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Dr Amit Pawa

9 Feb, 9 tweets, 12 min read

@EMARIANOMD

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...

@EMARIANOMD

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

ncbi.nlm.nih.gov/pubmed/1937235…

insights.ovid.com/anesthesia-ana…

@EMARIANOMD

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

ncbi.nlm.nih.gov/pmc/articles/P…

@EMARIANOMD

The 3rd of 10 of @EMARIANOMD’s papers is very relevant as it’s on #SoMe! It is about Upgrading the Social Media Strategy to Increase Twitter Engagement During an @ASRA_Society Spring Meeting. What do you think Tweeps? #RAUK21 #MarianoTopTen 3/10

ncbi.nlm.nih.gov/pubmed/2826706…

@EMARIANOMD

The 4th of 10 of @EMARIANOMD’s papers is about Interfascial Plane Blocks and encourages the reader to open their eyes as to how they may act. This paper has done particularly well in @RAPMOnline #RAUK21 #MarianoTopTen 4/10

rapm.bmj.com/content/43/4/3…

@EMARIANOMD

The 5th of 10 of @EMARIANOMD’s papers is about Cessation of Postoperative Opioids. Totally relevant in the current #OpioidEpidemic #RAUK21 #MarianoTopTen 5/10

academic.oup.com/painmedicine/a…

@EMARIANOMD

The 6th of 10 of @EMARIANOMD’s papers compares Continuous adductor canal blocks with femoral nerve blocks for #TKA #TKR - continues to be topical & may well feature at #RAUK21 -what was better at promoting early ambulation? #MarianoTopTen 6/10

ncbi.nlm.nih.gov/pmc/articles/P…

@EMARIANOMD

The 7th of 10 of @EMARIANOMD’s papers compares 2 techniques for siting infraclavicular catheters. I have never used a stimulating catheter- what do people think of them? #Catheter #Ultrasound #Infraclavicular #RAUK21 - #MarianoTopTen 7/10

onlinelibrary.wiley.com/doi/full/10.78…

@EMARIANOMD

The 8th of 10 of @EMARIANOMD’s papers looks at training of perineural #Catheter placement under #Ultrasound - how can we train more people on this important skill #RAUK21 - #MarianoTopTen 8/10

onlinelibrary.wiley.com/doi/full/10.78…

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More from @amit_pawa

Dr Amit Pawa

@amit_pawa

10 Feb

@ASRA_Society

Looking forward to #POCUS webinar with @ASRA_Society with @jattarab @KalagaraHari @dr_melissabyrne and team!

@dr_melissabyrne

@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

Read 28 tweets

Dr Amit Pawa

@amit_pawa

9 Feb

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”

Read 12 tweets

Dr Amit Pawa

@amit_pawa

25 Jan

@RegionalAnaesUK

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...

https://twitter.com/amit_pawa/status/1350862678600912898

@LloydTurbitt

The concept came from an excellent editorial from @LloydTurbitt , @EMARIANOMD & @elboghdadly

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👇🏼

…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

The First of these blocks is the Interscalene Brachial Plexus Block

RA-UK 📖: ra-uk.org/index.php/inte…

RA-UK🎥 : adobe.ly/3nTlHAX

RA-UK Poster: ra-uk.org/index.php/post… 👇🏼

Read 12 tweets

Dr Amit Pawa

@amit_pawa

24 Jan

@glauncel

A lesson in keeping it simple- or as @glauncel says - KISS - Keep It Simple Stupid!

1/5

So - a member of the Pawa household dropped a plastic cap down the shower drainage hole by accident- see exhibit A below 👇🏼

2/5 Unfortunately- the shower was now unusable - a big deal for us all!
So - as someone who had been using a fibrescope on ICU recently, I had a great idea! I used my Amazon prime account and ordered a Wifi transmitting portable endoscope to get down the drain - exhibit B👇🏼

3/5 As a frustrated wanna-be surgeon (joking!) I was delighted when I inserted the endoscope, and through the gross “drain waste” , I could see the cap!

All that remained was for me to extract it with the selection of hooks provided.
After 45 mins, and Sore knees - we aborted!

Read 5 tweets

Dr Amit Pawa

@amit_pawa

5 Oct 20

I had a desire to pen another of my #PawaPoems -this time, a non-rhyming-type. Here goes...

A whole New World

The alarm goes off at 0530,
A battle of the snooze alarm versus my state of wakefulness then ensues,
I struggle to get out of bed- that much has not changed !

1/n

I shower and dress for work - no longer wearing suits or chino-blazer combos - they don’t do well when thrust within the depths of the Washing machine during my nightly “return from work corridor strip routine”.

2/n

Heading out of the door I double check my belongings citing my Morning Mantra - “Phone, Keys, Santiser, mask”
No longer needing my wallet- when was the last time i used cash anyway?

3/n

Read 12 tweets