One of the potential advantages of the out-of-plane interscalene block is avoidance of the dorsal scapular nerve within Middle Scalene Muscle. #ECONGRESS2020#ESRAASRA2020
My anxiety is always inadvertent Vertebral artery injection and needle tip visualisation
Make sure you do your shoulder block before the Suprascapular Nerve has left the superior trunk.
This is why traditionally supraclavicular brachial plexus block was not recommended for shoulder surgery
Biggest complaint I have had from pts having shoulder surgery with blocks is duration of analgesia Vs Heaviness!
I use superior trunk block with 7-11 cc’s of LA, and couple of cc’s to Supraclavicular nerves.
Usually spares hand.
How about u guys? #ECONGRESS2020#ESRAASRA2020
Is there a role for:
Short acting block with local infiltration?
Or
Pre-emptive strong opioids to prevent rebound pain? 🙉
The purpose of this study was to determine whether either regional anesthesia (RA) or general anesthesia (GA) provided the best analgesia with the fewest adverse effects up to 2 weeks after ambulatory hand surgery.
So I was wondering today, as an eternal student, a regional anaesthetist,and Past @RegionalAnaesUK president - what would make me want to attend #RAUKISURA22 on the 5-7th May 2002 in Edinburgh? So - Here Comes a mini thread!
The Belfast meeting was the first time we used on stage symposia to bring an engaging feel to the event, & the first time we had such a North American & Canadian presence at our meeting + #POCUS with @KiJinnChin , @shaskinsMD , @SLKoppMD, @JanBoublikMDPhD
@dr_melissabyrne first up on cardiac US.
When Learning a new technique... 1. Set realistic goals for learning 2. Improve workflow efficiency 3. Scan based on pathology
Use the 4W approach
When to apply pocus
Where to place probe
What do images mean
What to do next
Some clever ways to use POCUS When performing a Regional anaesthesia procedure
I love regional anaesthesia and working with surgeons, & am also sad that I have finished Schitt’s Creek. Here is a thread of experiences as a regional anaesthetist..
The reaction of a new surgeon the first time you state you’d like to site a nerve block... for a trauma patient
The reaction of the anaesthetist when the surgeon states that blocks will slow the list down, and “The operation isn’t that painful anyway”
The activity in the anaesthetic room when we get the “go ahead” to put a nerve block in a patient- “as long as it’s quick and it works”
In the run up to #RAUK21 -5-6th May 2021 ,& to introduce some of the many publications of our Bruce Scott Lecturer @EMARIANOMD - I thought I’d start tweeting 10 of his papers to get you inspired about #RegionalAnaesthesia#RegionalAnesthesia - I’ll add them all to this thread...
In the first of 10 of @EMARIANOMD‘s papers, lets start by looking at this one on Continuous interscalene brachial plexus block via an ultrasound-guided Posterior approach #RAUK21#MarianoTopTen 1/10
The second of 10 of @EMARIANOMD’s papers is on #PedAnes! This paper is on the Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries. #RAUK21#MarianoTopTen 2/10
So here is a quick thread about the #PlanABlocks from @RegionalAnaesUK that feature in the tweet below - I feature links to the RA-UK book chapter 📖, Video 🎥 & Posters in the thread below...
One of the key points of the editorial was to focus on a small number of high-value blocks, and to train everyone in them, and then implement into pathways👇🏼