It's the 31st of #Blocktober22 ! A few things before we say goodbye--please follow along on this 🧵. First, a MASSIVE thank you to everyone who engaged, tweeted, commented, and debated throughout the month--SOOO wonderful to see what an amazing community we have in RAAPM!! @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @amit_pawa @EMARIANOMD @KalagaraHari @Duke_Anesthesia @anesthesiadocmd Our independent panel of trainees judged the image contest and have awarded @rafrussodoc the top prize for this mesmerizing OOP popliteal. Congrats Raffaele!! Some prizes coming your way to Puglia! #Blocktober22 @fuzzymittens @GongGasGirl @mswami001 @NarouzeMD @dr_rajgupta

Hellooooo! It's the 30th of #Blocktober22! We have a couple of announcements to make...🧵 @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @fuzzymittens @acopand @tsmurali @amit_pawa @EMARIANOMD @KalagaraHari @claralexlobo @Nadia_Hdz_MD @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @fuzzymittens @acopand @tsmurali @amit_pawa @EMARIANOMD @KalagaraHari @claralexlobo @Nadia_Hdz_MD @Steve_Coppens @Jerryblocksthat @MKwesiKwofie @jon_bailey_anes @AmyPearsonMD @megs1970 @mariapsebastian @CA_PizzaHead @dr_rajgupta @ruthi_landau Thanks to all who tuned in to the #Blocktober22 Pub Trivia yesterday! A special thanks to friends who stayed up v. late-- @DrDiveshArora woke up at 1:30 am (😳) to take part!!! After a tough battle @ajrmacfarlane edged out @ChrisPrabhakar for the title of trivia champ! Congrats!

Good morning #Blocktober22 friends!! Today is the 29th and it's LIVE pub trivia day!! Want to see @galusweegie and me make fools of ourselves doing our best Trebek (or Ferrell) impressions, join us in 6 hours time (4 pm eastern)! Here's the link:

@galusweegie You don't even need to put pants on for this one...compete from the comfort of your own home! Trainees vs. bosses? East coast vs. west? Which team/individual will take home the regional trivia crown today?? 4 pm eastern 👇 @amit_pawa @EMARIANOMD

Yo yo, it's the 27th of #Blocktober and it's also #ThrowbackThursday! All work and no play make #DukeRAP a dull group...we do like to get silly once in a while (ok, every day) and in case you missed our lame efforts at musical ineptitude in the past...well, you're welcome. 😬 @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @amit_pawa @EMARIANOMD @KalagaraHari @anesthesiadocmd @Nadia_Hdz_MD @Ropivacaine At the conclusion of #Blocktober20 we thought we'd blow off some steam and make a rap video. Here's the result. Still waiting for the Grammys to call...🤷‍♂️ #Blocktober22 @James_Kim_MD @AmyPearsonMD @dr_tgro @NarouzeMD @MonicaHarbellMD @ajrmacfarlane

Hello again! It's #Blocktober 26th, and today we're rounding out the lower limb with the sciatic approach to end all sciatic approaches...🧵 @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @AFSRAsociety @amit_pawa @EMARIANOMD @KalagaraHari @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @AFSRAsociety @amit_pawa @EMARIANOMD @KalagaraHari @Ropivacaine @casualtysrus @Steve_Coppens @dr_rajgupta @Duke_Anesthesia @DrRobbieErskine @bobfunn @gaertner57 @mswami001 @claralexlobo The parasacral approach to the sciatic is a powerhouse, getting more than just the one nerve. It's also straightforward and because it relies on bony anatomy, it's hard to go astray (#BonesDontLie). @fuzzymittens @AmandaKumarMD @AmyPearsonMD @megs1970 @ajrmacfarlane

Hey it's the 26th of #Blocktober, and we DO have a new video coming your way--stay tuned later today! 😉 In the meantime... @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @amit_pawa @EMARIANOMD @Duke_Anesthesia @dr_tgro @tsmurali @KalagaraHari @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASA_Australia @amit_pawa @EMARIANOMD @Duke_Anesthesia @dr_tgro @tsmurali @KalagaraHari @anesthesiadocmd @HoltzMaggie @Nadia_Hdz_MD @mswami001 @AmyPearsonMD @zedunow @morefluids @ajrmacfarlane @MonicaHarbellMD @garyschwartzmd This Saturday (Oct 29 at 4 pm eastern) we'll be hosting our first annual #Blocktober22 Pub Trivia Challenge!! Think you know a lot about regional anesthesia? Show hosts @galusweegie and me whatcha got--you can join individually, or compete as a team! Prizes for the winners!

Morning #Blocktober22 crew!! It's the 25th and today we want to do a little group project! We all have our go-to papers that we share with trainees/colleagues--impactful, practice-changing studies that we love....🧵 @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia #ANES22 @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @amit_pawa @EMARIANOMD @ajrmacfarlane @ESchwenkMD @galusweegie @claralexlobo @Steve_Coppens @KalagaraHari @SreeHPraveenKO1 @rljohnsonmd Let's all share our favorites--the ones that we pull out again and again and use to make important teaching points. #Blocktober22 I'll start with this one showing the incidence of sub-perineurial dye spread with intracluster supraclav injection.
pubmed.ncbi.nlm.nih.gov/30916000/

Whassup #Blocktober22 friends, it's the 23rd, and today we're excited to share something special with you. We're committed to bringing education to everyone who needs it, and I'm very proud to announce that we are releasing our videos fully translated into Spanish! @ASRA_Society @LasraAnestesia @ESRA_Society @amit_pawa @EMARIANOMD @KalagaraHari @Nadia_Hdz_MD @ESRASPAIN @mariapsebastian @CA_PizzaHead We have been extremely fortunate to work with two members of the extended #DukeRAP team who have done these incredible translations, and I'd like to introduce them both. The wonderful @mariapsebastian is the first: #Blocktober22 @Sedolor @educanestesia @DrSleep88 @melydoctorita

Good morning #Blocktober22 friends and greetings from the Big Easy! #ANES22 Today we're going to be reviewing an ultrasound-guided technique that we use to augment analgesia after TKA...follow along below! @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @amit_pawa @EMARIANOMD @KalagaraHari @SreeHPraveenKO1 @James_Kim_MD @claralexlobo @Steve_Coppens @DrRobbieErskine @bobfunn @Nadia_Hdz_MD The iPACK block is essentially US-guided posterior capsule infiltration. But rather than it being done blind through the capsule intraop (and potentially causing harm to neurovascular structures) we can do it precisely and safely preop...#Blocktober22 @fuzzymittens @shaskinsMD

Good morning! It's the 20th of #Blocktober22 and it's also, once again, #ThrowbackThursday! Today let's talk about the various upper limb blocks that we've discussed over the years--what's your fave and why? @ASRA_Society @ESRA_Society @amit_pawa @EMARIANOMD @KalagaraHari @ASRA_Society @ESRA_Society @amit_pawa @EMARIANOMD @KalagaraHari Let's start with interscalen brachial plexus block...I mean, for shoulder is there anything better? There are some nuances with needle position--should we go intraplexus or perplexus? I have some thoughts...#Blocktober22 @claralexlobo @Jerryblocksthat

Hiya, it's the 18th day of #Blocktober22 and today we're talking about a block used for upper limb trauma...you ARE doing blocks for trauma right? Follow along this thread to find out more and to chime in! @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @ASALifeline @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @ASALifeline @amit_pawa @EMARIANOMD @Duke_Anesthesia @KalagaraHari @HoltzMaggie @AFSRAsociety @megs1970 @MariaaYasminee @NarouzeMD @dr_rajgupta The clavipectoral fascial plane block is a relatively new technique designed to do one thing: anesthetize the clavicle. Great for clavicle fracture repair when you DON'T want to block the whole arm...#Blocktober22 @fuzzymittens @zedunow @Docbasia @colinjmccartney @Jerryblocksthat

Hey it's the 16th of #Blocktober22 and--in response to some excellent chatter yesterday--we're doing a Mythbusters episode! Follow the 🧵 below to find out more...@ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @ASALifeline @ASA_Australia @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @ASALifeline @ASA_Australia @amit_pawa @EMARIANOMD @KalagaraHari @KartikBSonawane @HoltzMaggie @James_Kim_MD @garyschwartzmd @pritanand @colinjmccartney @MoosaFarhaan People have some strong opinions on this one...and we do too! #Blocktober22 @Steve_Coppens @claralexlobo @fuzzymittens @CarpenterAdam9 @L_D_White @mick_kerr @NarouzeMD @ashwani_doc @dr_tgro @rosie_hogg @LloydTurbitt @Nadia_Hdz_MD @rljohnsonmd @MKwesiKwofie @Jerryblocksthat

Happy Saturday #Blocktober22 family! It's the 15th day--wow, time flies! Today we're discussing another lower limb technique that is incredibly useful and effective. Follow the 🧵 below to chime in! #DukeRAP @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @amit_pawa @EMARIANOMD @Duke_Anesthesia @AmyPearsonMD @anesthesiadocmd @dr_tgro @nelkassabany @megs1970 @ajrmacfarlane @dr_rajgupta Lumbar plexus block is a 6-in-1 block (six!) that we've used for a variety of lower limb procedures and indications...#Blocktober22 @colinjmccartney @NarouzeMD @DrPhilipPeng @fuzzymittens @KalagaraHari @elboghdadly @MariaaYasminee @acopand @KristopherSchr6 @Docbasia @DrNatStrand

Morning! It's #Blocktober 13th and it's also #ThrowbackThursday!! Today let's talk about all our fave lower limb block techniques--what's the one you CAN'T live without?? (best with 🔊) @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @ASA_Australia @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @ASA_Australia PENG block is one of our go-to techniques for hip fracture as well as THA. It's motor-sparing (usually...) and in RCTs compares well with fascia iliaca. Who's using PENG in their practice? @amit_pawa @EMARIANOMD @KalagaraHari @ajrmacfarlane

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

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

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

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

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

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

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