Video

finally!!! some freaking sense about this stupid FT vs. AC debate!

what local anesthetic and concentration would you use for a volume of 80mL for 4 injections?

Something to ponder if you would be up to it, is a weekend course for emergency medicine providers with ultrasound guided nerve blocks including the following: Medial and ulnar nerve blockade for hand injuries/forearm injuries Superficial cervical plexus blockade Serratus blockade for rib fractures PENG Fascia Iliaca blocks Foot and ankle blocks Other blocks??? I suspect that there would be some interest in a hands on skill lab with US guidance.

The high five at the end😂

Pregunta: he leído en algunas bibliografías que la espinal continúa no se usa no tanto por la cefalea post puncion sino por el síndrome de cauda equina...en su práctica diaria han tenido algún caso y cuál ha sido su incidencia

I wd be interested but HECK you talk so frikkin fast!

Excelente vídeo. Obrigado!

Is it just me or does a 100mm needle seem a bit overkill, surely a 50mm would do

Useful and clear presentation. Strong work!

this treatment. Angina due to myocardial bridge disease. Is it suitable for this disease?

At which level did you put the catheter?

It looks really simple. I think I could try it for obese patients. Thank you very much.

The surgeon operating exactly where you deposit your local anaesthetic volume is not a very confidence inspiring technique, personally. But yes, where avoidance of phrenic palsy is paramount, this is good to have in the backpocket.

Regional Anesthesiology and Acute Pain Medicine: Erector Spinae Plane ( ESP ) Block

I have had 5 LAST reactions. One in my arm, 4 at the dentist. It was terrifying. Only the last reaction involved my heart, as far as I know. Are some people prone to this reaction or is it always the guy with the syringe? Is General anaesthesia the answer? I present with intense confusion, I can’t hear or process what is said and I am unable to make words or connect to my mouth. Tears run down my face and I feel buzzing all over. I apparently turn very pale. I am not at all afraid if needles, or "just anxious" as previous providers suggested. I have been numbed several times without this reaction. And here's the kicker- none of the doctors knew what happened! They just moved on.

Beautifully explained ❤

omg the puns, i love this man so much

😊

Legal

Bom

Su voz irreemplazanle..transmite una nota unica e inigualable. Siempre vivirás en nuestros corazones❤

Muito bom

we use exparel (adductor along with surgeon injections) for our tka's. total dose is 20 cc 1.3% exparel with 30 cc .25% marcaine. this seems to be the max recommended dose of local. another 20 cc for the genicular blocks would exceed recommended max mounts.

This has one of the best ultrasound/tissue diagram I've ever seen! I'm speaking on applied anatomy for vascular access. Do you mind if I use a section of it for a presentation?

do we finally know the answer: can be done billateraly? in the most literature indication is thyroid surgery or paratyhroid surgery , my concern : for this surgery we have to do bilaterall intermidiate cervical plexus block, what about a risk of blocking phrenic nerve , recurent laryngeal nerve?? can somebody please answer this?

When if ever would you recommend the PENG over SIFI? Or does it simply fall to provider comfort level?

excelente video... mucho mejor abordaje comparado a la fluoroscopia

why do we see as a hypo-echoic and not hyper-echoic circles? 😳

Why is Epinephrine is used as a marker for detecting intravascular injection? I mean if the pacient is monitorized you can see the heart rate rising instantly but if it’s just a local injection how it helps?

That was an excellent video. Thank you for the clear and detailed explanation!

Great video! Without the nerve stimulator (not every service has it), how can you do this? Try and error?

Amazing!

Do you do bilateral block for bilateral mastectomy?

Amazing.. Thank you so much.. ❤

This is awesome 🎉

You’re such a blessing. Thank you 😊

It is very dangerous procedure negative aspirations will not guaranty one is not in vessel. Most importantly being very close to heart drug act more rapidly than Intravenous. The author has about 45 Yeats of Exeperince in Regional Anesthesia

thank you

Hi,Great video, can we ablate these nerves along with genicular nerves for pain relief in Knee OA patients? Will it provide better pain relief?

Para os brasileiros, é mais fácil entender o inglês do que o português de Portugal

Well done.

There is almost no surgeon agreeing to injecting in the vicinity of the knee joint before an endoprothetic kneearthroplasty. In our clinic there is either regional anesthesia or LIA. maybe combining the adductor canal block combined with a dose attentive LIA is a way to go

Bloqueio desse nervo é necessário anestesia geral?

Que devo fazer para fazer loqueio desse nervo

Do you use a fresh needle for the opposite side?

Excellent overview. Kudos for making this great resource

A very useful and informative video! Thank you very much!

Great video! Would you consider performing this block after induction of general anesthesia, prior to surgical incision?

thank you

excellent presentation, very useful, practical tips..... thanks