Thread by @amit_pawa

#ESRA2019 @KiJinnChin @ParrasTeresa talking chest wall blocks

Breast Innervation #ESRA2019 @ParrasTeresa multiple nerves innevate the breast

Multiple fasciae in pectoral region... #ESRA2019

You can see the clavipectoral fascia encircle Pec Minor #ESRA2019

Only need to identify Pec Major, Pec Minor, Serratus and Lat Dorsi #ESRA2019

Muscle innervation of the chest wall #ESRA2019 @ParrasTeresa

Note the Medial and Lateral cutaneous branches of the intercostal nerves #ESRA2019

Surgical procedures

Dr B Versyck now discusses the probe positions required to generate images pertinent to PECS2 block #ESRA2019

The sub-pectoral interfascial plane block for parasternal analgesia (aka PIFB)

ESP block images... #ESRA2019

Needle target and potential loss of sensation #ESRA2019

Now Paravertebral- notes the subtle change in the paramedian probe position with a caudad “kicking out of the probe” to a paramedian sagittal oblique position #ESRA2019

Now @KiJinnChin talking from a clinician’s perspective

Complex breast innervation @pjbose - you are famous!

Name check from jedi master @KiJinnChin 😊 #ESRA2019

Why should you use blocks for breast surgery?... #ESRA2019

Make the distinction of major vs minor surgery & decide if it is appropriate to place or site a block #ESRA2019

Choices choices choices #ESRA2019 @KiJinnChin

What is the best block?... think about the concepts below...#ESRA2019

Dr Yalçin Çok summing it all up - interesting to see @jmcd12 ‘s paper here..

Summary of ESP block papers... #ESRA2019

Panel engaged and concentrating

What do the ESP papers actually say?... #ESRA2019

Summary #ESRA2019

#ESRA2019

@threadreaderapp unroll