Thank you very much for the wonderful presentation! I have some questions: where do you put the tip of the catheter and what is the suggested rate according to different numbers of the fractured ribs? How does the location of the fractures influence your decision of the injection site and direction of the needle / catheter? For example, today I had the patient with fractured ribs from 1 to 9 of the Rt side...
Pleasure Gamal! Sure, you can adjust the level as necessary depending which ribs are fractured. Can also tilt pt post procedure to encourage spread in a particular direction. I'd suggest always use at least 30-40mL to achieve adequate spread, just dilute as necessary
An good exposition...
Thank you very much for the wonderful presentation! I have some questions: where do you put the tip of the catheter and what is the suggested rate according to different numbers of the fractured ribs? How does the location of the fractures influence your decision of the injection site and direction of the needle / catheter? For example, today I had the patient with fractured ribs from 1 to 9 of the Rt side...
Thanks for this nice presentation. If we want to block T2( intercostal brachial n) , can we get the probe at higher level T3 and give less volume.
Pleasure Gamal! Sure, you can adjust the level as necessary depending which ribs are fractured. Can also tilt pt post procedure to encourage spread in a particular direction. I'd suggest always use at least 30-40mL to achieve adequate spread, just dilute as necessary