It's the 6th of #Blocktober22 and it's ALSO #ThrowbackThursday !! ICYMI, we've discussed a number of chest wall blocks in prior #blocktober seasons...what's your fave? Follow the 🧵below to chime in! #DukeRAP @ASRA_Society @ESRA_Society @ASALifeline @LasraAnestesia @AoraIndia
@ASRA_Society @ESRA_Society @ASALifeline @LasraAnestesia We're not ones to shy away from controversy so....ESP. Let's talk about it. Love/Hate it? Works in spine but not for belly? Ventral rami?? 🤔We'd LOVE to hear your experiences! #Blocktober22 @KalagaraHari @amit_pawa @Steve_Coppens @Jerryblocksthat
@ASRA_Society @ESRA_Society @ASALifeline @LasraAnestesia @KalagaraHari @amit_pawa @Steve_Coppens @Jerryblocksthat Parasternal blocks are delightful IMO. I ❤️ them for chest wall trauma & sternotomy. Anybody else out there a big fan?? @Nadia_Hdz_MD @anesthesiadocmd @AminaBenyoucef5 @ajrmacfarlane @jon_bailey_anes @NarouzeMD @nelkassabany @dr_tgro @HoltzMaggie
@ASRA_Society @ESRA_Society @ASALifeline @LasraAnestesia @KalagaraHari @amit_pawa @Steve_Coppens @Jerryblocksthat @Nadia_Hdz_MD @anesthesiadocmd @AminaBenyoucef5 @ajrmacfarlane @jon_bailey_anes @NarouzeMD @nelkassabany @dr_tgro @HoltzMaggie I'm also quite fond of external oblique intercostal blocks for upper abdominal surgery--& our hepatobiliary surgeons do too! I've actually stopped doing subcostal TAPs b/c of how well this works. What r you using it for?? #blocktober22 @kaohesham
@ASRA_Society @ESRA_Society @ASALifeline @LasraAnestesia @KalagaraHari @amit_pawa @Steve_Coppens @Jerryblocksthat @Nadia_Hdz_MD @anesthesiadocmd @AminaBenyoucef5 @ajrmacfarlane @jon_bailey_anes @NarouzeMD @nelkassabany @dr_tgro @HoltzMaggie @kaohesham And let's not forget the king of blocks: paravertebral. IMO it's very hard to beat a good PVB, BUT it's not for everyone. ESP vs PVB? 🥊🤔#Blocktober22 @VeenaGraffMD @MKwesiKwofie @DrRobbieErskine @bobfunn @MonicaHarbellMD @DrDiveshArora @hjas18anes
@ASRA_Society @ESRA_Society @ASALifeline @LasraAnestesia @KalagaraHari @amit_pawa @Steve_Coppens @Jerryblocksthat Grand rounds I gave last year. Just sayin'. #Blocktober22 
But serious question: For those doing ESP for spine (and I'll fully admit, I think THAT is the primo indication), has anyone had issues with interference with neuromonitoring? We have not for adult lumbar/thoracolumbar cases. Anyone doing large volumes of Peds scoliosis? Issues?
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