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@@edwardpinder5634 that’s very kind of you to say! I’d say I am just an enthusiast who loves spreading the RA love!

Dr Tanya is amazing!

Thank you so much!

@@DrQueenLuna thank you so much

@@DrAmitPawa Thank you!!!

@@annamariesteyn7556 thank you! Jeff is a superstar creative and editor!

Thanks so much for sharing your experience.

Great answer!

😂😂😂

@@DrAmitPawa we stopped selling it in my country after a month in the stores

Thanks- I think I’m good though!

yeah true, all the finest foods and drink in life taste like dog diarrhea until you just eat the whole thing and forget about it. thats the real key to a good flavor

Good Luck for your procedure. I guess it depends exactly what block you are having done and for what indication, but most practitioners would insert some local anaesthetic before siting the block, and some even offer sedation. As i say- this is determined by local practice. Good luck and hope it goes well

@@ctrlz4439 same- apart from 2 sips! 😂

Whatttttttt that's literally the best drink in the world 🤣. I highly recommend drinking it extremely cold 🤣

​@@DrAmitPawa don't try it warm, try it freezing cold, that's a big difference 🤣

@@skyoceanneo if it does not turn to ice when extremely cold - may be it is windshield washing fluid indeed

Sadly not at the moment- so sorry

@@DrAmitPawa hi what about workshops in regional anaesthesia for foreigners?

@@justinbasutu we run workshops at many courses in London- if you check out the RA-UK website, you can see courses advertised there There will almost certainly be workshops at the RA-UK conference next may too

No, have not heard that one yet! 😂

Many many thanks

Ok - Will try my best to put one together!

@@zakalobi80 yup, i hear you!

Woah.! Yes i have heard of folks doing that!

There’s a study of Mathias Maagaard, et al. 2024, DOI: 10.1136/rapm-2023-105098. Dexmedetomidine and Dexamethasone combined vs Dexa alone are the same in duration of analgesia. And in RAPM 2024 E. Hoerner showed more crystallization in the dexme-dexa mixture. 10.1136/rapm-2023-105229. Based on that i wouldn’t think there’s any reason in doing so.

So nice of you to say that! Thank You 🙏🏽

Thank you so much!

@@ebu_sati thank you so much- that is really kind

You gave me confident to start back doing blocks ❤️ self practice You saved me and many pts were not fit for G.A ESB SFIB THOSE blocks i was the first anesthesia doc doing it in my hospital

@@ebu_sati oh my goodness! This is so incredible to read and wonderful to hear. Keep it up and spread the knowledge. This is such an inspiring story, thank you for sharing

In theory, you could do a pecto-serratus or serratus anterior plane block from axilla with a larger volume of LA to target the nerve here, or block median antebrachial cutaneous in axilla near median nerve

@@chriswong7075 although this is not something I personally do, it is something that has been done and published

Thank you so much for your kind words 🙏🏽

@@paanmelaka thanks for watching and supporting my channel 🙏🏽🙏🏽

Thank you- please do listen to the full episode too!

You're welcome. Thanks for watching!

For posterior knee pain there are a few options: 1. Surgical Local Anaesthetic infiltration at time of surgery 2. IPACK block 3. Distal Adductor Canal block aiming for LA to follow the Path to the back of the knee. My Preference is for ipack block

@@DrAmitPawa if the pain is more over the semimembranosus/semitendinosus region, i probably should go for distal adductor canal block right?

Thank you for watching videos and supporting my channel 🙏🏽

Trying to mix it up! 😂

Is it recorded?

@@ebu_sati on any podcast provider…

Thanks So Much

Thank you so much for taking the time to watch and also feedback on the videos. It’s really great to know that they are being put to good use. Good luck for the blocks.

Paravertebral blocks have not been shown to reduce cancer recurrence, but there was a lot of excitement after one retrospective study, and a couple of small prospective studies suggested that maintaining Immune competency around the time of surgery may have an impact. The only randomised prospective large multi-centre trial that has subsequently taken place has not supported this claim.

Thank You 🙏🏽

Thank you so much for watching!

Thanks! 😃- thats very kind of you

Thank you so much 😀

There may be some utility there. Generally speaking the block will last as long as long as the duration of the drug (<24hours) - but it can be used with a nerve catheter or longer acting drugs. Pain physicians would be the best point of contact

Glad you enjoyed it

Thanks so much

Thank you so much! Please do share and enjoy the channel. Appreciate your feedback 🙏🏽

So the way to do this is by using a couple of techniques: 1. Direct your needle around the venous structures and aiming to place needle near fascia around nerves 2. Use hydrodissection to move structures out of the way /compress them by hydrostatic pressure 3. Once observed where veins are you can alter your probe pressure to compress the veins

I don’t believe that this is commercially available at this point in time sadly

So at present- I can just about do bilateral posterior QL’s with the patient supine, and a wedge under each hip one at a time. If wanting to perform Anterior QLs, could either do sitting, turning lateral twice, or do both injections from just one side

Do you mean EDRA guidance?

If it was not clear, apologies. Please do check out this video for a more precise discussion on this th-cam.com/video/EJDBnzOfmms/w-d-xo.htmlsi=lWsA-0FEKkRKxXzD

Thank You so much for watching ! 🙏🏽