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Jeff Gadsden Profile picture
@jeffgadsden
Oct 2, 2020 • 3 tweets • 4 min read • Read on X
It's Day 2 of #blocktober ! Thanks for the amazing engagement yesterday!! Today we're drilling down on the adductor canal block and how best to maximize efficacy and safety. Our technique has changed over the years..has yours? #DukeRAP #FOAMed #MedEd #Regionalanesthesia
Here are some articles on the anatomy of the adductor canal at the mid-thigh + the vastoadductor membrane and its role in separating the two nerves.

pubmed.ncbi.nlm.nih.gov/32434793/

pubmed.ncbi.nlm.nih.gov/17618402/

pubmed.ncbi.nlm.nih.gov/27685346/

pubmed.ncbi.nlm.nih.gov/27015545/

pubmed.ncbi.nlm.nih.gov/27871547/
And here's a video where we share our thoughts on how to: A) not injure the nerve to vastus medialis and B) make sure we block it effectively when performing adductor canal blocks. #DukeRAP #Blocktober

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More from @jeffgadsden

Jeff Gadsden Profile picture
Oct 4
Yo yo, it’s the 4th of #Blocktober24 and today we’re going to talk about airway blocks! What? Yes, we’re blocking the airway for awake intubations today. Come along on a funky airway journey with us.. @Duke_Anesthesia @amit_pawa @EMARIANOMD @fuzzymittens @EM_RESUS Image
@Duke_Anesthesia @amit_pawa @EMARIANOMD @fuzzymittens @EM_RESUS @Assoc_Anaes @ASRA_Society @ESRA_Society @dasairway @dastrainees @Wilkinsonjonny @rosie_hogg @LloydTurbitt @RCoANews @Ron_George I’ve seen my share of poorly done awake airways. It’s painful and often unsafe. The key is excellent airway anesthesia. Like, the kind where you don’t need any sedation. #Blocktober24 @morefluids @mswami001 @curromir @emilysharpe @dr_melissabyrne @claralexlobo @bobfunn
@Duke_Anesthesia @amit_pawa @EMARIANOMD @fuzzymittens @EM_RESUS @Assoc_Anaes @ASRA_Society @ESRA_Society @dasairway @dastrainees @Wilkinsonjonny @rosie_hogg @LloydTurbitt @RCoANews @Ron_George @morefluids @mswami001 @curromir @emilysharpe @dr_melissabyrne @claralexlobo @bobfunn There are lots of ways to anesthetize the airway…some are ok, some are good, but many are unreliable and take 20-30 minutes. That’s time I don’t have when a patient is in extremis. #Blocktober24 @OBsleepmerchant @Steve_Coppens @ajrmacfarlane @RegionalAnaesUK @saraamaralMD Image
Read 6 tweets
Jeff Gadsden Profile picture
Oct 31, 2022
It's the 31st of #Blocktober22 ! A few things before we say goodbye--please follow along on this 🧵. First, a MASSIVE thank you to everyone who engaged, tweeted, commented, and debated throughout the month--SOOO wonderful to see what an amazing community we have in RAAPM!! Image
@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @amit_pawa @EMARIANOMD @KalagaraHari @Duke_Anesthesia @anesthesiadocmd Our independent panel of trainees judged the image contest and have awarded @rafrussodoc the top prize for this mesmerizing OOP popliteal. Congrats Raffaele!! Some prizes coming your way to Puglia! #Blocktober22 @fuzzymittens @GongGasGirl @mswami001 @NarouzeMD @dr_rajgupta Image
@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @amit_pawa @EMARIANOMD @KalagaraHari @Duke_Anesthesia @anesthesiadocmd @rafrussodoc @fuzzymittens @GongGasGirl @mswami001 @NarouzeMD @dr_rajgupta @MKwesiKwofie @Jerryblocksthat @jon_bailey_anes @Nadia_Hdz_MD @SreeHPraveenKO1 @HoltzMaggie @dremilym @colinjmccartney @rosie_hogg @ajrmacfarlane As has been the case in the past, this #Blocktober22 ends with me (and hopefully many others) with new friends and colleagues that I can interact with and look forward to meeting in person!! Thank you for being part of this and we're looking forward to next year already! Image
Read 6 tweets
Jeff Gadsden Profile picture
Oct 30, 2022
Hellooooo! It's the 30th of #Blocktober22! We have a couple of announcements to make...🧵 @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @fuzzymittens @acopand @tsmurali @amit_pawa @EMARIANOMD @KalagaraHari @claralexlobo @Nadia_Hdz_MD
@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @fuzzymittens @acopand @tsmurali @amit_pawa @EMARIANOMD @KalagaraHari @claralexlobo @Nadia_Hdz_MD @Steve_Coppens @Jerryblocksthat @MKwesiKwofie @jon_bailey_anes @AmyPearsonMD @megs1970 @mariapsebastian @CA_PizzaHead @dr_rajgupta @ruthi_landau Thanks to all who tuned in to the #Blocktober22 Pub Trivia yesterday! A special thanks to friends who stayed up v. late-- @DrDiveshArora woke up at 1:30 am (😳) to take part!!! After a tough battle @ajrmacfarlane edged out @ChrisPrabhakar for the title of trivia champ! Congrats!
@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @fuzzymittens @acopand @tsmurali @amit_pawa @EMARIANOMD @KalagaraHari @claralexlobo @Nadia_Hdz_MD @Steve_Coppens @Jerryblocksthat @MKwesiKwofie @jon_bailey_anes @AmyPearsonMD @megs1970 @mariapsebastian @CA_PizzaHead @dr_rajgupta @ruthi_landau @DrDiveshArora @ajrmacfarlane @ChrisPrabhakar @zedunow @AmandaKumarMD @NarouzeMD @SreeHPraveenKO1 @garyschwartzmd @HoltzMaggie @anesthesiadocmd @EngySaid_MD @ankeetudani @colinjmccartney Now, we at #DukeRAP love 3 things: RA, having a laugh, and..chicken wings. So we decided to combine those into one event, in the format of the show "Hot Ones"...interview-style questions, with increasingly insane hot sauces. #Blocktober22 @dr_tgro @VeenaGraffMD @mjoldman
Read 4 tweets
Jeff Gadsden Profile picture
Oct 29, 2022
Good morning #Blocktober22 friends!! Today is the 29th and it's LIVE pub trivia day!! Want to see @galusweegie and me make fools of ourselves doing our best Trebek (or Ferrell) impressions, join us in 6 hours time (4 pm eastern)! Here's the link:

@galusweegie You don't even need to put pants on for this one...compete from the comfort of your own home! Trainees vs. bosses? East coast vs. west? Which team/individual will take home the regional trivia crown today?? 4 pm eastern 👇 @amit_pawa @EMARIANOMD

Image
@galusweegie @amit_pawa @EMARIANOMD @ajrmacfarlane @Steve_Coppens @HoltzMaggie @garyschwartzmd @KalagaraHari @SreeHPraveenKO1 @beckimarshRA @mick_kerr @nosecglasses @hjas18anes There will a little something for everyone today at the #Blocktober22 Pub Trivia! History, LA dosing, pictures of @galusweegie as a hotshot young doc in the 1990s...Don't miss this! @DrJeniMD @Jerryblocksthat @Jennythatcanbl1 @_anapatriciaper @ezmuzic

Image
Read 5 tweets
Jeff Gadsden Profile picture
Oct 27, 2022
Yo yo, it's the 27th of #Blocktober and it's also #ThrowbackThursday! All work and no play make #DukeRAP a dull group...we do like to get silly once in a while (ok, every day) and in case you missed our lame efforts at musical ineptitude in the past...well, you're welcome. 😬
@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @amit_pawa @EMARIANOMD @KalagaraHari @anesthesiadocmd @Nadia_Hdz_MD @Ropivacaine At the conclusion of #Blocktober20 we thought we'd blow off some steam and make a rap video. Here's the result. Still waiting for the Grammys to call...🤷‍♂️ #Blocktober22 @James_Kim_MD @AmyPearsonMD @dr_tgro @NarouzeMD @MonicaHarbellMD @ajrmacfarlane

@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @amit_pawa @EMARIANOMD @KalagaraHari @anesthesiadocmd @Nadia_Hdz_MD @Ropivacaine @James_Kim_MD @AmyPearsonMD @dr_tgro @NarouzeMD @MonicaHarbellMD @ajrmacfarlane In 2021 we thought, hey, we should do another video, but really wanted to change up the genre. We DO live in North Carolina, so country made sense: #Blocktober22 @fuzzymittens @acopand @mick_kerr @morefluids @DrNatStrand @garyschwartzmd @docmorne

Read 4 tweets
Jeff Gadsden Profile picture
Oct 27, 2022
Hello again! It's #Blocktober 26th, and today we're rounding out the lower limb with the sciatic approach to end all sciatic approaches...🧵 @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @AFSRAsociety @amit_pawa @EMARIANOMD @KalagaraHari
@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @AFSRAsociety @amit_pawa @EMARIANOMD @KalagaraHari @Ropivacaine @casualtysrus @Steve_Coppens @dr_rajgupta @Duke_Anesthesia @DrRobbieErskine @bobfunn @gaertner57 @mswami001 @claralexlobo The parasacral approach to the sciatic is a powerhouse, getting more than just the one nerve. It's also straightforward and because it relies on bony anatomy, it's hard to go astray (#BonesDontLie). @fuzzymittens @AmandaKumarMD @AmyPearsonMD @megs1970 @ajrmacfarlane
@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @AFSRAsociety @amit_pawa @EMARIANOMD @KalagaraHari @Ropivacaine @casualtysrus @Steve_Coppens @dr_rajgupta @Duke_Anesthesia @DrRobbieErskine @bobfunn @gaertner57 @mswami001 @claralexlobo @fuzzymittens @AmandaKumarMD @AmyPearsonMD @megs1970 @ajrmacfarlane @Jerryblocksthat @jon_bailey_anes @NarouzeMD @Docbasia @mick_kerr @pritanand @VeenaGraffMD @dr_tgro @elboghdadly @rosie_hogg Here's the link to the video: #Blocktober22 @Nadia_Hdz_MD @JanBoublikMDPhD @snouzin @garyschwartzmd @ChrisPrabhakar @PeterMerjavy @anesthesiadocmd @beckimarshRA @MKwesiKwofie @BridgetPulos @SreeHPraveenKO1 @Siva6faces @pompeygasman @tsmurali

Read 5 tweets

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