Realtime Ultrasound guided Thoracic epidural insertion

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  • čas přidán 29. 08. 2024
  • Realtime Ultrasound guided paramedian oblique interlaminar Thoracic epidural insertion validation in a cadaver

Komentáře • 10

  • @christopherlee3281
    @christopherlee3281 Před 5 měsíci

    Also I see this is 5 years old, have you altered your approach or technique since? Thanks for the great video

    • @mnar76
      @mnar76  Před 5 měsíci

      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

  • @tilakraj2342
    @tilakraj2342 Před 4 lety +3

    Thank you for your wonderful video. It would have been really good if you had also added a video of the procedure as its being done and then the live US image/video.

  • @christopherlee3281
    @christopherlee3281 Před 5 měsíci

    Great video.
    How do you go about holding the probe in one and performing the LOR with one hand?

    • @mnar76
      @mnar76  Před 5 měsíci

      Extension tubing attached to the tuohy needle.

  • @clareburlinson6548
    @clareburlinson6548 Před 6 lety

    Impressive! How do you maintain sterility and what do you use on skin as coupling medium?

    • @mnar76
      @mnar76  Před 6 lety +4

      Thanks. Standard sterile precautions- Probe cover, sterile drapes. Coupling medium is contentious- sterile saline preferred, but images and contact may not be great with image degradation and air artefacts. Many researchers and pain clinicians use sterile gel under the probe in small amounts, and take care that the puncture point is wiped clear of any gel prior to needle insertion, thats my second strategy.

    • @drsumansaini3498
      @drsumansaini3498 Před 4 lety

      @@mnar76
      Hello sir, I am Dr Suman Saini, Professor in VMMC N Safdarjung hospital.
      I wish to contact u n require ur guidance regarding learning a block .can u please share ur email ID / pH no
      Regards

    • @No-xh2cs
      @No-xh2cs Před 4 lety

      They also make gel-free probe covers that can be used and only use a thin layer of sterile saline

  • @bi0lizard1
    @bi0lizard1 Před 3 lety +1

    Ugh! That music is too loud and it’s annoying AF.... why?