows the change in practice over time in France

#ECONGRESS2020 #ESRAASRA2020 Image
What has the most significant effect on muscle during recovery phase of TKA?

Pain / Tourniquet/ Anaemia?

rapm.bmj.com/content/41/6/6…

#ECONGRESS2020 #ESRAASRA2020
It is possible to use femoral nerve block in outpatient or ambulatory TKA - patient and caregiver education is key...

#ECONGRESS2020 #ESRAASRA2020 Image
Read 3 tweets
This is where I am headed to next for #ECONGRESS2020 #ESRAASRA2020- be good to hear @docmorne talking about ERAS for Knee Arthroplasty & Ambulatory Surgery fron Seb Bloc and Laurent Delaunay Image
Great group of speakers to start this session! Image
What do Patients want after surgery?

#ECONGRESS2020 #ESRAASRA2020 Image
Read 11 tweets
Finally - @DanDirzu on the indications for Distal Blocks
#ECONGRESS2020 #ESRAASRA2020
They are certainly further away from many critical structures-

My main concern is convincing surgeon to avoid tourniquet!
Perhaps a differential block proximally with short acting drug? Image
Some potential indications...

#ECONGRESS2020 #ESRAASRA2020
Never seen a wrist tourniquet used by the way! Have u?! Image
@docmorne asks a delegate question about mixing local anaesthetics (short and long acting) - Yes or No?

It seems all the experts say “No”!

That makes me an outlier! 😂😬

#ECONGRESS2020 #ESRAASRA2020
Read 4 tweets
Next up @ESRA_Society President-Elect Thomas VOLK, Germany on hand surgery and anticoagulants #ECONGRESS2020 #ESRAASRA2020

Would you do a peripheral nerve block in an anti-coagulated patient? Image
The incidence of bleeding necessitating revision surgery is low in these situations

#ECONGRESS2020 #ESRAASRA2020 Image
In over 230,000 patients without anticoagulants, bloody tap incidence is low Image
Read 6 tweets

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