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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 ! 🙏🏽

Thank you so much 🙏🏽

Hi Paul - LFCN can of course be relevant depending on skin incision, as for the femoral branch of genitofemoral - I think it could play a role - especially for anterior approaches . This is a pretty good reference resources.wfsahq.org/atotw/evidence-for-regional-anesthesia-blocks-for-patients-with-hip-fractures-atotw-477/

Wow - thank you so much for this wonderful feedback. I really appreciate it- please do share the knowledge 🙏🏽

Really not clear evidence base for a pure a answer on this. For limited dermatomal coverage- 5cc at one level. If multiple dermatomal levels required, 5 cc per level covering the range of levels interested in - so for breast - T2/3 T3/4 T4/5 for example. There have been case reports of 20cc one level, but this does not reflect my practice

Exactly!

Thanks so much! Really appreciate it🙏🏽

Thank You!

Thank you for sharing your experiences

Thanks so much for taking the time to watch the video!

Thank you! I uploaded it as a few folks missed it at the conference. Wasn’t sure if anyone would actually watch it!

Thank You So Much!

That is so lovely to hear. Thank you for listening and for your support 🙏🏽

Dear Kate! Thanks so much!

Correct! 👍🏽

Thanks so much! That is so kind of you! Please feel free to share. Appreciate your support!

Thank You so much! Please feel free to share with your colleagues. Thanks for the positive feedback

Thank You Vicente!

Thank you so much for taking the time to watch it. I really appreciate your feedback

I am having my block on This week. They're putting me asleep though, thank God. I suffer bad anxiety. Ive had a swollen rib left side about 7th rib they say. Four years suffering after ACDF surgery went horribly wrong. It's right under my breast. Terrified but more terrified of the mental stress it's had me under. Can't keep going like this

I wish you all the best for your procedure

Thank you for sharing your experiences and for taking the time to watch the video and feedback. I really appreciate it

@@DrAmitPawa you’re very welcome! I’ve managed to come of some pretty hardcore painkillers now I’ve been having this done regularly which can only be a good thing! I still have to take painkillers, but I’ve gone from fentanyl lozenges to codiene… big difference! Xx

Pleasure! So happy you found it useful!

Thank you so much! More coming soon!

Thank You Dr Tuhin! The first episode has been recorded!

Thank You Matthew for listening in. We are still trying to gauge interest in season 2 - it seems like you are very much in favour! We just need a few more folks to tell us they are interested and we will do so for sure!

@@DrAmitPawa No problem. I know many other UK trainees would like more episodes. I would love to see an episode on how to deal with surgeons opposed to blocks, or consultants that think a Morphine PCA is the best analgesia and finely how to optimise workflow with no block room. Just to name a few topics for consideration.

@@matthewsutton9760 these sound like great ideas! Please do spread the word, get other folks to listen in, and I think you might be twisting our arms here for a season 2! We still need more folks to speak up and let us know too 🙏🏽

Sadly - the there is nothing “reliable” about the anterior spread unless you make an intentional injection in the InterTransverse Process plane initially. This is why some folks don’t like it all.

Many thanks! - thanks for watching

Thank you so much

Thank You!

My pleasure! - so happy you found this useful

If I am performing an axillary BPB, this is usually blocked up At axilla. I usually perform this if I am doing isolated distal blocks

Glad you liked it! Many thanks

Thank you!

So sorry that you were not happy with this. The labelled image overlays display this information. Sorry this was not useful for you

@@DrAmitPawa It is helpful to have Medial/Lateral displayed at all times. I really dont understand why educational videos do not do this. I made the comment prior to the overlay showing up. Maybe in future videos, display medial/lateral on ALL images to orient less experienced practitioners.

@@paulgilbert2506 thanks for your comments. Many of my videos have this. This video was an abbreviated version of the full knee video that has the labels as you desire. Where the probe animation is displayed over the part of the body- this is meant to act as a surrogate guide. I appreciate you taking the time to comment

🙏🏽 thank you