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”
The argument used by the anaesthetist for why the nerve block should be sited
Reaction of the anaesthetist When the surgeon requests the surgery be performed under block alone
When the surgeon congratulates the anaesthetist on an excellent block
When your trainee places a block with slick skills and it works beautifully
How you fee about regional anaesthesia when you can finally see your target and your needle at the same time!
How your trainee feels when they have successfully performed their first block for awake surgery
The first time your block doesn’t work completely
When you place your first Paravertebral
When your anaesthetic assistant tells you Dr X is better/faster at siting blocks than you!

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Amit Pawa

Dr Amit Pawa Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @amit_pawa

10 Feb
Looking forward to #POCUS webinar with @ASRA_Society with @jattarab @KalagaraHari @dr_melissabyrne and team! Image
@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 Image
Read 28 tweets
9 Feb
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

ncbi.nlm.nih.gov/pubmed/1937235…

insights.ovid.com/anesthesia-ana…
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…
Read 9 tweets
25 Jan
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...
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
24 Jan
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
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
1 Oct 20
This time on the otherside of the webinar situation!!
Looking forward to learning from @ICUltrasonica @Wilkinsonjonny @PARADicmSHIFT and crew! 💪🏽💪🏽💪🏽
First up... @PARADicmSHIFT
Lots of TEE studies/courses available
FICE
FATE
FEEL
FUSIC
FUSIC HD
BSE level 1 and 2
Read 37 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!