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madan.narayanan
United Kingdom
Registrace 20. 10. 2008
Approaches to Sciatic block
Video description with ultrasound images of all approaches to Sciatic nerve block
zhlédnutí: 585
Video
Anterior Suprascapular nerve block
zhlédnutí 14KPřed 4 lety
Anterior approach to Ultrasound guided suprascapular nerve block
Parasacral Ischial Plane block
zhlédnutí 19KPřed 4 lety
This is an easy, fascial plane approach to block the divisions of the Sacral plexus. Venkataraju A, Narayanan M, Phillips S. www.sciencedirect.com/science/article/pii/S0952818019304593?dgcid=rss_sd_all Ultrasound localization of the sacral plexus using a parasacral approach. Ben Ari. et al. www.ncbi.nlm.nih.gov/pubmed/19448235 Preliminary results of a new ultrasound-guided approach to block the...
Ultrasound guided Supraclavicular nerve block
zhlédnutí 2,9KPřed 5 lety
Ultrasound guided Supraclavicular nerve block to augment low volume interscalene block for shoulder surgery, for breast surgery, pain relief after clavicle fracture and central line insertions
PENG Block
zhlédnutí 76KPřed 5 lety
Pericapsular Nerve Group Block or PENG Block for Analgesia from fracture neck of Femur. This block covers the High articular branches of the Femoral and Accessory Obturator Nerve
Erector Spinae catheter
zhlédnutí 7KPřed 5 lety
Erector spinae Block: Parasagittal Inplane, Caudal to cephalad needling and catheter insertion in 2 cases (rib fractures and open nephrectomy) with very good pain relief.
Erector Spinae Block-Transverse Approach
zhlédnutí 8KPřed 5 lety
Ultrasound, Erector spinae, Pain relief, Breast surgery, Rib fractures, Paravertebral block,
Realtime Ultrasound guided Thoracic epidural insertion
zhlédnutí 24KPřed 6 lety
Realtime Ultrasound guided paramedian oblique interlaminar Thoracic epidural insertion validation in a cadaver
Pectoral muscles scanning
zhlédnutí 13KPřed 6 lety
Scanning the pectoral region for performing Pecs 1 and 2 blocks
Radial nerve scanning in Spiral groove
zhlédnutí 2,3KPřed 6 lety
Radial nerve scanning in Spiral groove
Median nerve scanning at wrist
zhlédnutí 13KPřed 6 lety
Potential uses 1. Tracing median nerve injury 2. Hydro-dissection or steroid injection in carpal tunnel for carpal tunnel syndrome 3. Flexor retinaculum block to anaesthetize the digital nerves of the median nerve sparing the palmar branch
Ocular ultrasound for raised Intracranial Pressure
zhlédnutí 6KPřed 7 lety
Ocular ultrasound for raised Intracranial Pressure
Gastric ultrasound for preoperative assessment
zhlédnutí 62KPřed 7 lety
Gastric ultrasound for preoperative assessment
Infraclavicular Brachial Plexus Catheter
zhlédnutí 1,3KPřed 7 lety
Infraclavicular Brachial Plexus Catheter
Ultrasound diagnosis of Sternal fracture post CPR
zhlédnutí 2,3KPřed 7 lety
Ultrasound diagnosis of Sternal fracture post CPR
Continuous peripheral regional anaesthesia systems
zhlédnutí 1,5KPřed 7 lety
Continuous peripheral regional anaesthesia systems
Ultrasound detection of Hydronephrosis in Critical care
zhlédnutí 2,4KPřed 7 lety
Ultrasound detection of Hydronephrosis in Critical care
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Video is succinct and to the point. Thank you.
Also I see this is 5 years old, have you altered your approach or technique since? Thanks for the great video
We dont perform as much TEA in our centre (we use fascial plane blocks). The current update is to use a bag of fluid attached to an infusion set to detect LOR when doing single handed. Same technique, just published 5 years later rapm.bmj.com/content/early/2024/02/21/rapm-2023-105071
Great video. How do you go about holding the probe in one and performing the LOR with one hand?
Extension tubing attached to the tuohy needle.
Excellent lecture sir. Sir , will infragluteal approach block PFCN also?
In theory, they are not very far away and should cover the PFCN in the infragluteal approach
@@mnar76thank you sir 🙏
Tqvm! Will try this approach
다들 2차 화이팅!
You’re back!
😊😊 After 3 years, first video!
what about radiofrequency ablation of these nerves for longer pain relief? How long would pain relief last and would it affect motor function and lead to weakness?
I am not a chronic pain physician, the risk to the brachial plexus exists due to the proximity. Posterior approach may be safer
Excellent lecture Sir. We’ll wait for more CRASH lectures Sir. Thank you very much Sir
Thank you for this concise and detailed video. Proximal approaches to the sciatic nerve can be truly discouraging, especially when one's not as skilled or experienced. PIP block seems very promising in that regard.
Glad it was helpful!
The full video of the PIP block is available here czcams.com/video/cnigIGMMiZk/video.html
Will certainly have a look. Thank you, Doctor!@@mnar76
3/3 successful anesthetic blocks with your PIP block, thank you for this great idea.
Crash🎉🎉🎉
Great Video! Berlin, Germany!
So, my problem was to actually see the nerve with the US. And I realized that that nerve is just 0.5 cm from the surface of the skin, in a normal person. Of course if its obese patient it would be deeper. So, 0.5 cm but how and where I can find it in less than 10 sec. It is fingers medial and then 2 fingers bellos from ASIS. So, measure 2 fingers from ASIS. From that point- go 2 fingers caudally and this is you spot. Tnx..
3 finger breadhs below ASIS, feel for the geoove between sartorius and tensor fascia lata. The nerve/branches will be lying superficially in the groove, you can then scan it cephalad to under the inguinal ligament. Even if you inject into the fat filled flat tunnel, your likelihood of blocking the nerve is very high even if you dont see the nerve
From which step we can start their treatment ? Can we visit artho/ any other department
Related these issues who is the best doctor? Or best test ? Best medicine? Form whi
On the left eye you measured the optic nerve instead of the surrounding optic nerve sheath - the optic nerve of course does not change its Diameter with rising ICP, but the optic nerve sheath which is filled with CSF expands as ICP rises, and therefore correlates with increased ICP. It is the more hyperechoic structure adjacent to/ surrounding the hypoechoic optic nerve itself. In the image of the left eye this is easy to identify, in the right eye it is more difficult due to the image quality. And a cut-off of > 5 mm ist not predictive of raised ICP as there is great interindividual variation in optic nerve sheath diameter. More realistic is that <5mm is usually normal ICP, > 6mm likely elevated ICP, between 5-6mm is unclear.
Wonderful
Wonderfully informative and to the point. Thanks
Thank you.
GREAT EACHING
Thank you
Outstanding quality!!!
I hope you got some nice pictures.
Sir the video is very informative and easy to understand thanks a lot .one kind request is if the video has audio explanation it would be even better
thanks dr
Excellent ! Do you have a favored approach for the axillary nerve?
I prefer and do the posterior approach as it exists from the quadrangular space. Selective posterior cord Infraclavicular block can also target the Axillary nerve and the subscapular nerves.
Perhaps a video for the axillary nerve would be helpful.
Very nice 👍 presentation
Sir how much this scanning?
Excellent video and didactics.
thank you for the video and great music choice!
Great sirji
Nice Video.
sir penile nerves can be repaired ? Thank you!
this class is everything thank you dr madan and i was so easy to understand, english isnt my first language , all the articles, excellent , please continue with this videos, are amazing, thank you very much dr, grettings from mexico
An excellent video and a perfectly executed block . The beauty of this approach helps especially when dealing with morbidly obese patients as its relatively easier to see the ischium under USG in such patients. Bravo!
Thank you very much
Thank you for the presentation, tried it for the first time on a above knee amputation case, works excellently
best video I have found
excellent video, with a detailed explanation and in a short time. the music is wonderful. what is the name of the song? congratulations and thanks
Great stuff! I’ve never seen such a demonstration. Would you care to explain the findings?
Nice
Frook u southee
Thanx a lot.. It's a good presentation
Thanks
What’s the symptoms of this condition? Is than injections in the last part? What kind cortisone?
Dad: Did you eat the last cookie? Son: No I didn't. Dad : are you sure? Son: I wouldn't lie. Dad: ok, let me get my portable ultrasound. We will see.
Great, Thank you! Can be use with a catether too?
sir kya hydronephrosis ho to kya cancer ka dar hota hai
Not always. Its one of the numerous causes. Most commonly it is Stricture or stone.
@@mnar76 sir stone hai 2.9cm ka aur hydronephrosis hai gross hadal treatment me dr ne likha hai aur 2.9cm ka ek stone hai ek kidny me lekin dard zara bhi nahi is lye dar cancer ka hoa suna hai cancer me dard nahi hota
@@seemayaqoobnadiadwala2933 Kindly consult urologist
Nice demo
After years of pain my doc found this exact same injury on an xray. They sent me to a cardiothorasic surgeon that did a CT and told me there was no fracture when clearly there is. Completely disregarded the xray because of the CT. Why would they do that? Why won't they help? Don't think he even took the time to look at the xray.
Thank you!!