Jeff Gadsden

Follow @jeffgadsden

Oct 10 • 5 tweets • 34 min read

Hey all!! We are 10 days into #Blocktober22 and today we're gonna talk about something a little different. Today's block technique is another old one that's been increasing in popularity with the use of ultrasound. Read the 🧵below to find out more! @ASRA_Society @ESRA_Society

@ASRA_Society @ESRA_Society @AoraIndia @amit_pawa @EMARIANOMD @NarouzeMD @KalagaraHari @garyschwartzmd @dr_rajgupta @claralexlobo @Steve_Coppens @ajrmacfarlane Sphenopalatine ganglion block has long been used for treatment of certain headaches, and has grown in utility for periop pain management for craniofacial procedures. Ultrasound makes it waaaay less intimidating...#Blocktober22 #DukeRAP @nelkassabany @dr_tgro @lasrachile @drchadb

@ASRA_Society @ESRA_Society @AoraIndia @amit_pawa @EMARIANOMD @NarouzeMD @KalagaraHari @garyschwartzmd @dr_rajgupta @claralexlobo @Steve_Coppens @ajrmacfarlane @nelkassabany @dr_tgro @lasrachile @drchadb @DrNatStrand @ShaliniShahMD @colinjmccartney @rosie_hogg @MonicaHarbellMD @Docbasia @zedunow @Duke_Anesthesia @Nadia_Hdz_MD @docmorne Here's the link to the sphenopalatine ganglion block video! #Blocktober22 #DukeRAP @MKwesiKwofie @BridgetPulos @PeterMerjavy @VeenaGraffMD @Drhaclarke @AmyPearsonMD @SreeHPraveenKO1 @kaohesham @dr_tinadoshi @DrRobbieErskine @pritanand @HoltzMaggie

@ASRA_Society @ESRA_Society @AoraIndia @amit_pawa @EMARIANOMD @NarouzeMD @KalagaraHari @garyschwartzmd @dr_rajgupta @claralexlobo @Steve_Coppens @ajrmacfarlane @nelkassabany @dr_tgro @lasrachile @drchadb @DrNatStrand @ShaliniShahMD @colinjmccartney @rosie_hogg @MonicaHarbellMD @Docbasia @zedunow @Duke_Anesthesia @Nadia_Hdz_MD @docmorne @MKwesiKwofie @BridgetPulos @PeterMerjavy @VeenaGraffMD @Drhaclarke @AmyPearsonMD @SreeHPraveenKO1 @kaohesham @dr_tinadoshi @DrRobbieErskine @pritanand @HoltzMaggie And here's our curated reading list for SPG block...enjoy! #Blocktober22 @beckimarshRA @KristopherSchr6

ncbi.nlm.nih.gov/books/NBK54530…
pubmed.ncbi.nlm.nih.gov/29285576/
pubmed.ncbi.nlm.nih.gov/33199256/
ncbi.nlm.nih.gov/pmc/articles/P…
pubmed.ncbi.nlm.nih.gov/33323391/
pubmed.ncbi.nlm.nih.gov/35579433/
pubmed.ncbi.nlm.nih.gov/33230676/

@ASRA_Society @ESRA_Society @AoraIndia @amit_pawa @EMARIANOMD @NarouzeMD @KalagaraHari @garyschwartzmd @dr_rajgupta @claralexlobo @Steve_Coppens @ajrmacfarlane @nelkassabany @dr_tgro @lasrachile @drchadb @DrNatStrand @ShaliniShahMD @colinjmccartney @rosie_hogg @MonicaHarbellMD @Docbasia @zedunow @Duke_Anesthesia @Nadia_Hdz_MD @docmorne @MKwesiKwofie @BridgetPulos @PeterMerjavy @VeenaGraffMD @Drhaclarke @AmyPearsonMD @SreeHPraveenKO1 @kaohesham @dr_tinadoshi @DrRobbieErskine @pritanand @HoltzMaggie @beckimarshRA Are YOU using sphenopalatine ganglion block in your practice? Any tips and tricks that you find helpful? #Blocktober22 @mick_kerr @hjas18anes @CA_PizzaHead @mariapsebastian @MariaaYasminee @TheIntubator @DrTimJen @EHigginsMD @jon_bailey_anes @Ropivacaine @OuahidRahil

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More from @jeffgadsden

Jeff Gadsden

@jeffgadsden

Oct 12

Hey hey it's the 12th day of #Blocktober22 ! Today we'll be exploring a way to prolong those blocks beyond the usual 12-18 hours...follow the 🧵 below to follow along and chime in! #DukeRAP @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @AFSRAsociety @ASALifeline

@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @AFSRAsociety @ASALifeline @amit_pawa @EMARIANOMD @morefluids @dr_tgro @nelkassabany @VeenaGraffMD @dr_rajgupta @ruthi_landau @colinjmccartney @KiJinnChin Continuous catheters are an amazing way to prolong blocks for days to weeks. They CAN be a little tricky at times, and in today's video we'll offer up some of our own tips for making sure they go in easy, and stay in the right place! #Blocktober22 @fuzzymittens @NarouzeMD

@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @AFSRAsociety @ASALifeline @amit_pawa @EMARIANOMD @morefluids @dr_tgro @nelkassabany @VeenaGraffMD @dr_rajgupta @ruthi_landau @colinjmccartney @KiJinnChin @fuzzymittens @NarouzeMD @Steve_Coppens @ajrmacfarlane @DrRobbieErskine @bobfunn @claralexlobo @_anapatriciaper @rosie_hogg @LloydTurbitt @garyschwartzmd @MKwesiKwofie Here's the link to the video: #Blocktober22 @Duke_Anesthesia @AmandaKumarMD @wmbullockMDPhD @zedunow @Ropivacaine @SreeHPraveenKO1 @KalagaraHari @galusweegie @rljohnsonmd @James_Kim_MD @anesthesiadocmd @KohanLynn @CA_PizzaHead @mariapsebastian

Jeff Gadsden

@jeffgadsden

Oct 11

Hey it's day 11 of #Blocktober22 ! Today we're back to peripheral blocks, and will be discussing a lower limb block that has a lot of utility in certain settings...follow the 🧵 below to find out more... #DukeRAP @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia

@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @Duke_Anesthesia @amit_pawa @EMARIANOMD @morefluids @dr_rajgupta @ankeetudani @ajrmacfarlane @rosie_hogg @Steve_Coppens @claralexlobo The obturator nerve block is used for amputations, to prevent reflex adductor contraction during TURBT, and a number of other indications. #Blocktober22 @BenjaminLukeFox @snouzin @fuzzymittens @docmorne @Neuro_Kellie @VeenaGraffMD @dr_tgro @nelkassabany @James_Kim_MD @HoltzMaggie

@ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @Duke_Anesthesia @amit_pawa @EMARIANOMD @morefluids @dr_rajgupta @ankeetudani @ajrmacfarlane @rosie_hogg @Steve_Coppens @claralexlobo @BenjaminLukeFox @snouzin @fuzzymittens @docmorne @Neuro_Kellie @VeenaGraffMD @dr_tgro @nelkassabany @James_Kim_MD @HoltzMaggie @ESchwenkMD @galusweegie @DrJeniMD @AmandaKumarMD @paulhting @athmathottungal @MKwesiKwofie @Ropivacaine @jon_bailey_anes @SreeHPraveenKO1 Here's the link to the obturator nerve block video: #Blocktober22 @mjoldman @MonicaHarbellMD @KalagaraHari @rljohnsonmd @bobfunn @DrRobbieErskine @pritanand @tsmurali @CA_PizzaHead @mariapsebastian @lianazucco @AminaBenyoucef5

Jeff Gadsden

@jeffgadsden

Oct 9

Good morning, it's the 9th of #Blocktober22! Today is the first of our contests this month, the crossword! Test your wits and RA knowledge against others and win swag!! More details below 👇 👇 @ASRA_Society @ESRA_Society @Duke_Anesthesia @LasraAnestesia @AoraIndia @ASALifeline

@ASRA_Society @ESRA_Society @Duke_Anesthesia @LasraAnestesia @AoraIndia @ASALifeline @amit_pawa @EMARIANOMD @ajrmacfarlane @claralexlobo @Steve_Coppens @mswami001 @AmyPearsonMD @Ron_George @zedunow @MariaaYasminee Before we get to this year, let's take a second to celebrate the razor-sharp puzzle-solving of two previous winners, @amit_pawa & @DrPattyCake ! These two are going to be hard to beat! #Blocktober22

@ASRA_Society @ESRA_Society @Duke_Anesthesia @LasraAnestesia @AoraIndia @ASALifeline @amit_pawa @EMARIANOMD @ajrmacfarlane @claralexlobo @Steve_Coppens @mswami001 @AmyPearsonMD @Ron_George @zedunow @MariaaYasminee @DrPattyCake @NarouzeMD @KalagaraHari @ruthi_landau @dannyjnwong @HarrietHopfMD @Docbasia @MKwesiKwofie @jon_bailey_anes @colinjmccartney @HoltzMaggie And what's at stake?? Well, bragging rights, obvs. Plus the winner will take home some sweet #DukeRAP swag!

Jeff Gadsden

@jeffgadsden

Oct 8

Happy Saturday #Blocktober22 family! It's day 8, and today we're going to stick with the brachial plexus...let's see...what haven't we covered?? 🤔Follow the 🧵below to find out and chime in! @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @AFSRAsociety @ASALifeline

@ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @AFSRAsociety @ASALifeline @amit_pawa @EMARIANOMD @jon_bailey_anes @MKwesiKwofie @doctorhelgi @DrBenLovell @AlexAndersonMD @Duke_Anesthesia @megs1970 @ajrmacfarlane The costoclavicular brachial plexus block is a relatively new but quite popular technique--the location of the cords on one side of the artery makes it an attractive option for a quick, reliable block! #Blocktober22 #DukeRAP @fuzzymittens @ketaminh @GongGasGirl @NarouzeMD

@ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @AFSRAsociety @ASALifeline @amit_pawa @EMARIANOMD @jon_bailey_anes @MKwesiKwofie @doctorhelgi @DrBenLovell @AlexAndersonMD @Duke_Anesthesia @megs1970 @ajrmacfarlane @fuzzymittens @ketaminh @GongGasGirl @NarouzeMD @Ropivacaine @SreeHPraveenKO1 @KalagaraHari @anesthesiadocmd @dr_tgro @nelkassabany @HoltzMaggie @James_Kim_MD @morefluids @mswami001 Here's the link to the video...#Blocktober22 @dr_rajgupta @cjlmcc @rljohnsonmd @AmyPearsonMD @ruthi_landau @Docbasia @elboghdadly @garyschwartzmd @mick_kerr @L_D_White @Nadia_Hdz_MD @montymythen @VeenaGraffMD @DrJeniMD @PeterMerjavy @LloydTurbitt

Jeff Gadsden

@jeffgadsden

Oct 7

Wassup #Blocktober22 friends, it's day 7! Today we're going to re-visit a different take on a classic brachial plexus block...follow the 🧵 below to find out more! #DukeRAP @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @AFSRAsociety @ASA_Australia @ASALifeline

@ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @AFSRAsociety @ASA_Australia @ASALifeline @amit_pawa @EMARIANOMD @KalagaraHari @doctorwibble @DrMStiegler @Duke_Anesthesia @mswami001 @sassistheword @Ron_George @MariaaYasminee The RAPTIR (or retroclavicular) approach to the brachial plexus is a variation of the infraclavicular approach. Why bother? It does have some attractive aspects like better needle visibility and avoidance of neurovascular kebabing...#Blocktober22 #DukeRAP @fuzzymittens @ketaminh

@ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @AFSRAsociety @ASA_Australia @ASALifeline @amit_pawa @EMARIANOMD @KalagaraHari @doctorwibble @DrMStiegler @Duke_Anesthesia @mswami001 @sassistheword @Ron_George @MariaaYasminee @fuzzymittens @ketaminh @DrRobbieErskine @bobfunn @zedunow @NarouzeMD @colinjmccartney @elboghdadly @ankeetudani @rosie_hogg @garyschwartzmd @HoltzMaggie Here's a link to the video: #Blocktober22 @ajrmacfarlane @GongGasGirl @acopand @VeenaGraffMD @dr_tgro @docmorne @BarbaraVersyck @Steve_Coppens @claralexlobo @MKwesiKwofie @Jerryblocksthat @jon_bailey_anes @DrJeniMD @FutureAnesRes @TomJelic @ACEPNow

Jeff Gadsden

@jeffgadsden

Oct 6

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

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