Doc, you're amazing 👏. That's the way medical education should be clear and easy to understand with real illustrations so we can reduce medical errors and save more lives. You're truly appreciate!🤗
Great video ! The only problem i see that actually the difference between femoral o femoral triangle block it s not that obvios, as the distribution of the la is greater than we usually think and you end up with a classic femoral block and all the motor block that comes with it
Thank you for the comment. Agree. The volume plays a critical role. If you increase the volume for Adductor Canal and Femoral triangle block especially, you will be getting proximal spread and block characteristics that are closer to the femoral nerve. Chen J, Lesser JB, Hadzic A, Reiss W, Resta-Flarer F. Adductor canal block can result in motor block of the quadriceps muscle. Reg Anesth Pain Med. 2014 Mar-Apr;39(2):170-1
Hi there! Thank you for your kind words and glad you like our videos! Make sure to subscribe to this channel for all the latest updates and videos! Greetings!
How dou you calculate maximum local anaesthesic doses for blocs which requared large volume of la such as femoral nerve bloc when you used two or more different local anaesthesic together?ropivacaine + prilocaine e.g.
Hi Nur. Here's one way you can do it. Let's assume that the total maximum recommended dose of the local anesthetic or their combination is 100%. Now, let's say that you use in a mixture 60% of the maximum recommended dose of lidocaine (60% of 4.5 mg/kg). If you mix lidocaine with bupivacaine, that means that you can add another 40% of the maximum recommended dose of bupivacaine (40% of 3 mg/kg). Hope this helps.
@@DRBLUESNYC Yes. I've read about that. Dr Hadzic, I'm from Brazil and you're a legend in my opinion. Your book and Nysora are helping me and my patients for 1 year already. Thank you for help me improove my nerve block skills. Together, we can make a huge difference in many lives!!!
what if we do popliteal block instead of genicular or ipack, that is, popliteal block + femoral block for postop TKA analgesia? what do you think? can those who have an idea share?there are too many injections in genicular
Hi, thanks for your question! Yes, you could replace the genicular/IPACK block, however popliteal and femoral blocks will prevent ambulation. Kind regards from NYSORA!
Sir actually the block at 6:00 mins you described seems like femoral triangle block rather than Adductor Canal Block?? Pls correct me sir if I'm incorrect Sir.....
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Doc, you're amazing 👏. That's the way medical education should be clear and easy to understand with real illustrations so we can reduce medical errors and save more lives. You're truly appreciate!🤗
Thanks Dr. Hazdec for excellent teachings. My brachial plexus blocks have improved significantly since watching your videos. Thank you from Bhutan.
Glad you found it helpful!
Best video explaining all the approaches in a nutshell. Need more such videos Sir
Thank you, we're working on it!
A common sense and logical presentation.
Doc thanks alot it is the best teaching way
You are very welcome!
Great video ! The only problem i see that actually the difference between femoral o femoral triangle block it s not that obvios, as the distribution of the la is greater than we usually think and you end up with a classic femoral block and all the motor block that comes with it
Thank you for the comment. Agree. The volume plays a critical role. If you increase the volume for Adductor Canal and Femoral triangle block especially, you will be getting proximal spread and block characteristics that are closer to the femoral nerve. Chen J, Lesser JB, Hadzic A, Reiss W, Resta-Flarer F. Adductor canal block can result in motor block of the quadriceps muscle. Reg Anesth Pain Med. 2014 Mar-Apr;39(2):170-1
Thank you so much…..you are amazing and your slides so clear.
Hi there! Thank you for your kind words and glad you like our videos! Make sure to subscribe to this channel for all the latest updates and videos! Greetings!
Excellent tips sir
Excellent explanation. Thanks
Glad it was helpful!
Excellent sir as always..
Thanks again!
Fantastic and brilliant
Thank you so much 😀
Nice.
Thanks!
How dou you calculate maximum local anaesthesic doses for blocs which requared large volume of la such as femoral nerve bloc when you used two or more different local anaesthesic together?ropivacaine + prilocaine e.g.
Hi Nur. Here's one way you can do it. Let's assume that the total maximum recommended dose of the local anesthetic or their combination is 100%. Now, let's say that you use in a mixture 60% of the maximum recommended dose of lidocaine (60% of 4.5 mg/kg). If you mix lidocaine with bupivacaine, that means that you can add another 40% of the maximum recommended dose of bupivacaine (40% of 3 mg/kg). Hope this helps.
@@DRBLUESNYC thank you very much.I am big fan of you from Turkey🤩🤩🤩
@@DRBLUESNYC Yes. I've read about that. Dr Hadzic, I'm from Brazil and you're a legend in my opinion. Your book and Nysora are helping me and my patients for 1 year already. Thank you for help me improove my nerve block skills. Together, we can make a huge difference in many lives!!!
what if we do popliteal block instead of genicular or ipack, that is, popliteal block + femoral block for postop TKA analgesia? what do you think? can those who have an idea share?there are too many injections in genicular
Hi, thanks for your question! Yes, you could replace the genicular/IPACK block, however popliteal and femoral blocks will prevent ambulation. Kind regards from NYSORA!
Sir actually the block at 6:00 mins you described seems like femoral triangle block rather than Adductor Canal Block?? Pls correct me sir if I'm incorrect Sir.....
Fantastic
Thank you Omar! A lot more videos are coming up-stay connected!
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