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Dr Amit Pawa💉🎙️ Profile picture
@amit_pawa
Jan 19, 2022 • 13 tweets • 12 min read • Read on X
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Coming soon, An #RAUKISURA22 🧵 on our Bruce Scott Lecturer @colinjmccartney & his Favourite Five Publications!

Watch this space!

#RegionalAnesthesia

#McCartneysFavouriteFive Image
Ok- its time to start our #RAUKISURA22 Bruce Scott Lecturer. @colinjmccartney ‘s series of #McCartneysFavouriteFive papers Image
Here is Number 5

Available here- pubmed.ncbi.nlm.nih.gov/15277930/

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. ImageImageImage
Tell Us @colinjmccartney - why did this make the “Cut”?

Meanwhile - don’t forget to register your place at ra-ukmeetings.com
Ok- here is number 4 of #McCartneysFavouriteFive for #RAUKISURA22

This SR evaluated the effect of NMDA receptor antagonists on reducing postop pain & analgesic consumption beyond the clinical duration of action of the target drug (preventive analgesia).

journals.lww.com/anesthesia-ana… ImageImage
Tell us @colinjmccartney why this this paper of yours make the Fave Five?

Whilst you are reading, don’t forget to register for #RAUKISURA22 here 👇🏽

ra-ukmeetings.com
Number 3 in the series of #McCartneysFavouriteFive
Is a study to determine the sensitivity of paresthesia & motor response to nerve stimulation as tools for nerve localization when a 22-g insulated needle is used for axillary-nerve block
Link👇🏽
rapm.bmj.com/content/31/5/4… ImageImageImage
This was an interesting study using Nerve Stimulation and Ultrasound. @colinjmccartney please tell us more about why this study made the top 5!

Don’t forget to register folks for #RAUKISURA22 at

ra-ukmeetings.com
Now for Number 2 in #McCartneysFavouriteFive
This study examined whether US can reduce the volume required when compared with nerve stimulation for Interscalene Block

Link👉🏽 bjanaesthesia.org/article/S0007-… ImageImage
This was a really great study comparing these two techniques for #regionalanaesthesia

@colinjmccartney - why did this one make your top five?

Meanwhile folks- register your place for #RAUKISURA22 here

ra-ukmeetings.com
The final instalment and number 1 paper in #McCartneysFavouriteFive is this paper which examined the incidence of phrenic nerve palsy with a low-volume ISBPB compared with a standard-volume technique both guided by ultrasound. bjanaesthesia.org/article/S0007-…
#RAUKISURA22 ImageImageImage
Tell us why this made number 1 @colinjmccartney ?

Such a great #RegionalAnesthesia paper!

While reading- please do register for #RAUKISURA22 at

ra-ukmeetings.com
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More from @amit_pawa

Dr Amit Pawa💉🎙️ Profile picture
Nov 14, 2021
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!
@RegionalAnaesUK has been working hard to change the way we deliver education in #RegionalAnaesthesia
Check out some of highlights from #RAUK19 in Belfast organised by @LloydTurbitt @rosie_hogg @PeterMerjavy @davejohnston24 & Mike Jones ra-ukmeetings.com/past-events
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
Read 15 tweets
Dr Amit Pawa💉🎙️ Profile picture
Feb 10, 2021
Looking forward to #POCUS webinar with @ASRA_Society with @jattarab @KalagaraHari @dr_melissabyrne and team!
@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 31 tweets
Dr Amit Pawa💉🎙️ Profile picture
Feb 9, 2021
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💉🎙️ Profile picture
Feb 9, 2021
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
Dr Amit Pawa💉🎙️ Profile picture
Jan 25, 2021
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
Dr Amit Pawa💉🎙️ Profile picture
Jan 24, 2021
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

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